{"procedure":{"code_type":"CPT","code":"87255","lay_name":"Virus culture with identification by non-antibody method","blurb":"Laboratory growth of virus in culture with identification by a method other than antibody staining or cell-damage observation, such as detecting virus-specific enzyme activity.","slug":"cpt-87255-virus-culture-with-identification-by-non-antibody-method","description":"***HC Herpes Simplex Virus Culture","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"206","label":"Microscopic examination (bacterial smear, culture, toxicology)","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2022-12-08","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":2355,"n_usable":2118,"n_not_usable":0,"n_labelled":151,"n_no_cash":84,"n_estimated":2,"n_states":50,"cash_p10":28.0,"cash_p20":38.94,"cash_p25":43.61,"cash_p50":93.96,"cash_p75":163.01,"cash_p80":190.0,"cash_p90":283.5,"cash_mean_trimmed":98.67,"gross_p50":155.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":15,"p20":47.0,"p50":88.29,"p80":180.0},{"state":"AL","n":27,"p20":33.15,"p50":56.23,"p80":208.05},{"state":"AR","n":29,"p20":29.38,"p50":58.88,"p80":114.4},{"state":"AZ","n":36,"p20":38.94,"p50":108.96,"p80":374.0},{"state":"CA","n":97,"p20":11.89,"p50":29.5,"p80":159.64},{"state":"CO","n":48,"p20":37.87,"p50":68.14,"p80":193.99},{"state":"CT","n":8,"p20":null,"p50":null,"p80":null},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":110,"p20":20.9,"p50":44.85,"p80":121.71},{"state":"GA","n":85,"p20":61.15,"p50":106.53,"p80":148.5},{"state":"HI","n":9,"p20":null,"p50":null,"p80":null},{"state":"IA","n":27,"p20":67.15,"p50":67.15,"p80":116.4},{"state":"ID","n":12,"p20":31.25,"p50":37.07,"p80":84.0},{"state":"IL","n":94,"p20":59.32,"p50":144.75,"p80":221.9},{"state":"IN","n":73,"p20":39.6,"p50":105.25,"p80":165.0},{"state":"KS","n":51,"p20":58.5,"p50":110.08,"p80":167.02},{"state":"KY","n":50,"p20":51.8,"p50":103.11,"p80":397.39},{"state":"LA","n":42,"p20":22.35,"p50":60.0,"p80":108.96},{"state":"MA","n":43,"p20":84.86,"p50":161.0,"p80":302.0},{"state":"MD","n":37,"p20":120.17,"p50":172.46,"p80":196.39},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":31,"p20":33.0,"p50":46.73,"p80":90.0},{"state":"MN","n":11,"p20":53.0,"p50":190.4,"p80":305.55},{"state":"MO","n":38,"p20":46.39,"p50":83.4,"p80":127.5},{"state":"MS","n":43,"p20":25.8,"p50":51.6,"p80":88.0},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":60,"p20":41.4,"p50":106.98,"p80":184.2},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":19,"p20":34.8,"p50":72.0,"p80":159.75},{"state":"NH","n":18,"p20":102.0,"p50":137.0,"p80":262.5},{"state":"NJ","n":54,"p20":33.86,"p50":38.94,"p80":88.31},{"state":"NM","n":10,"p20":79.2,"p50":109.08,"p80":181.28},{"state":"NV","n":15,"p20":33.0,"p50":105.0,"p80":160.48},{"state":"NY","n":80,"p20":36.0,"p50":77.7,"p80":161.0},{"state":"OH","n":113,"p20":55.25,"p50":100.1,"p80":171.6},{"state":"OK","n":50,"p20":46.08,"p50":79.0,"p80":125.7},{"state":"OR","n":28,"p20":40.8,"p50":117.86,"p80":143.0},{"state":"PA","n":98,"p20":38.94,"p50":142.1,"p80":398.0},{"state":"RI","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":42,"p20":54.6,"p50":159.75,"p80":168.35},{"state":"SD","n":11,"p20":56.7,"p50":264.81,"p80":305.55},{"state":"TN","n":59,"p20":30.75,"p50":52.48,"p80":226.35},{"state":"TX","n":182,"p20":42.57,"p50":104.1,"p80":222.32},{"state":"UT","n":37,"p20":37.07,"p50":43.61,"p80":169.32},{"state":"VA","n":68,"p20":24.0,"p50":116.1,"p80":243