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
RBC, L/R, CMV-NEG, IRRAD
Jasper, TX
See all hospitals reporting HCPCS P9058 →Price type
Southeast Texas - Jasper Memorial’s median price of $225 is 31% below the median hospital's median price ($328), higher than 16% of the 1,173 hospitals reporting HCPCS P9058. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | Aetna mm fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Humana gold choice mm fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 6 | WellCare mm fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 7 | Molina chip km fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 8 | Molina star km fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 9 | Molina star plus km fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 10 | UnitedHealthcare chip km fee schedule · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 11 | UnitedHealthcare star kid km fee schedule · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 12 | UnitedHealthcare star km fee schedule · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 13 | UnitedHealthcare star plus km fee schedule · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 14 | Devoted mm fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 15 | UnitedHealthcare hix fee schedule · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 16 | Humana choicecare fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 17 | UnitedHealthcare all payer fee schedule · outpatient | $832 | $832 | — | — | — | $832 – $832 |
Last updated: Jan 13, 2026
See Red blood cell transfusion unit, leukocyte-reduced, CMV-negative, irradiated pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.