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 Inf Ag by Nuc Acid, H
San Angelo, TX
See all hospitals reporting CPT 87625 →Price type
Shannon River Crest Hospital’s median price of $126 is 165% above the median hospital's median price ($48), higher than 88% of the 1,981 hospitals reporting CPT 87625. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare advantage facility · case rate · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Cigna ppo facility · case rate · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 4 | Ambetter ppo facility · case rate · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 5 | Bcbs Tx hmo facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 6 | Bcbs Tx bav facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 7 | Bcbs Tx ppo facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 8 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 10 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 11 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 12 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 13 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 14 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 16 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 17 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
Last updated: Dec 8, 2025
See HPV testing for types 16 and 18 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.