What does code 87904 cost?

Across the published hospital price files, the disclosed cash price for 87904 ranges from $61.62 to $140. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

87904 is the billing code hospitals use to identify "Phenotype dna hiv w/clt add" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

87904

HCPCS

Phenotype dna hiv w/clt add

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 87904 (Phenotype dna hiv w/clt add) appears at 18 hospitals with disclosed cash prices from $61.62 to $140. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 87904 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 87904 vary by about 2.3× across the 14 hospitals with disclosed prices here — from $61.62 to $140. Shopping around can matter.

Hospitals

Prices shown

$61.62

Lowest cash

$140

Highest cash

code 87904 cash price16 disclosed · 14 hospitals

$61.62median ~$85.00$140

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$61.62 – $85.00

Seward · 1 hospital$61.62
Anchorage · 1 hospital$70.20
Green Bay · 1 hospital$85.00
Burlington · 1 hospital$85.00
Marinette · 1 hospital$85.00
Fond Du Lac · 1 hospital$85.00

21 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Phenotype dna hiv w/clt add Outpatient	Endeavor Health Edward Hospital	87904 HCPCS	—	—	$26.07 – $44.15	—
Hc Phenotype Drug Res Hiv Ea Addl Drug Inpatient & outpatient	University of Chicago Medical Center	87904 HCPCS	—	—	—	—
Phenotype dna hiv w/clt add Outpatient	University of Chicago Medical Center	87904 HCPCS	—	—	—	—
HIV PHENOTYPE ADD DRUGS Outpatient	Advocate Illinois Masonic Medical Center	87904 CPT	$280	$140	$26.07 – $236	—
HIV PHENOTYPE ADD DRUGS Inpatient	Advocate Lutheran General Hospital	87904 CPT	$280	$140	$122 – $224	—
HIV PHENOTYPE ADD DRUGS Outpatient	Advocate Good Samaritan Hospital	87904 CPT	$280	$140	$26.07 – $232	—
HIV PHENOTYPE ADD DRUGS Outpatient	Advocate South Suburban Hospital	87904 CPT	$280	$140	$26.07 – $273	—
HIV PHENOTYPE ADD DRUGS Inpatient	Aurora BayCare Medical Center	87904 CPT	$170	$85.00	$102 – $145	—
HIV PHENOTYPE ADD DRUGS Inpatient	Aurora Medical Center Burlington	87904 CPT	$170	$85.00	$102 – $145	—
HIV PHENOTYPE ADD DRUGS Inpatient	Aurora Medical Center Bay Area	87904 CPT	$170	$85.00	$102 – $144	—
HIV PHENOTYPE ADD DRUGS Outpatient	Aurora Medical Center Bay Area	87904 CPT	$170	$85.00	$20.86 – $144	—
HIV PHENOTYPE ADD DRUGS Inpatient	Aurora Medical Center Fond du Lac	87904 CPT	$170	$85.00	$102 – $145	—
HIV PHENOTYPE ADD DRUGS Outpatient	Aurora Medical Center Fond du Lac	87904 CPT	$170	$85.00	$20.86 – $145	—
HIV PHENOTYPE ADD DRUGS Inpatient	Aurora Medical Center Kenosha	87904 CPT	$170	$85.00	$102 – $145	—
HIV PHENOTYPE ADD DRUGS Inpatient	Aurora Lakeland Medical Center	87904 CPT	$170	$85.00	$102 – $145	—
PHENOTYPE DNA HIV W/CLT ADD Outpatient	The Women's Hospital	87904 CPT	—	—	$10.43 – $63.87	—
HC NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG LAB Inpatient & outpatient	Providence Alaska Medical Center	87904 HCPCS	$90.00	$70.20	—	—
HC NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG LAB Inpatient & outpatient	Providence Kodiak Island Medical Center	87904 HCPCS	$109	$85.02	—	—
HC NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG LAB Inpatient & outpatient	Providence Seward Hospital	87904 HCPCS	$79.00	$61.62	—	—
HC NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG # Inpatient & outpatient	Providence Valdez Medical Center	87904 HCPCS	$116	$90.48	—	—
PHENOTYPE DNA HIV W/CLT ADD Outpatient	Texas Health Center for Diagnostics and Surgery Plano	87904 CPT	—	—	$21.90 – $51.16	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 87904 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Advocate Lutheran General Hospital Advocate Good Samaritan Hospital Advocate South Suburban Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Kenosha Aurora Lakeland Medical Center The Women's Hospital Providence Alaska Medical Center Providence Kodiak Island Medical Center Providence Seward Hospital Providence Valdez Medical Center Texas Health Center for Diagnostics and Surgery Plano

Code 87904: frequently asked

What does code 87904 cost?: Across the published hospital price files, the disclosed cash price for 87904 ranges from $61.62 to $140. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 87904?: 87904 is the billing code hospitals use to identify "Phenotype dna hiv w/clt add" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 87904 by state

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