.5},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":53,"p20":81.2,"p50":165.6,"p80":227.13},{"state":"WI","n":36,"p20":75.9,"p50":138.04,"p80":156.65},{"state":"WV","n":31,"p20":8.0,"p50":30.0,"p80":125.39},{"state":"WY","n":9,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1619,"p20":37.25,"p50":91.5,"p80":193.99},{"key":"childrens","n":21,"p20":15.0,"p50":60.2,"p80":268.87},{"key":"critical_access","n":469,"p20":50.39,"p50":105.25,"p80":170.25}],"ownership":[{"key":"for_profit","n":332,"p20":33.15,"p50":94.0,"p80":243.81},{"key":"government","n":368,"p20":38.94,"p50":85.8,"p80":147.0},{"key":"nonprofit","n":1409,"p20":39.15,"p50":96.92,"p80":193.8}],"affiliation":[{"key":"affiliated","n":1723,"p20":37.96,"p50":95.0,"p80":193.99},{"key":"independent","n":395,"p20":42.5,"p50":90.0,"p80":161.25}]},"histogram":[{"lo":16.06,"hi":22.2,"n":52},{"lo":22.2,"hi":30.68,"n":106},{"lo":30.68,"hi":42.39,"n":220},{"lo":42.39,"hi":58.59,"n":251},{"lo":58.59,"hi":80.98,"n":194},{"lo":80.98,"hi":111.91,"n":280},{"lo":111.91,"hi":154.67,"n":309},{"lo":154.67,"hi":213.75,"n":260},{"lo":213.75,"hi":295.42,"n":146},{"lo":295.42,"hi":408.28,"n":91}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-12-08","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":1649,"n_usable":1458,"n_not_usable":0,"n_labelled":117,"n_no_cash":74,"n_estimated":0,"n_states":50,"cash_p10":28.53,"cash_p20":42.57,"cash_p25":46.08,"cash_p50":99.55,"cash_p75":169.8,"cash_p80":193.99,"cash_p90":276.25,"cash_mean_trimmed":104.75,"gross_p50":157.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":19,"p20":46.0,"p50":64.98,"p80":225.38},{"state":"AR","n":8,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":29,"p20":34.27,"p50":163.44,"p80":374.0},{"state":"CA","n":78,"p20":12.14,"p50":132.72,"p80":159.64},{"state":"CO","n":38,"p20":37.87,"p50":72.9,"p80":193.99},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":55,"p20":15.26,"p50":44.85,"p80":118.51},{"state":"GA","n":67,"p20":61.15,"p50":106.53,"p80":137.08},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":19,"p20":67.15,"p50":67.15,"p80":116.4},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":75,"p20":54.3,"p50":158.4,"p80":234.6},{"state":"IN","n":59,"p20":24.75,"p50":101.58,"p80":165.0},{"state":"KS","n":17,"p20":42.0,"p50":92.0,"p80":167.02},{"state":"KY","n":30,"p20":43.54,"p50":101.58,"p80":154.8},{"state":"LA","n":26,"p20":16.92,"p50":39.0,"p80":130.2},{"state":"MA","n":38,"p20":83.3,"p50":161.0,"p80":303.1},{"state":"MD","n":29,"p20":100.19,"p50":163.01,"p80":213.2},{"state":"ME","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":24,"p20":34.4,"p50":84.9,"p80":156.65},{"state":"MN","n":9,"p20":null,"p50":null,"p80":null},{"state":"MO","n":23,"p20":56.1,"p50":99.55,"p80":148.8},{"state":"MS","n":21,"p20":45.31,"p50":116.55,"p80":128.26},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":36,"p20":42.5,"p50":64.4,"p80":132.63},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":12,"p20":47.4,"p50":110.0,"p80":200.54},{"state":"NJ","n":24,"p20":38.94,"p50":38.94,"p80":172.0},{"state":"NM","n":7,"p20":null,"p50":null,"p80":null},{"state":"NV","n":9,"p20":null,"p50":null,"p80":null},{"state":"NY","n":50,"p20":63.72,"p50":83.4,"p80":209.5},{"state":"OH","n":99,"p20":54.75,"p50":93.6,"p80":179.4},{"state":"OK","n":37,"p20":46.08,"p50":79.0,"p80":134.8},{"state":"OR","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":90,"p20":91.02,"p50":186.6,"p80":398.0},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":35,"p20":58.83,"p50":168.35,"p80":168.35},{"state":"SD","n":10,"p20":56.7,"p50":264.81,"p80":305.55},{"state":"TN","n":47,"p20":30.75,"p50":43.89,"p80":127.51},{"state":"TX","n":133,"p20":42.57,"p50":87.68,"p80":152.5},{"state":"UT","n":26,"p20":37.07,"p50":43.61,"p80":43.61},{"state":"VA","n":48,"p20":11.5,"p50":56.1,"p80":210.