HIV-1 drug resistance genotype test at Southeast Texas - Jasper Memorial

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

PHENOTYPE DNA HIV W/CULTURE

Jasper, TX

See all hospitals reporting CPT 87903 →

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $523 is 2% above the median hospital's median price ($513), higher than 56% of the 1,751 hospitals reporting CPT 87903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87903 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 8 payers, 24 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 all payer fee schedule · outpatient	$440	$440	—	—	—	$440 – $440
2	UnitedHealthcare hix fee schedule · outpatient	$440	$440	—	—	—	$440 – $440
3	UnitedHealthcare chip km fee schedule · outpatient	$493	$493	—	—	—	$493 – $493
4	UnitedHealthcare star kid km fee schedule · outpatient	$493	$493	—	—	—	$493 – $493
5	UnitedHealthcare star km fee schedule · outpatient	$493	$493	—	—	—	$493 – $493
6	UnitedHealthcare star plus km fee schedule · outpatient	$493	$493	—	—	—	$493 – $493
7	Molina chip km fee schedule · outpatient	$513	$513	—	—	—	$513 – $513
8	Molina star km fee schedule · outpatient	$513	$513	—	—	—	$513 – $513
9	Molina star plus km fee schedule · outpatient	$513	$513	—	—	—	$513 – $513
10	Aetna mm fee schedule · outpatient	$523	$523	—	—	—	$523 – $523
11	Bcbs Tx mm fee schedule · outpatient	$523	$523	—	—	—	$523 – $523
12	Humana gold choice mm fee schedule · outpatient	$523	$523	—	—	—	$523 – $523
13	Molina medicare adv mm fee schedule · outpatient	$523	$523	—	—	—	$523 – $523
14	UnitedHealthcare mm fee schedule · outpatient	$523	$523	—	—	—	$523 – $523
15	WellCare mm fee schedule · outpatient	$523	$523	—	—	—	$523 – $523
16	Devoted mm fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
17	Humana choicecare fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
18	Cigna new business fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
19	Bcbs Tx blue advantage hmo fee schedule · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
20	Bcbs Tx heb fee schedule · outpatient	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
21	Bcbs Tx hmo fee schedule · outpatient	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
22	Cigna ppo fee schedule · outpatient	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
23	Bcbs Tx ppo fee schedule · outpatient	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k
24	Bcbs Tx traditional fee schedule · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k

Last updated: Jan 13, 2026

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