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 Adna Respiratry Probe & Rev Trnscr 12-25 Target
River, MA
See all hospitals reporting CPT 87633 →Price type
Southcoast Hospitals Group, Inc.’s median price of $458 is 3% below the median hospital's median price ($475), higher than 48% of the 2,357 hospitals reporting CPT 87633. 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, 11 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 | Aetna aetna medicare managed care [101030101] fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 2 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 3 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 4 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $438 | $438 | — | — | — | $438 – $438 |
| 5 | UnitedHealthcare united healthcare [101080105] fee schedule · outpatient | $500 | $500 | — | — | — | $500 – $500 |
| 6 | Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient | $818 | $818 | — | — | — | $818 – $818 |
| 7 | Bcbs Ri bcbs rhode island hmo [101050101] fee schedule · outpatient | $837 | $837 | — | — | — | $837 – $837 |
| 8 | Cigna cigna [100011201] fee schedule · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 9 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Dec 15, 2025
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