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
HIV-2 AG IA
San Angelo, TX
See all hospitals reporting CPT 87391 →Price type
Shannon River Crest Hospital’s median price of $36 is 57% above the median hospital's median price ($23), higher than 85% of the 1,353 hospitals reporting CPT 87391. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 advantage facility · case rate · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Cigna ppo facility · case rate · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Ambetter ppo facility · case rate · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 5 | Bcbs Tx hmo facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 6 | Bcbs Tx bav facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Bcbs Tx ppo facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
Last updated: Dec 8, 2025
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