HIV-1 drug resistance testing, each additional drug at UPMC Presbyterian

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

PHNOTY DNA HIV W/CLT ADD P6295

Pittsburgh, PA

See all hospitals reporting CPT 87904 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Presbyterian’s median price of $479 is 1513% above the median hospital's median price ($30), higher than 98% 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 UPMC Presbyterian

Negotiated rates from the hospital’s own file: 8 payers, 22 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	Amerihealth Caritas medicare facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
2	Cigna medicare transplant facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
3	Highmark medicare facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
4	UnitedHealthcare medicare facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
5	Aetna medicare facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
6	MultiPlan worker's compensation facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
7	UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
8	Aetna chip/medicaid facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
9	Highmark medicaid facility · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
10	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
11	Highmark medicare advantage facility · fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
12	Highmark managed care - social mission facility · fee schedule · outpatient	$116	$116	—	—	—	$116 – $116
13	Highmark managed care facility · fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
14	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$183	$183	—	—	—	$183 – $183
15	Highmark commercial - indemnity facility · fee schedule · outpatient	$246	$246	—	—	—	$246 – $246
16	Highmark upmc emergent facility · fee schedule · outpatient	$311	$311	—	—	—	$311 – $311
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$967	$967	—	—	—	$967 – $967
18	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$967	$967	—	—	—	$967 – $967
19	MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: Mar 6, 2026

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