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
PHENOTYP DNA HIV W-C
Birmingham, AL
See all hospitals reporting CPT 87904 →Price type
Affinity Hospital LLC’s median price of $803 is 2603% above the median hospital's median price ($30), higher than 99% of the 1,733 hospitals reporting CPT 87904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 22 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 | Bcbs Al bcbs al all facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Tricare node tricare facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Humana node humana mcr adv facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 6 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 7 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Optum node united optum va ccn facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Clover node clover health mcr adv facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 12 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 13 | Aetna aetna all facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 14 | WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 15 | Cigna cigna all facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 16 | Optum optum health facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | First Health first health facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Apr 1, 2026
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