HIV-1 drug resistance testing, each additional drug at Ascension Seton

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

PHENOTYPE DNA HIV W/CLT ADD

Austin, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $27 is 9% below the median hospital's median price ($30), higher than 33% of the 1,723 hospitals reporting CPT 87904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87904 at Ascension Seton

Negotiated rates from the hospital’s own file: 10 payers, 65 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	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
4	Blue Cross Blue Shield 4172_blue cross chip (nw) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
5	Blue Cross Blue Shield 4172_blue cross chip/star kids (nw) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
6	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
7	Blue Cross Blue Shield 5011_blue cross star kids (nw) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
8	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
9	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
10	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
11	Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 fee schedule · both	$27	$26	$2	7%	—	$23 – $27
12	Superior Healthplan 3513_chirp superior star (nw) inpatient 20240901 fee schedule · both	$27	$26	$2	7%	—	$23 – $27
13	Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient	$27	$26	$2	7%	—	$23 – $27
14	Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient	$27	$26	$2	7%	—	$23 – $27
15	Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$27	$26	$2	7%	—	$23 – $27
16	Superior Healthplan 4245_chirp superior star (nw) outpatient 20241201 fee schedule · outpatient	$27	$26	$2	7%	—	$23 – $27
17	Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 fee schedule · both	$27	$26	$2	7%	—	$23 – $27
18	Superior Healthplan 4379_chirp superior star plus (nw) inpatient 20240901 fee schedule · both	$27	$26	$2	7%	—	$23 – $27
19	Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$27	$26	$2	7%	—	$23 – $27
20	Superior Healthplan 4397_chirp superior star plus (nw) outpatient 20241201 fee schedule · outpatient	$27	$26	$2	7%	—	$23 – $27
21	Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient	$27	$26	$2	7%	—	$23 – $27
22	Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$27	$26	$2	7%	—	$23 – $27
23	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$26	$26	—	—	—	$26 – $26
24	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$26	$26	—	—	—	$26 – $26
25	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$26	$26	—	—	—	$26 – $26

Page 1 of 3 · 65 rates

Last updated: Jan 1, 2026

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