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
HC HEP B SURFACE ANTIGEN QUANT
Low
$9
Average
$74
Median
$38
High
$415
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 8.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 630 | $21 | $21 | $20 | 93% | — | $5 – $277 |
| 2 | Aetna fee schedule · outpatient · +22 other terms | 563 | $26 | $77 | $500 | 653% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +21 other terms | 404 | $25 | $25 | $8 | 31% | — | $11 – $101 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 394 | $26 | $38 | $31 | 82% | — | $1 – $255 |
| 5 | WellCare fee schedule · outpatient · +11 other terms | 266 | $26 | $27 | $5 | 17% | — | $9 – $50 |
| 6 | Cigna fee schedule · outpatient · +18 other terms | 246 | $27 | $42 | $23 | 55% | — | $7 – $150 |
| 7 | Molina fee schedule · outpatient · +22 other terms | 236 | $25 | $23 | $16 | 70% | — | $5 – $76 |
| 8 | Devoted fee schedule · outpatient · +10 other terms | 195 | $25 | $26 | $1 | 3% | — | $25 – $29 |
| 9 | Oscar fee schedule · outpatient · +11 other terms | 159 | $49 | $55 | $18 | 33% | — | $25 – $77 |
| 10 | Anthem fee schedule · outpatient · +17 other terms | 148 | $25 | $39 | $38 | 96% | — | $6 – $190 |
| 11 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 130 | $26 | $25 | $4 | 17% | — | $9 – $27 |
| 12 | Ambetter facility · fee schedule · outpatient · +12 other terms | 98 | $46 | $47 | $11 | 24% | — | $14 – $65 |
| 13 | Kaiser fee schedule · outpatient · +15 other terms | 86 | $26 | $36 | $26 | 71% | — | $8 – $177 |
| 14 | Aetna Better Health fee schedule · outpatient · +13 other terms | 73 | $9 | $11 | $4 | 33% | — | $9 – $27 |
| 15 | Caresource fee schedule · outpatient · +9 other terms | 64 | $25 | $26 | $7 | 26% | — | $13 – $49 |
| 16 | Tricare facility · fee schedule · outpatient · +13 other terms | 52 | $25 | $21 | $8 | 35% | — | $2 – $37 |
| 17 | Optum fee schedule · outpatient · +15 other terms | 50 | $25 | $33 | $14 | 42% | — | $25 – $73 |
| 18 | Clover fee schedule · outpatient · +9 other terms | 46 | $26 | $26 | $1 | 2% | — | $25 – $27 |
| 19 | Superior Healthplan fee schedule · outpatient · +5 other terms | 44 | $27 | $26 | $2 | 9% | — | $13 – $41 |
| 20 | First Health fee schedule · outpatient · +14 other terms | 35 | $25 | $23 | $39 | 167% | — | $9 – $238 |
| 21 | Medica facility · fee schedule · outpatient · +12 other terms | 30 | $25 | $24 | $6 | 24% | — | $9 – $42 |
| 22 | Amerihealth Caritas fee schedule · outpatient · +8 other terms | 29 | $30 | $27 | $10 | 35% | — | $10 – $38 |
| 23 | Bcbs Tx fee schedule · outpatient | 29 | $58 | $60 | $27 | 45% | — | $15 – $130 |
| 24 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 27 | $35 | $37 | $9 | 24% | — | $24 – $54 |
| 25 | Medicare fee schedule · both · +5 other terms | 26 | $25 | $25 | — | — | — | $25 – $25 |
← Hospitals reporting CPT 87467 · Snapshot 20261112T181611Z-3fa9fb76