Teplizumab injection, 5 mcg 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 TEPLIZUMAB MZWV 5 MCG

Jasper, TX

See all hospitals reporting HCPCS J9381 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $40 is 10% below the median hospital's median price ($44), higher than 39% of the 1,196 hospitals reporting HCPCS J9381. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9381 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	$37	$37	—	—	—	$37 – $37
2	UnitedHealthcare hix fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
3	Aetna mm fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
4	Bcbs Tx mm fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
5	Humana gold choice mm fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
6	Molina medicare adv mm fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
7	UnitedHealthcare mm fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
8	WellCare mm fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
9	Devoted mm fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
10	Aetna new business fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
11	Aetna epo fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
12	Aetna hmo fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
13	Aetna pos fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
14	Aetna ppo fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
15	Bcbs Tx blue advantage hmo fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
16	Bcbs Tx heb fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
17	Bcbs Tx hmo fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
18	Bcbs Tx ppo fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
19	Bcbs Tx traditional fee schedule · outpatient	$231	$231	—	—	—	$231 – $231

Last updated: Jan 13, 2026

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