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
Resp virus 12-25 targets
Calhoun, GA
See all hospitals reporting CPT 87633 →Price type
Adventhealth Gordon’s median price of $567 is 19% above the median hospital's median price ($475), higher than 60% of the 2,357 hospitals reporting CPT 87633. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | Cigna medicare managed care plan fee schedule · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 3 | Blue Cross Blue Shield medicare managed care plan fee schedule · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 4 | Blue Cross Blue Shield hmo fee schedule · outpatient | $567 | $567 | — | — | — | $567 – $567 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $625 | $625 | — | — | — | $625 – $625 |
| 6 | Oscar individual plan hmo exchange fee schedule · outpatient | $826 | $826 | — | — | — | $826 – $826 |
Last updated: Apr 1, 2026
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