{"procedure":{"code_type":"CPT","code":"87904","lay_name":"Lab-grown drug resistance test, each extra drug tested","blurb":"An add-on charge billed once for each additional drug tested beyond the first ten in a culture-based drug resistance panel.","slug":"cpt-87904-lab-grown-drug-resistance-test-each-extra-drug-tested","description":"PHENOTYPE DNA HIV W/CLT ADD","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"206","label":"Microscopic examination (bacterial smear, culture, toxicology)","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":1124,"n_usable":1001,"n_not_usable":1,"n_labelled":92,"n_no_cash":30,"n_estimated":0,"n_states":47,"cash_p10":26.07,"cash_p20":32.85,"cash_p25":37.21,"cash_p50":68.32,"cash_p75":140.0,"cash_p80":181.44,"cash_p90":398.4,"cash_mean_trimmed":80.53,"gross_p50":136.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":10,"p20":25.0,"p50":57.0,"p80":89.0},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":18,"p20":62.88,"p50":114.02,"p80":287.0},{"state":"CA","n":56,"p20":29.89,"p50":68.32,"p80":232.96},{"state":"CO","n":10,"p20":75.63,"p50":75.63,"p80":243.1},{"state":"CT","n":6,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":63,"p20":32.0,"p50":69.0,"p80":173.63},{"state":"GA","n":24,"p20":12.87,"p50":12.87,"p80":333.0},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":84.0,"p50":127.86,"p80":127.86},{"state":"IL","n":49,"p20":43.75,"p50":110.0,"p80":169.0},{"state":"IN","n":47,"p20":28.62,"p50":41.73,"p80":62.4},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":19,"p20":24.91,"p50":103.24,"p80":122.39},{"state":"LA","n":21,"p20":28.84,"p50":40.23,"p80":60.28},{"state":"MA","n":21,"p20":64.4,"p50":172.0,"p80":494.0},{"state":"MD","n":17,"p20":711.77,"p50":977.29,"p80":1089.04},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":20,"p20":21.58,"p50":35.98,"p80":61.32},{"state":"MN","n":23,"p20":49.22,"p50":58.55,"p80":63.0},{"state":"MO","n":14,"p20":27.5,"p50":77.0,"p80":150.18},{"state":"MS","n":22,"p20":20.16,"p50":36.96,"p80":43.68},{"state":"NC","n":27,"p20":25.84,"p50":72.41,"p80":296.5},{"state":"ND","n":10,"p20":37.21,"p50":45.37,"p80":49.28},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":43,"p20":26.07,"p50":28.68,"p80":147.0},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":7,"p20":null,"p50":null,"p80":null},{"state":"NY","n":41,"p20":26.07,"p50":50.0,"p80":129.32},{"state":"OH","n":76,"p20":63.7,"p50":117.0,"p80":976.0},{"state":"OK","n":24,"p20":28.6,"p50":46.2,"p80":210.6},{"state":"OR","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":43,"p20":18.72,"p50":40.37,"p80":398.4},{"state":"RI","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":21,"p20":33.8,"p50":33.8,"p80":49.65},{"state":"TN","n":19,"p20":19.32,"p50":45.75,"p80":132.3},{"state":"TX","n":91,"p20":67.8,"p50":68.13,"p80":303.5},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":14,"p20":76.4,"p50":722.5,"p80":725.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":25,"p20":48.4,"p50":59.88,"p80":105.12},{"state":"WI","n":43,"p20":80.0,"p50":92.95,"p80":161.2},{"state":"WV","n":8,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":887,"p20":31.5,"p50":68.32,"p80":192.0},{"key":"childrens","n":14,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":95,"p20":39.6,"p50":68.13,"p80":161.2}],"ownership":[{"key":"for_profit","n":149,"p20":36.72,"p50":91.25,"p80":492.0},{"key":"government","n":97,"p20":26.07,"p50":49.0,"p80":96.0},{"key":"nonprofit","n":750,"p20":33.8,"p50":68.32,"p80":169.0}],"affiliation":[{"key":"affiliated","n":894,"p20":33.0,"p50":68.32,"p80":189.0},{"key":"independent","n":107,"p20":31.2,"p50":70.67,"p80":135.0}]},"histogram":[{"lo":20.16,"hi":29.47,"n":100},{"lo":29.47,"hi":43.09,"n":141},{"lo":43.09,"hi":63.0,"n":130},{"lo":63.0,"hi":92.1,"n":193},{"lo":92.1,"hi":134.65,"n":119},{"lo":134.65,"hi":196.86,"n":77},{"lo":196.86,"hi":287.81,"n":50},{"lo":287.81,"hi":420.78,"n":46},{"lo":420.78,"hi":615.18,"n":23},{"lo":615.18,"hi":899.39,"n":22}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":833,"n_usable":725,"n_not_usable":0,"n_labelled":74,"n_no_cash":34,"n_estimated":0,"n_states":44,"cash_p10":27.0,"cash_p20":37.8,"cash_p25":45.36,"cash_p50":69.0,"cash_p75":139.8,"cash_p80":164.6,"cash_p90":347.12,"cash_mean_trimmed":83.3,"gross_p50":124.