Oral ondansetron tablet or liquid 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

ondansetron (Zofran) 4 MG/5ML solution 2 mg

Jasper, TX

See all hospitals reporting HCPCS Q0162 →

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $51 is 23086% above the median hospital's median price ($0), higher than 93% of the 1,651 hospitals reporting HCPCS Q0162. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q0162 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	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare hix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna epo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Aetna hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Aetna new business fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
6	Aetna pos fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
7	Aetna ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
8	Humana choicecare fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
10	Bcbs Tx heb fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
11	Bcbs Tx hmo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
12	Bcbs Tx ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
13	Bcbs Tx traditional fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
14	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
15	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
16	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
17	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
18	Aetna mm percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
19	Molina chip km percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
20	Molina star km percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
21	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
22	Cigna new business percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
23	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
24	Devoted mm percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109

Page 1 of 2 · 28 rates

Last updated: Jan 13, 2026

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