HIV-1 drug resistance testing, each additional drug at Olympia Fields Hospital

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 PHENOTYPE DNA HIV W/CLT, EA ADD

Olympia Fields, IL

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How this price compares nationally

Olympia Fields Hospital’s median price of $28 is 6% below the median hospital's median price ($30), higher than 47% 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 Olympia Fields Hospital

Negotiated rates from the hospital’s own file: 8 payers, 12 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	Aetna aetna medicare fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
2	Blue Cross Blue Shield bcbs dual eligible fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
3	Cigna Healthspring cigna healthspring medicare fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
4	Humana humana medicare fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
5	Tricare tricare fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
6	UnitedHealthcare uhc va ccn fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
7	Blue Cross Blue Shield blue choice ppo fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
8	Molina molina medicare fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
9	Aetna Better Health aetna better health medicaid fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
10	Molina molina exchange fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
11	UnitedHealthcare uhc commercial hmo all payor fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
12	UnitedHealthcare uhc commercial ppo fee schedule · outpatient	$111	$111	—	—	—	$111 – $111

Last updated: Jul 24, 2026

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