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
HC CYTOMEG, DNA, AMP PROBE - CMV QUAL PCR SALIVA SO
Hilo, HI
See all hospitals reporting CPT 87496 →Price type
Hilo Benioff Medical Center’s median price of $44 is 21% below the median hospital's median price ($55), higher than 38% of the 2,437 hospitals reporting CPT 87496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 7 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 | Humana medicare facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Kaiser medicare facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 3 | UnitedHealthcare medicare facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Devoted medicare facility · fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 5 | UnitedHealthcare medicaid facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 6 | Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 7 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $185 | $185 | — | — | — | $185 – $185 |
Last updated: Jun 15, 2026
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