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
Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce
Argyle, TX
See all hospitals reporting CPT 87904 →Price type
Medical City Argyle’s median price of $33 is 12% above the median hospital's median price ($30), higher than 56% 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: 14 payers, 75 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 chip fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | UnitedHealthcare star fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | UnitedHealthcare starkids fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 4 | UnitedHealthcare starperinate fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 5 | UnitedHealthcare starplus fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Cigna Healthspring mgmcd fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Aetna Better Health chip fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Aetna Better Health mcd fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Molina chip fee schedule · outpatient | $24 | $24 | $0 | 1% | — | $24 – $25 |
| 10 | Molina mcdstar fee schedule · outpatient | $24 | $24 | $0 | 1% | — | $24 – $25 |
| 11 | Molina star+plus fee schedule · outpatient | $24 | $24 | $0 | 1% | — | $24 – $25 |
| 12 | Molina starkids fee schedule · outpatient | $24 | $24 | $0 | 1% | — | $24 – $25 |
| 13 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 14 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 15 | Devoted hmo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 16 | Devoted mcr fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Devoted mme fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Devoted pos fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Devoted ppo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 20 | Devoted snp fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 21 | Humana mgmcr fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 22 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 23 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 24 | UnitedHealthcare smallgroup fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 25 | UnitedHealthcare mgmcr fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
Last updated: Mar 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.