Sodium chloride 0.9% IV solution 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

sodium chloride 0.9% **BOLUS** 533 mL

Jasper, TX

See all hospitals reporting HCPCS J7040 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $44 is 300% above the median hospital's median price ($11), higher than 79% of the 2,069 hospitals reporting HCPCS J7040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7040 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	$1	$1	—	—	—	$1 – $1
2	UnitedHealthcare hix fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
3	Aetna new business fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
4	Aetna epo fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
5	Aetna hmo fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
6	Aetna pos fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
7	Aetna ppo fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
8	Humana choicecare fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
9	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$21	$28	$13	46%	—	$21 – $56
10	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$21	$28	$13	46%	—	$21 – $56
11	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$21	$28	$13	46%	—	$21 – $56
12	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$21	$28	$13	46%	—	$21 – $56
13	Bcbs Tx blue advantage hmo fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
14	Bcbs Tx heb fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
15	Bcbs Tx hmo fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
16	Bcbs Tx ppo fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
17	Bcbs Tx traditional fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
18	Aetna mm percent of total billed charges · outpatientfrom % of charges	$35	$48	$22	46%	—	$35 – $96
19	Molina chip km percent of total billed charges · outpatientfrom % of charges	$44	$59	$27	46%	—	$44 – $120
20	Molina star km percent of total billed charges · outpatientfrom % of charges	$44	$59	$27	46%	—	$44 – $120
21	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$44	$59	$27	46%	—	$44 – $120
22	Cigna new business percent of total billed charges · outpatientfrom % of charges	$57	$77	$36	46%	—	$57 – $156
23	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$66	$89	$41	46%	—	$66 – $180
24	Devoted mm percent of total billed charges · outpatientfrom % of charges	$73	$99	$46	46%	—	$73 – $200
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$88	$119	$55	46%	—	$88 – $240

Page 1 of 2 · 28 rates

Last updated: Jan 13, 2026

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