HIV-1 drug resistance testing, each additional drug at St Helena 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

Analysis test by nucleic acid for HIV-1 virus, each additional drug tested

Helena, CA

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How this price compares nationally

St Helena Hospital’s median price of $27 is 8% below the median hospital's median price ($30), higher than 42% 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 St Helena Hospital

Negotiated rates from the hospital’s own file: 6 payers, 20 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 uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
2	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
3	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
4	Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
5	UnitedHealthcare uhc jll percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
6	UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges	$22	$22	—	—	—	$22 – $22
7	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
8	Blue Cross Blue Shield blue shield bh mcr adv other · outpatient	$26	$26	—	—	—	$26 – $26
9	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$26	$26	—	—	—	$26 – $26
10	Blue Cross Blue Shield tricare blue shield other · outpatient	$26	$26	—	—	—	$26 – $26
11	Kaiser kaiser mcr adv other · outpatient	$26	$26	—	—	—	$26 – $26
12	UnitedHealthcare uhc mcr adv other · outpatient	$26	$26	—	—	—	$26 – $26
13	UnitedHealthcare umr uhc ppo percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
14	UnitedHealthcare uhc options ppo percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
15	Cigna cigna-all other plans percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
16	Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
17	Aetna aetna-all plans fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
18	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$226	$226	—	—	—	$226 – $226
19	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
20	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$301	$301	—	—	—	$301 – $301

Last updated: Jul 15, 2026

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