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
SARS-COV-2 COVID19 W/OPTIC
Kyle, TX
See all hospitals reporting CPT 87811 →Price type
Ascension Seton’s median price of $41 is 3% below the median hospital's median price ($43), higher than 10% of the 1,751 hospitals reporting CPT 87811. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $41 | $41 | — | — | — | $41 – $41 |
| 2 | Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $41 | $41 | — | — | — | $41 – $41 |
| 6 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $41 | $41 | — | — | — | $41 – $41 |
| 8 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $41 | $41 | — | — | — | $41 – $41 |
| 9 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 10 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $42 | $42 | — | — | — | $42 – $42 |
| 11 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 12 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 14 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 15 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 16 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 17 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 18 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
Last updated: Jan 1, 2026
See COVID-19 antigen test by visual immunoassay pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.