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 TARGET
Arlington, TX
See all hospitals reporting CPT 87633 →Price type
AMH Cath Labs LLC’s median price of $1.0k is 114% above the median hospital's median price ($475), higher than 88% 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: 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 | $350 | $350 | — | — | — | $350 – $350 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 4 | Molina managed medicaid fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $385 | $385 | — | — | — | $385 – $385 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 9 | Humana medicare advantage case rate · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 11 | Molina medicare advantage case rate · outpatient | $438 | $438 | — | — | — | $438 – $438 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $438 | $438 | — | — | — | $438 – $438 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $471 | $471 | — | — | — | $471 – $471 |
| 16 | Blue Cross Blue Shield exchange fee schedule · outpatient | $579 | $579 | — | — | — | $579 – $579 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $825 | $825 | — | — | — | $825 – $825 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $917 | $917 | — | — | — | $917 – $917 |
| 19 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Aetna whole health fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Apr 21, 2026
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