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
Kettering, OH
See all hospitals reporting CPT 87904 →Price type
Kettering Medical Center ’s median price of $31 is 5% above the median hospital's median price ($30), higher than 53% 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: 7 payers, 14 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem traditional fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $26 | $26 | $13 | 50% | — | $13 – $39 |
| 3 | Molina medicare managed care plan fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 4 | UnitedHealthcare all commercial plans fee schedule · outpatient | $29 | $29 | $3 | 9% | — | $26 – $31 |
| 5 | UnitedHealthcare employee fee schedule · outpatient | $29 | $29 | $3 | 9% | — | $26 – $31 |
| 6 | Aetna all commercial plans fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Aetna new business/oh ky preferred other commercial plan fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Cigna all commercial plans fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Caresource marketplace exchange fee schedule · outpatient | $34 | $34 | $7 | 20% | — | $27 – $40 |
| 10 | UnitedHealthcare exchange fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $44 | $44 | $31 | 70% | — | $13 – $74 |
| 12 | Medical Mutual new buisness other commercial plan fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 13 | Molina exchange fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 14 | Medical Mutual supermed ppo fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
Last updated: Apr 1, 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.