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
RSV DNA/RNA AMP PROBE
Jasper, TX
See all hospitals reporting CPT 87634 →Price type
Southeast Texas - Jasper Memorial’s median price of $75 is 7% below the median hospital's median price ($81), higher than 45% 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: 7 payers, 21 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 | $63 | $63 | — | — | — | $63 – $63 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 3 | UnitedHealthcare chip km fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 4 | UnitedHealthcare star kid km fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 5 | UnitedHealthcare star km fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 6 | UnitedHealthcare star plus km fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Molina chip km fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 8 | Molina star km fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 9 | Molina star plus km fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 10 | Aetna mm fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 12 | Humana gold choice mm fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 15 | WellCare mm fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 16 | Devoted mm fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 17 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 18 | Bcbs Tx heb fee schedule · outpatient | $416 | $416 | — | — | — | $416 – $416 |
| 19 | Bcbs Tx hmo fee schedule · outpatient | $416 | $416 | — | — | — | $416 – $416 |
| 20 | Bcbs Tx ppo fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 21 | Bcbs Tx traditional fee schedule · outpatient | $493 | $493 | — | — | — | $493 – $493 |
Last updated: Jan 13, 2026
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.