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
HEPATITIS B NAAT QN REF1
Arlington, TX
See all hospitals reporting CPT 87517 →Price type
AMH Cath Labs LLC’s median price of $94 is 35% above the median hospital's median price ($70), higher than 62% of the 2,575 hospitals reporting CPT 87517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 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 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Molina managed medicaid fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Humana medicare advantage case rate · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Molina medicare advantage case rate · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 16 | Blue Cross Blue Shield exchange fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 19 | Aetna whole health fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 20 | Aetna commercial fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 21 | Cigna oap/hmo fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 22 | Cigna ppo fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 23 | Blue Cross Blue Shield traditional fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $287 | $279 | $39 | 14% | — | $228 – $323 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $289 | $282 | $39 | 14% | — | $230 – $326 |
Last updated: Apr 21, 2026
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