Sirolimus protein-bound particle injection 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJ SIROLIMUS PROT PART 1 MG

Jasper, TX

See all hospitals reporting HCPCS J9331 →

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Pricing by billing methodology

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $127 is 3% above the median hospital's median price ($123), higher than 53% of the 1,255 hospitals reporting HCPCS J9331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9331 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 19 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	$118	$118	—	—	—	$118 – $118
2	UnitedHealthcare hix fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
3	Aetna mm fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
4	Bcbs Tx mm fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
5	Humana gold choice mm fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
6	Molina medicare adv mm fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
7	UnitedHealthcare mm fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
8	WellCare mm fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
9	Devoted mm fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
10	Aetna new business fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
11	Aetna epo fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
12	Aetna hmo fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
13	Aetna pos fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
14	Aetna ppo fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
15	Bcbs Tx blue advantage hmo fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
16	Bcbs Tx heb fee schedule · outpatient	$328	$328	—	—	—	$328 – $328
17	Bcbs Tx hmo fee schedule · outpatient	$328	$328	—	—	—	$328 – $328
18	Bcbs Tx ppo fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
19	Bcbs Tx traditional fee schedule · outpatient	$387	$387	—	—	—	$387 – $387

Last updated: Jan 13, 2026

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