HIV-1 drug resistance testing, each additional drug at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HIV PHEN ADD 1-5 DR UGS REF1

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $53 is 79% above the median hospital's median price ($30), higher than 76% of the 1,733 hospitals reporting CPT 87904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87904 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
3	WellCare managed medicaid fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
4	Molina managed medicaid fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
5	Aetna managed medicaid fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$26	$26	—	—	—	$26 – $26
7	UnitedHealthcare all payer fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
8	UnitedHealthcare ppo fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
9	Humana medicare advantage case rate · outpatient	$27	$27	—	—	—	$27 – $27
10	Humana medicare advantage ppo case rate · outpatient	$27	$27	—	—	—	$27 – $27
11	Molina medicare advantage case rate · outpatient	$27	$27	—	—	—	$27 – $27
12	WellCare medicare advantage hmo case rate · outpatient	$27	$27	—	—	—	$27 – $27
13	WellCare medicare advantage mmp case rate · outpatient	$29	$29	—	—	—	$29 – $29
14	UnitedHealthcare medicare advantage ppo case rate · outpatient	$29	$29	—	—	—	$29 – $29
15	UnitedHealthcare medicare advantage hmo case rate · outpatient	$29	$29	—	—	—	$29 – $29
16	Blue Cross Blue Shield exchange fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
17	Blue Cross Blue Shield hmo fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
18	Blue Cross Blue Shield ppo fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
19	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
20	Aetna asa percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
21	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
22	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
23	Aetna whole health fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
24	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
25	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$98	$98	—	—	—	$98 – $98

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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