HIV-1 drug resistance testing, each additional drug at Spohn Hospital Beeville

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/CLT ADD

Beeville, TX

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Pricing by billing methodology

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How this price compares nationally

Spohn Hospital Beeville’s median price of $28 is 6% below the median hospital's median price ($30), higher than 46% 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 Spohn Hospital Beeville

Negotiated rates from the hospital’s own file: 8 payers, 27 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 hix fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
2	UnitedHealthcare all payer fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
3	Bcbs Tx star chip km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
4	Molina chip km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
5	Molina star km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
6	Molina star plus km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
7	UnitedHealthcare chip km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
8	UnitedHealthcare star kids km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
9	UnitedHealthcare star km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
10	UnitedHealthcare star plus km fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
11	Aetna mm fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
12	Bcbs Tx mm fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
13	Humana bh mm fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
14	Humana gold choice mm fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
15	Humana gold plus mm fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
16	Molina medicare adv mm fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
17	UnitedHealthcare mm fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
18	WellCare mm fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
19	Devoted mm fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
20	Humana choicecare fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
21	Bcbs Tx blue advantage hmo fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
22	Bcbs Tx hmo fee schedule · outpatient	$113	$113	—	—	—	$113 – $113
23	Bcbs Tx heb fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
24	Cigna new business fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
25	Bcbs Tx ppo fee schedule · outpatient	$127	$127	—	—	—	$127 – $127

Page 1 of 2 · 27 rates

Last updated: Jan 13, 2026

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