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 COVID-19 AMP PRB
Luling, TX
See all hospitals reporting CPT 87635 →Price type
Ascension Seton’s median price of $51 is 17% below the median hospital's median price ($62), higher than 7% of the 2,553 hospitals reporting CPT 87635. 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, 35 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 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Superior Healthplan 3511_chirp superior star (ebd) inpatient 20240901 fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Superior Healthplan 4377_chirp superior star plus (ebd) inpatient 20240901 fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 5 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 6 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 7 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 8 | Superior Healthplan 4243_chirp superior star (ebd) outpatient 20241201 fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 9 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 10 | Superior Healthplan 4393_chirp superior star plus (ebd) outpatient 20241201 fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 11 | Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 12 | Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 13 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 14 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 15 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 16 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 17 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 18 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 19 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 20 | Blue Cross Blue Shield 3695_chirp blue cross star (ebd) inpatient 20240901 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 21 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 22 | Blue Cross Blue Shield 4221_chirp blue cross star (ebd) outpatient 20241201 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Cigna 340_cigna hmo (ebd, shl) 20140701 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 24 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 25 | UnitedHealthcare 3739_chirp uhc star (ebd) inpatient 20240901 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
Last updated: Jan 1, 2026
See COVID-19 SARS-CoV-2 amplified nucleic acid test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.