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
HC Hiv 1-Phenoty Analy Dna/Rna-Ea Addl Drug
River, MA
See all hospitals reporting CPT 87904 →Price type
Southcoast Hospitals Group, Inc.’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: 8 payers, 11 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 managed care [101030101] fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 2 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 3 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 4 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 5 | UnitedHealthcare united healthcare [101080105] fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Bcbs Ri bcbs rhode island hmo [101050101] fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Cigna cigna [100011201] fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 9 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 10 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 11 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
Last updated: Dec 15, 2025
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