Infectious agent antigen detection test by immunoassay at Pmc Hospital, Llc

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

HIV-1 P24 ANTIGEN

Pasadena, TX

See all hospitals reporting CPT 87390 →

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How this price compares nationally

Pmc Hospital, Llc’s median price of $36 is 43% above the median hospital's median price ($25), higher than 69% of the 1,581 hospitals reporting CPT 87390. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87390 at Pmc Hospital, Llc

Negotiated rates from the hospital’s own file: 9 payers, 28 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\|all other plans fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
2	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
3	Cigna Healthspring medicare\|all plans fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
4	Humana medicare\|all plans fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
5	Aetna medicare\|all plans fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
6	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
7	UnitedHealthcare medicaid\|star fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
8	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
9	Ambetter commercial\|all plans fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
10	UnitedHealthcare commercial\|charter fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
11	UnitedHealthcare commercial\|exchange fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
12	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
13	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
14	Blue Cross Blue Shield commercial\|exchange fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
15	Cigna commercial\|surefit fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
16	UnitedHealthcare medicaid\|starplus fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
17	Cigna commercial\|hmo fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
18	Blue Cross Blue Shield commercial\|blue premier fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
19	Cigna commercial\|ppo fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
20	Blue Cross Blue Shield commercial\|hmo fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
21	Blue Cross Blue Shield commercial\|ppo fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
22	Cigna commercial\|transplant fee schedule · outpatient	$143	$144	$17	12%	—	$120 – $169
23	First Health commercial\|all plans fee schedule · inpatient	$144	$144	$13	9%	—	$130 – $157
24	First Health commercial\|all plans fee schedule · outpatient	$144	$144	$13	9%	—	$130 – $157
25	Aetna commercial\|hmo fee schedule · outpatient	$150	$150	$14	9%	—	$136 – $165

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

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