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 - DNA/RNA AMP 87635
Smithville, TX
See all hospitals reporting HCPCS U0002 →Price type
Ascension Seton’s median price of $51 is 5% below the median hospital's median price ($54), higher than 10% of the 1,728 hospitals reporting HCPCS U0002. 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, 27 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 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 6 | Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 8 | Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 9 | Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 10 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 11 | Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 12 | Cigna 340_cigna hmo (ebd, shl) 20140701 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 13 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 14 | Humana 2668_humana hmo 20230701 other · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 15 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 fee schedule · both | $89 | $89 | $12 | 14% | — | $77 – $102 |
| 16 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 fee schedule · both | $89 | $89 | $12 | 14% | — | $77 – $102 |
| 17 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 18 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $101 | $101 | $14 | 14% | — | $87 – $114 |
| 19 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $101 | $101 | $14 | 14% | — | $87 – $114 |
| 20 | Superior Healthplan 4247_chirp superior star (smv) outpatient 20241201 fee schedule · outpatient | $101 | $101 | $14 | 14% | — | $87 – $114 |
| 21 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $101 | $101 | $14 | 14% | — | $87 – $114 |
| 22 | Superior Healthplan 4401_chirp superior star plus (smv) outpatient 20241201 fee schedule · outpatient | $101 | $101 | $14 | 14% | — | $87 – $114 |
| 23 | Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient | $101 | $101 | $14 | 14% | — | $87 – $114 |
| 24 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 25 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
Last updated: Jan 1, 2026
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