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 - Rsv Dna/ MA Amp Prob
San Angelo, TX
See all hospitals reporting CPT 87634 →Price type
Shannon River Crest Hospital’s median price of $150 is 86% above the median hospital's median price ($81), higher than 80% of the 2,090 hospitals reporting CPT 87634. 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 | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Cigna ppo facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 4 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 5 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 6 | Ambetter ppo facility · case rate · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 16 | Bcbs Tx hmo facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 17 | Bcbs Tx bav facility · fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 18 | Bcbs Tx ppo facility · fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
Last updated: Dec 8, 2025
See RSV molecular test (nucleic acid amplified probe) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.