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 Newborn Screening - Pku
San Angelo, TX
See all hospitals reporting CPT 84030 →Price type
Shannon River Crest Hospital’s median price of $31 is 261% above the median hospital's median price ($9), higher than 79% of the 1,976 hospitals reporting CPT 84030. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare advantage facility · case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Cigna ppo facility · case rate · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Ambetter ppo facility · case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Bcbs Tx hmo facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Bcbs Tx bav facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Bcbs Tx ppo facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 8 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 10 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 11 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 12 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 13 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 14 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 16 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 17 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
Last updated: Dec 8, 2025
See Phenylalanine blood test for PKU pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.