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
Phenotype dna hiv w/clt add
Montgomery, AL
See all hospitals reporting CPT 87904 →Price type
Jackson Hospital’s median price of $34 is 14% above the median hospital's median price ($30), higher than 57% 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: 4 payers, 9 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 310300 fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Cigna 300301 fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Bcbs Al 100100 fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Bcbs Al 100109 fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Blue Cross Blue Shield 100101 fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 6 | Blue Cross Blue Shield 100102 fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Blue Cross Blue Shield 100104 fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 8 | Blue Cross Blue Shield 100105 fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 9 | Blue Cross Blue Shield 100108 fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
Last updated: Jun 23, 2026
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.