Low-risk HPV detection by nucleic acid test at Ascension Seton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HPV LOW-RISK TYPES

Smithville, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $36 is 1% below the median hospital's median price ($37), higher than 40% of the 1,475 hospitals reporting CPT 87623. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87623 at Ascension Seton

Negotiated rates from the hospital’s own file: 7 payers, 47 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 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
4	Blue Cross Blue Shield 4174_blue cross chip (smv) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
5	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
6	Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
7	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
8	UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
9	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
10	UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
11	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
12	UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
13	Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 fee schedule · both	$36	$36	—	—	—	$36 – $36
14	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$36	$36	—	—	—	$36 – $36
15	Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 fee schedule · both	$36	$36	—	—	—	$36 – $36
16	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$40	$40	—	—	—	$40 – $40
17	Humana 2668_humana hmo 20230701 other · outpatient	$58	$58	—	—	—	$58 – $58
18	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
19	Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient	$81	$72	$12	17%	—	$55 – $81
20	Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient	$81	$72	$12	17%	—	$55 – $81
21	Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$81	$72	$12	17%	—	$55 – $81
22	Superior Healthplan 4247_chirp superior star (smv) outpatient 20241201 fee schedule · outpatient	$81	$72	$12	17%	—	$55 – $81
23	Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$81	$72	$12	17%	—	$55 – $81
24	Superior Healthplan 4401_chirp superior star plus (smv) outpatient 20241201 fee schedule · outpatient	$81	$72	$12	17%	—	$55 – $81
25	Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient	$81	$72	$12	17%	—	$55 – $81

Page 1 of 2 · 47 rates

Last updated: Jan 1, 2026

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