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
M.AVIUM-INTRA DNA QUANT
Jasper, TX
See all hospitals reporting CPT 87562 →Price type
Southeast Texas - Jasper Memorial’s median price of $46 is 2% above the median hospital's median price ($45), higher than 63% of the 1,336 hospitals reporting CPT 87562. 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, 24 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 | UnitedHealthcare all payer fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 3 | UnitedHealthcare chip km fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | UnitedHealthcare star kid km fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | UnitedHealthcare star km fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | UnitedHealthcare star plus km fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Molina chip km fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 8 | Molina star km fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Molina star plus km fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 10 | Aetna mm fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 12 | Humana gold choice mm fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 15 | WellCare mm fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 16 | Devoted mm fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 17 | Humana choicecare fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 18 | Cigna new business fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 19 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 20 | Bcbs Tx heb fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 21 | Bcbs Tx hmo fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 22 | Cigna ppo fee schedule · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 23 | Bcbs Tx ppo fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
| 24 | Bcbs Tx traditional fee schedule · outpatient | $301 | $301 | — | — | — | $301 – $301 |
Last updated: Jan 13, 2026
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