Adalimumab-adbm injection, per milligram 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

Injection, adalimumab-adbm, biosimilar, 1 mg

Jasper, TX

See all hospitals reporting HCPCS Q5143 →

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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 $11 is 42% below the median hospital's median price ($19), higher than 24% of the 879 hospitals reporting HCPCS Q5143. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q5143 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 14 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	$10	$10	—	—	—	$10 – $10
2	UnitedHealthcare hix fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
3	Aetna mm fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
4	Bcbs Tx mm fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
5	Humana gold choice mm fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
6	Molina medicare adv mm fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
7	UnitedHealthcare mm fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
8	WellCare mm fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
9	Devoted mm fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
10	Bcbs Tx blue advantage hmo fee schedule · outpatient	$384	$384	—	—	—	$384 – $384
11	Bcbs Tx heb fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
12	Bcbs Tx hmo fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
13	Bcbs Tx ppo fee schedule · outpatient	$484	$484	—	—	—	$484 – $484
14	Bcbs Tx traditional fee schedule · outpatient	$498	$498	—	—	—	$498 – $498

Last updated: Jan 13, 2026

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