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
PHENOTYPE DNA HIV W/CLT ADD
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$81
Median
$36
High
$939
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 208 hospitals; the 90th percentile is 5.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $27 | $30 | $9 | 30% | — | $26 – $54 |
| 2 | San Joaquin Community Hospital Bakersfield, CA | $26 | $34 | $10 | 31% | — | $26 – $59 |
| 3 | SwedishAmerican Hospital Rockford, IL | $28 | $28 | $1 | 4% | — | $27 – $29 |
| 4 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $26 | $37 | $15 | 40% | — | $26 – $57 |
| 5 | Henry Ford Health Novi, MI | $26 | $26 | $7 | 29% | — | $15 – $47 |
| 6 | The Queens Medical Center Ewa Beach, HI | $26 | $36 | $17 | 47% | — | $26 – $73 |
| 7 | Northside Hospital, Inc. Lawrenceville, GA | $67 | $133 | $112 | 85% | — | $27 – $280 |
| 8 | City Hospital, Inc. Martinsburg, WV | $28 | $30 | $5 | 17% | — | $26 – $41 |
| 9 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Vanderbilt University Medical Center Nashville, TN | $0 | $0 | — | — | — | $0 – $0 |
Ask Claude or any MCP client for CPT 87904 pricing at a specific hospital — see how to connect.