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 Iadna Hpv Sep Rprt Hi-Rsk Typ&Hi-Rsk Poold Rsl
San Angelo, TX
See all hospitals reporting CPT 87626 →Price type
Shannon River Crest Hospital’s median price of $180 is 144% above the median hospital's median price ($74), higher than 90% of the 1,638 hospitals reporting CPT 87626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Cigna ppo facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Ambetter ppo facility · case rate · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 4 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $180 | $180 | — | — | — | $180 – $180 |
| 5 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $180 | $180 | — | — | — | $180 – $180 |
| 6 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 9 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 10 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $213 | $213 | — | — | — | $213 – $213 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $213 | $213 | — | — | — | $213 – $213 |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
Last updated: Dec 8, 2025
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