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":33,"p20":53.6,"p50":208.62,"p80":236.0},{"state":"WI","n":25,"p20":82.95,"p50":156.65,"p80":156.65},{"state":"WV","n":11,"p20":87.94,"p50":130.2,"p80":189.0},{"state":"WY","n":6,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1157,"p20":41.58,"p50":100.0,"p80":199.8},{"key":"childrens","n":14,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":278,"p20":49.4,"p50":105.0,"p80":189.0}],"ownership":[{"key":"for_profit","n":185,"p20":32.4,"p50":86.02,"p80":176.75},{"key":"government","n":204,"p20":41.91,"p50":83.7,"p80":150.4},{"key":"nonprofit","n":1060,"p20":42.57,"p50":104.1,"p80":208.8}],"affiliation":[{"key":"affiliated","n":1239,"p20":42.57,"p50":104.1,"p80":200.0},{"key":"independent","n":219,"p20":39.96,"p50":82.95,"p80":167.02}]},"histogram":[{"lo":16.25,"hi":22.24,"n":33},{"lo":22.24,"hi":30.43,"n":55},{"lo":30.43,"hi":41.64,"n":118},{"lo":41.64,"hi":56.97,"n":185},{"lo":56.97,"hi":77.96,"n":125},{"lo":77.96,"hi":106.68,"n":182},{"lo":106.68,"hi":145.97,"n":203},{"lo":145.97,"hi":199.74,"n":203},{"lo":199.74,"hi":273.32,"n":134},{"lo":273.32,"hi":374.0,"n":80}],"previous":null}},"related":[{"code_type":"CPT","code":"87040","lay_name":"Blood culture for bacteria","slug":"cpt-87040-blood-culture-for-bacteria"},{"code_type":"CPT","code":"87070","lay_name":"Bacterial culture, other body site, with identification","slug":"cpt-87070-bacterial-culture-other-body-site-with-identification"},{"code_type":"CPT","code":"87205","lay_name":"Slide smear with Gram or similar stain, with interpretation","slug":"cpt-87205-slide-smear-with-gram-or-similar-stain-with-interpretation"},{"code_type":"CPT","code":"87186","lay_name":"Antibiotic sensitivity testing panel, per plate","slug":"cpt-87186-antibiotic-sensitivity-testing-panel-per-plate"},{"code_type":"CPT","code":"82043","lay_name":"Urine albumin test (microalbumin), measured amount","slug":"cpt-82043-urine-albumin-test-microalbumin-measured-amount"},{"code_type":"CPT","code":"87491","lay_name":"Chlamydia DNA test using amplification","slug":"cpt-87491-chlamydia-dna-test-using-amplification"},{"code_type":"CPT","code":"87077","lay_name":"Full identification of a cultured bacterium, each organism","slug":"cpt-87077-full-identification-of-a-cultured-bacterium-each-organism"},{"code_type":"CPT","code":"87081","lay_name":"Screening culture for one type of disease-causing bacteria","slug":"cpt-87081-screening-culture-for-one-type-of-disease-causing-bacteria"},{"code_type":"CPT","code":"87340","lay_name":"Hepatitis B surface antigen blood test","slug":"cpt-87340-hepatitis-b-surface-antigen-blood-test"},{"code_type":"CPT","code":"87798","lay_name":"Genetic test for an unlisted germ, amplified method","slug":"cpt-87798-genetic-test-for-an-unlisted-germ-amplified-method"},{"code_type":"CPT","code":"81001","lay_name":"Urine test with automated dipstick and microscope exam","slug":"cpt-81001-urine-test-with-automated-dipstick-and-microscope-exam"},{"code_type":"CPT","code":"87591","lay_name":"Gonorrhea test by DNA amplification","slug":"cpt-87591-gonorrhea-test-by-dna-amplification"}]}