HIV-1 drug resistance testing, each additional drug at Lancaster General 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

HC RT HIV PHENOTYPE-ADDITIONAL

Lancaster, PA

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Pricing by billing methodology

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How this price compares nationally

Lancaster General Health’s median price of $60 is 102% above the median hospital's median price ($30), higher than 81% 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 Lancaster General Health

Negotiated rates from the hospital’s own file: 13 payers, 35 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	Tricare tricare facility · fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
2	Highmark highmark medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
3	Medicare medicare facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
4	UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
5	Aetna aetna medicare advantage facility · other · outpatient	$26	$26	—	—	—	$26 – $26
6	Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
7	Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
8	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$27	$27	—	—	—	$27 – $27
9	Cigna Healthspring cigna healthspring facility · fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
10	Devoted devoted health medicare advantage facility · other · outpatient	$27	$27	—	—	—	$27 – $27
11	Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
12	Medicaid medicaid facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
13	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$31	$31	—	—	—	$31 – $31
14	Highmark highmark chip facility · other · outpatient	$43	$43	—	—	—	$43 – $43
15	Oscar oscar health plan facility · other · outpatient	$51	$51	—	—	—	$51 – $51
16	Highmark highmark aca facility · other · outpatient	$52	$52	—	—	—	$52 – $52
17	UnitedHealthcare united healthcare commercial facility · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
18	Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
19	Highmark highmark commercial preferred facility · other · outpatient	$60	$60	—	—	—	$60 – $60
20	Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
21	Highmark highmark commercial facility · other · outpatient	$74	$74	—	—	—	$74 – $74
22	Highmark highmark commercial non-preferred facility · other · outpatient	$90	$90	—	—	—	$90 – $90
23	Aetna aetna commercial facility · case rate · outpatient	$114	$114	—	—	—	$114 – $114
24	Cigna cigna new business facility · fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
25	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$143	$143	—	—	—	$143 – $143

Page 1 of 2 · 35 rates

Last updated: Mar 31, 2026

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