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
ADENOVIRUS ASSAY W/OPTIC
Park, TX
See all hospitals reporting CPT 87809 →Price type
Ascension Cedar Park’s median price of $18 is 18% below the median hospital's median price ($22), higher than 7% of the 1,391 hospitals reporting CPT 87809. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 29 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 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 4 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 5 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 6 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 8 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 10 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 11 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 12 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 13 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 14 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 16 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 17 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 18 | Humana 2668_humana hmo 20230701 other · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 19 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 20 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 21 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 22 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 23 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 24 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 25 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
Last updated: Jan 1, 2026
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