HIV-1 drug resistance gene test, integrase or fusion regions at UPMC East

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HIV-1 INTEGRASE GENOTYPE

Monroeville, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC East’s median price of $717 is 364% above the median hospital's median price ($154), higher than 97% of the 2,044 hospitals reporting CPT 87906. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87906 at UPMC East

Negotiated rates from the hospital’s own file: 6 payers, 40 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 unison advantage non special needs facility · fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
2	UnitedHealthcare medicare facility · fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
3	Aetna medicare facility · fee schedule · outpatient	$138	$138	$3	2%	—	$135 – $142
4	Highmark medicare facility · fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
5	Amerihealth Caritas medicare facility · fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
6	Cigna medicare facility · fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
7	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
8	UnitedHealthcare unison kids facility · fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
9	Highmark medicaid facility · fee schedule · outpatient	$215	$215	—	—	—	$215 – $215
10	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$226	$226	—	—	—	$226 – $226
11	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$340	$340	—	—	—	$340 – $340
12	Highmark managed care - social mission facility · fee schedule · outpatient	$591	$591	—	—	—	$591 – $591
13	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$623	$623	—	—	—	$623 – $623
14	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$642	$642	—	—	—	$642 – $642
15	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$663	$663	—	—	—	$663 – $663
16	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$680	$680	—	—	—	$680 – $680
17	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$717	$717	—	—	—	$717 – $717
18	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$717	$717	—	—	—	$717 – $717
19	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$721	$721	—	—	—	$721 – $721
20	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$736	$736	—	—	—	$736 – $736
21	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$736	$736	—	—	—	$736 – $736
22	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$736	$736	—	—	—	$736 – $736
23	UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges	$736	$736	—	—	—	$736 – $736
24	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$740	$740	—	—	—	$740 – $740
25	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$755	$755	—	—	—	$755 – $755

Page 1 of 2 · 40 rates

Last updated: Mar 6, 2026

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See HIV-1 drug resistance gene test, integrase or fusion regions pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.