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
RL-NG-HPV DNA TISSUE
Carmichael, CA
See all hospitals reporting CPT 87624 →Price type
Dignity Health’s median price of $75 is 44% above the median hospital's median price ($52), higher than 68% of the 2,341 hospitals reporting CPT 87624. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 39 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Anthem medicare|all other plans fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Blue Cross Blue Shield medicare|hmo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Humana commercial|all plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Kaiser medicare|all plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Anthem medicare|imperial fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 13 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 15 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 16 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 17 | Molina medicaid|all plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 18 | Cigna commercial|localplus fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 20 | Anthem medicaid|all plans fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 21 | Aetna commercial|all other plans fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 22 | Aetna commercial|hmo fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 23 | Aetna commercial|ppo fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 24 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 25 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
Last updated: Feb 28, 2026
See HPV high-risk types test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.