HIV-1 drug resistance testing, each additional drug at University Hospitals Health System

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 HIV-1 PHENOTYPE - LABCORP - 2 OF 2

Elyria, OH

See all hospitals reporting CPT 87904 →

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Pricing by billing methodology

Price type

How this price compares nationally

University Hospitals Health System’s median price of $829 is 2689% above the median hospital's median price ($30), higher than 99% 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 University Hospitals Health System

Negotiated rates from the hospital’s own file: 13 payers, 30 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	Aetna medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
2	Anthem medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
3	Cigna medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
4	Devoted medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
5	Humana medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
6	Medical Mutual medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
7	Molina medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
8	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
9	WellCare medicare advantage facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
10	Ambetter commercial facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
11	Caresource marketplace facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
12	Aetna commercial facility · fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
13	UnitedHealthcare commercial facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
14	UnitedHealthcare nexus commercial facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
15	Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges	$567	$567	—	—	—	$567 – $567
16	Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges	$615	$615	—	—	—	$615 – $615
17	Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges	$624	$624	—	—	—	$624 – $624
18	Medical Mutual supermed hmo facility · percent of total billed charges · outpatientfrom % of charges	$631	$631	—	—	—	$631 – $631
19	Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges	$694	$694	—	—	—	$694 – $694
20	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$790	$790	—	—	—	$790 – $790
21	Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges	$790	$790	—	—	—	$790 – $790
22	Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges	$850	$850	—	—	—	$850 – $850
23	Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges	$953	$953	—	—	—	$953 – $953
24	Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges	$953	$953	—	—	—	$953 – $953
25	Medical Mutual hmo facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Page 1 of 2 · 30 rates

Last updated: Jul 14, 2026

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