HIV-1 drug resistance testing, each additional drug at Dignity Health

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

RL-A-HIV PHENO 3000882B

Merced, CA

See all hospitals reporting CPT 87904 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $27 is 10% below the median hospital's median price ($30), higher than 29% 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 Dignity Health

Negotiated rates from the hospital’s own file: 10 payers, 34 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	Kaiser medicaid\|< 21 fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
2	Kaiser medicaid\|> 21 fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
3	Molina medicaid\|< 21 fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
4	Molina medicaid\|> 21 fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
5	Aetna medicare\|all plans fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
6	Anthem medicare\|all plans fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
7	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
8	Humana medicare\|all plans fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
9	Kaiser medicare\|all plans fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
10	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
11	Anthem medicaid\|< 21 fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
12	Anthem medicaid\|> 21 fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
13	Blue Cross Blue Shield commercial\|exchange fee schedule · outpatient	$30	$30	$4	13%	—	$26 – $33
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
16	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
17	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
18	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$40	$40	$5	13%	—	$35 – $45
19	Cigna commercial\|all other plans fee schedule · inpatient	$66	$66	$9	13%	—	$58 – $75
20	Cigna commercial\|all other plans fee schedule · outpatient	$66	$66	$9	13%	—	$58 – $75
21	Cigna commercial\|ppo fee schedule · inpatient	$66	$66	$9	13%	—	$58 – $75
22	Cigna commercial\|ppo fee schedule · outpatient	$66	$66	$9	13%	—	$58 – $75
23	Anthem commercial\|exchange fee schedule · outpatient	$69	$69	$9	13%	—	$60 – $78
24	Kaiser commercial\|all plans fee schedule · inpatient	$70	$70	$9	13%	—	$61 – $80
25	Kaiser commercial\|all plans fee schedule · outpatient	$70	$70	$9	13%	—	$61 – $80

Page 1 of 2 · 34 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See HIV-1 drug resistance testing, each additional drug pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.