HIV-1 drug resistance testing, each additional drug at St Luke's Methodist 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 ADDL DRUG

Cedar Rapids, IA

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Pricing by billing methodology

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $27 is 8% below the median hospital's median price ($30), higher than 36% 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 Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 7 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 hmo fee schedule · both	$16	$16	—	—	—	$16 – $16
2	UnitedHealthcare ppo fee schedule · both	$16	$16	—	—	—	$16 – $16
3	UnitedHealthcare hmo fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
4	UnitedHealthcare ppo fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
5	Wellmark commercial fee schedule · both	$26	$26	—	—	—	$26 – $26
6	Wellmark hmo fee schedule · both	$26	$26	—	—	—	$26 – $26
7	Wellmark ppo fee schedule · both	$26	$26	—	—	—	$26 – $26
8	Aetna medicare advantage case rate · outpatient	$27	$27	—	—	—	$27 – $27
9	Molina medicare advantage case rate · outpatient	$27	$27	—	—	—	$27 – $27
10	Wellmark medicare advantage case rate · outpatient	$27	$27	—	—	—	$27 – $27
11	Humana medicare advantage case rate · outpatient	$27	$27	—	—	—	$27 – $27
12	UnitedHealthcare medicare advantage case rate · outpatient	$27	$27	—	—	—	$27 – $27
13	Cigna commercial fee schedule · both	$34	$34	—	—	—	$34 – $34
14	Aetna hmo fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
15	Aetna ppo fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
16	Aetna hmo fee schedule · both	$50	$50	—	—	—	$50 – $50
17	Aetna ppo fee schedule · both	$50	$50	—	—	—	$50 – $50
18	Medica commercial percent of total billed charges · outpatientfrom % of charges	$57	$57	$3	6%	—	$53 – $60
19	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
20	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88

Last updated: Jan 28, 2026

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