Diazepam injection, 5 mg/mL at Southeast Texas - Jasper Memorial

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

diazepam (Valium) 5 MG/ML injection

Jasper, TX

See all hospitals reporting HCPCS J3360 →

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $85 is 214% above the median hospital's median price ($27), higher than 79% of the 2,302 hospitals reporting HCPCS J3360. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J3360 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 11 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare all payer fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
2	UnitedHealthcare hix fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
3	Aetna new business fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
4	Aetna epo fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
5	Aetna hmo fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
6	Aetna pos fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
7	Aetna ppo fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
8	Humana choicecare fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
10	Bcbs Tx heb fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
11	Bcbs Tx hmo fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
12	Bcbs Tx ppo fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
13	Bcbs Tx traditional fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
14	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
15	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
16	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
17	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
18	Aetna mm percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
19	Molina chip km percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
20	Molina star km percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
21	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
22	Cigna new business percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
23	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
24	Devoted mm percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	—	$183 – $183

Page 1 of 2 · 28 rates

Last updated: Jan 13, 2026

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