Aurora Psychiatric Hospital Prices – HSV 1 PCR is $215
The HSV 1 PCR (Herpes Simplex Virus Type 1 Polymerase Chain Reaction) test at Aurora Psychiatric Hospital is offered at a price of $215 (Charge Code 10005635; rev 306; CPT 87535). This molecular diagnostic procedure detects the presence of HSV-1 DNA, commonly used to diagnose active infections and guide treatment, especially in psychiatric or immunocompromised patients. The quoted fee typically includes specimen collection, laboratory processing, and result reporting. For the most accurate cost planning, patients are encouraged to request an itemized estimate, verify insurance coverage, and ask about any additional fees that may apply, such as provider consultation or follow-up visits.
Cost Breakdown
- Laboratory Test (HSV 1 PCR): $215
- Includes: Sample collection, PCR processing, results reporting
- May Not Include: Provider evaluation, follow-up appointments, or treatment if HSV-1 is detected
Associated Costs to Consider
- Initial provider consultation or evaluation fee
- Sample collection and handling (if billed separately)
- Repeat testing or confirmatory tests
- Follow-up appointments to discuss results
- Treatment costs if HSV-1 is diagnosed (e.g., antiviral medications)
Insurance & Payment Advice
- Contact your insurance provider to confirm coverage for CPT code 87535 (HSV 1 PCR).
- Ask Aurora Psychiatric Hospital for an itemized estimate before proceeding.
- Check if the test is considered medically necessary by your insurer to maximize coverage.
- Inquire about self-pay discounts or financial assistance programs if you are uninsured.
- Keep a copy of your Explanation of Benefits (EOB) and all invoices for reference.
Side-Effect and Recovery Considerations
- The HSV 1 PCR test requires a sample (such as blood, swab, or cerebrospinal fluid), and risks are minimal – usually limited to mild discomfort or bruising at the collection site.
- No downtime or special recovery is typically needed after the test.
- If a lumbar puncture is needed for cerebrospinal fluid sampling (rare in psychiatric settings), additional risks may apply.
Tips for a Smooth Experience
- Bring your insurance card and a list of current medications to your appointment.
- Arrive a few minutes early to complete any necessary paperwork.
- Follow all pre-test instructions given by your provider.
- Ask when and how you will receive your results.
Frequently Asked Questions
- What is an HSV 1 PCR test?
- This is a laboratory test that detects the genetic material (DNA) of Herpes Simplex Virus Type 1 using polymerase chain reaction (PCR) technology, allowing for early and accurate diagnosis of infection.
- Is the $215 fee all-inclusive?
- The $215 fee typically covers the laboratory portion of the test, including sample processing and result reporting. Additional fees may apply for provider visits, sample collection, or follow-up care.
- Will insurance cover the HSV 1 PCR test?
- Coverage depends on your plan and whether the test is deemed medically necessary. Always confirm with your insurance provider and request the hospital to verify your benefits for CPT code 87535.
- How long does it take to get results?
- Results are typically available within a few days, but turnaround times can vary. Ask the facility when to expect your report.
- Are there any preparation steps before the HSV 1 PCR test?
- Usually, no special preparation is needed, but follow any instructions given by your healthcare provider.
- What kind of sample is needed for the test?
- The sample type (swab, blood, or fluid) depends on your symptoms and provider’s assessment. In psychiatric hospital settings, swabs from lesions are most common.
- Can I get a discount if I am uninsured?
- Ask about self-pay discounts or financial assistance programs that may be available for uninsured patients.
- What should I do if my test is positive?
- Follow up with your provider promptly to discuss treatment and management options for HSV-1 infection.
- Are there any risks associated with the test?
- Risks are minimal and usually limited to mild discomfort or bruising at the collection site. More invasive sample collection methods may entail additional risks, but these are rare.
- Can I request an itemized bill?
- Yes, you can and should request an itemized bill to review all charges and ensure transparency.
Aurora Psychiatric Hospital – price for Charge Code 10005635 HSV 1 PCR rev 306 cpt 87535 is $215
- Location: 1220 Dewey Avenue, Wauwatosa, WI 53213
- Phone: (414) 454-6600
- Website: https://www.aurorahealthcare.org
- Services Offered: Comprehensive mental health services, substance use disorder treatment, partial hospitalization, intensive outpatient programming.
- Hours: Open 24 hours
At Aurora Psychiatric Hospital, we’re committed to transparency and clarity in our healthcare services and costs. For Charge Code 10005635, which pertains to HSV 1 PCR with a revenue code of 306 and a corresponding CPT code of 87535, the fee is $215.
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