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 RT HSV /VARICELLA ZOSTERCUL
Lancaster, PA
See all hospitals reporting CPT 87253 →Price type
Lancaster General Health’s median price of $46 is 71% above the median hospital's median price ($27), higher than 75% of the 1,907 hospitals reporting CPT 87253. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 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 | Tricare tricare facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Medicare medicare facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 4 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Aetna aetna medicare advantage facility · other · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 8 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 10 | Devoted devoted health medicare advantage facility · other · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 12 | Medicaid medicaid facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 13 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 14 | Highmark highmark chip facility · other · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 15 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 16 | Oscar oscar health plan facility · other · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 17 | Highmark highmark aca facility · other · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 18 | UnitedHealthcare united healthcare commercial facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 19 | Highmark highmark commercial preferred facility · other · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 20 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 21 | Highmark highmark commercial facility · other · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 22 | Highmark highmark commercial non-preferred facility · other · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 23 | Aetna aetna commercial facility · case rate · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 24 | Cigna cigna new business facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 25 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
Last updated: Mar 31, 2026
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