Restorigin 1 cc vial 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

RESTORIGIN, 1 CC

Jasper, TX

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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 $35 is 90% below the median hospital's median price ($352), higher than 32% of the 300 hospitals reporting HCPCS Q4192. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4192 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 1 payer, 5 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	Bcbs Tx blue advantage hmo fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
2	Bcbs Tx heb fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
3	Bcbs Tx hmo fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
4	Bcbs Tx ppo fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
5	Bcbs Tx traditional fee schedule · outpatient	$41	$41	—	—	—	$41 – $41

Last updated: Jan 13, 2026

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