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
Phenotype dna hiv w/clt add
Isle, ME
See all hospitals reporting CPT 87904 →Price type
The Aroostook Medical Center’s median price of $27 is 11% below the median hospital's median price ($30), higher than 26% 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: 5 payers, 17 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 | Anthem commercial professional · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Anthem enhanced pathways professional · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Aetna commercial professional · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Aetna mcr advantage professional · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Anthem enhanced pathways facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Aetna commercial facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 7 | Anthem mcr advantage facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Anthem mcr advantage professional · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Aetna mcr advantage facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 10 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 11 | UnitedHealthcare mcr advantage professional · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 12 | WellCare mcr advantage facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 13 | WellCare mcr advantage professional · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 14 | Cigna commercial professional · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 15 | Anthem commercial facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 16 | UnitedHealthcare commercial professional · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 17 | Cigna commercial facility · fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
Last updated: Mar 30, 2026
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