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
RL-A-HIV 1 RT IA GENO 3003853B
Mesa, AZ
See all hospitals reporting CPT 87901 →Price type
Agh Mesa Llc’s median price of $264 is 18% below the median hospital's median price ($322), higher than 28% of the 2,237 hospitals reporting CPT 87901. 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, 17 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 commercial|all other plans fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 2 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 3 | UnitedHealthcare commercial|options fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 5 | WellCare medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 7 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 9 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $534 | $534 | — | — | — | $534 – $534 |
| 10 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $534 | $534 | — | — | — | $534 – $534 |
| 11 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $712 | $712 | — | — | — | $712 – $712 |
| 12 | Cigna commercial|all other plans fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 13 | Cigna commercial|ppo fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 14 | Aetna commercial|all other plans fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Aetna commercial|ppo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $1.3k | $1.3k | $881 | 70% | — | $377 – $2.1k |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $1.3k | $1.3k | $881 | 70% | — | $377 – $2.1k |
Last updated: Feb 28, 2026
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