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.
Original text from hospital filings
sodium chloride 0.9% **BOLUS** 533 mL
Jasper, TX
See all hospitals reporting HCPCS J7030 →Price type
Southeast Texas - Jasper Memorial’s median price of $79 is 500% above the median hospital's median price ($13), higher than 86% of the 2,128 hospitals reporting HCPCS J7030. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 30 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 | $2.47 | $2.47 | $2.47 – $2.47 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $2.47 | $2.47 | $2.47 – $2.47 |
| 3 | Aetna new business fee schedule · outpatient | $4.48 | $4.48 | $4.48 – $4.48 |
| 4 | Aetna epo fee schedule · outpatient | $4.98 | $4.98 | $4.98 – $4.98 |
| 5 | Aetna hmo fee schedule · outpatient | $4.98 | $4.98 | $4.98 – $4.98 |
| 6 | Aetna pos fee schedule · outpatient | $4.98 | $4.98 | $4.98 – $4.98 |
| 7 | Aetna ppo fee schedule · outpatient | $4.98 | $4.98 | $4.98 – $4.98 |
| 8 | Humana choicecare fee schedule · outpatient | $5.08 | $5.08 | $5.08 – $5.08 |
| 9 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $41.06 | $33.90 | $20.53 – $61.59 |
| 10 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $41.06 | $33.90 | $20.53 – $61.59 |
| 11 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $41.06 | $33.90 | $20.53 – $61.59 |
| 12 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $41.06 | $33.90 | $20.53 – $61.59 |
| 13 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $70.39 | $58.11 | $35.19 – $105.58 |
| 14 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $61.59 | $61.59 | $41.06 – $82.12 |
| 15 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $65.71 | $65.71 | $65.71 – $65.71 |
| 16 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $65.99 | $65.99 | $43.99 – $87.99 |
| 17 | Bcbs Tx heb fee schedule · outpatient | $72.27 | $72.27 | $72.27 – $72.27 |
| 18 | Bcbs Tx hmo fee schedule · outpatient | $72.27 | $72.27 | $72.27 – $72.27 |
| 19 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $87.99 | $72.64 | $43.99 – $131.98 |
| 20 | Molina star km percent of total billed charges · outpatientfrom % of charges | $87.99 | $72.64 | $43.99 – $131.98 |
| 21 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $87.99 | $72.64 | $43.99 – $131.98 |
| 22 | Bcbs Tx ppo fee schedule · outpatient | $82.70 | $82.70 | $82.70 – $82.70 |
| 23 | Bcbs Tx traditional fee schedule · outpatient | $85.23 | $85.23 | $85.23 – $85.23 |
| 24 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $114.38 | $94.42 | $57.19 – $171.58 |
| 25 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $131.98 | $108.95 | $65.99 – $197.97 |
Last updated: Jan 13, 2026
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