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":17,"p20":94.61,"p50":272.25,"p80":287.0},{"state":"CA","n":48,"p20":40.0,"p50":68.32,"p80":232.96},{"state":"CO","n":8,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":32,"p20":38.48,"p50":69.0,"p80":88.66},{"state":"GA","n":20,"p20":12.87,"p50":67.16,"p80":333.0},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":87.0,"p50":127.86,"p80":127.86},{"state":"IL","n":40,"p20":43.75,"p50":87.0,"p80":140.0},{"state":"IN","n":29,"p20":26.63,"p50":36.12,"p80":62.4},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":10,"p20":15.6,"p50":29.73,"p80":90.15},{"state":"LA","n":15,"p20":17.99,"p50":41.36,"p80":111.0},{"state":"MA","n":16,"p20":50.7,"p50":172.0,"p80":300.0},{"state":"MD","n":10,"p20":81.59,"p50":711.77,"p80":1089.04},{"state":"MI","n":13,"p20":21.58,"p50":33.95,"p80":161.2},{"state":"MN","n":22,"p20":49.22,"p50":58.55,"p80":63.0},{"state":"MO","n":10,"p20":59.4,"p50":77.0,"p80":78.6},{"state":"MS","n":12,"p20":19.32,"p50":21.0,"p80":43.68},{"state":"NC","n":11,"p20":25.84,"p50":25.84,"p80":36.72},{"state":"ND","n":10,"p20":37.21,"p50":45.37,"p80":49.28},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":16,"p20":29.98,"p50":85.14,"p80":147.0},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":20,"p20":35.0,"p50":94.33,"p80":117.0},{"state":"OH","n":74,"p20":63.7,"p50":117.0,"p80":976.0},{"state":"OK","n":22,"p20":28.6,"p50":46.2,"p80":210.6},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":34,"p20":40.37,"p50":171.55,"p80":410.0},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":13,"p20":33.8,"p50":33.8,"p80":33.8},{"state":"TN","n":18,"p20":19.32,"p50":45.75,"p80":132.3},{"state":"TX","n":75,"p20":67.8,"p50":68.13,"p80":68.13},{"state":"VA","n":6,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":24,"p20":55.2,"p50":60.4,"p80":105.12},{"state":"WI","n":39,"p20":80.0,"p50":85.0,"p80":161.2},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":644,"p20":36.72,"p50":69.0,"p80":169.8},{"key":"childrens","n":11,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":65,"p20":39.6,"p50":74.1,"p80":161.2}],"ownership":[{"key":"for_profit","n":84,"p20":36.72,"p50":72.93,"p80":287.0},{"key":"government","n":56,"p20":29.98,"p50":60.2,"p80":96.0},{"key":"nonprofit","n":580,"p20":39.6,"p50":70.2,"p80":165.02}],"affiliation":[{"key":"affiliated","n":655,"p20":39.0,"p50":69.0,"p80":166.8},{"key":"independent","n":70,"p20":30.9,"p50":77.61,"p80":128.0}]},"histogram":[{"lo":20.16,"hi":28.84,"n":47},{"lo":28.84,"hi":41.24,"n":85},{"lo":41.24,"hi":58.99,"n":81},{"lo":58.99,"hi":84.38,"n":157},{"lo":84.38,"hi":120.69,"n":102},{"lo":120.69,"hi":172.62,"n":84},{"lo":172.62,"hi":246.91,"n":36},{"lo":246.91,"hi":353.16,"n":26},{"lo":353.16,"hi":505.13,"n":21},{"lo":505.13,"hi":722.5,"n":16}],"previous":null}},"related":[{"code_type":"CPT","code":"87040","lay_name":"Blood culture for bacteria","slug":"cpt-87040-blood-culture-for-bacteria"},{"code_type":"CPT","code":"87070","lay_name":"Bacterial culture, other body site, with identification","slug":"cpt-87070-bacterial-culture-other-body-site-with-identification"},{"code_type":"CPT","code":"87205","lay_name":"Slide smear with Gram or similar stain, with interpretation","slug":"cpt-87205-slide-smear-with-gram-or-similar-stain-with-interpretation"},{"code_type":"CPT","code":"87186","lay_name":"Antibiotic sensitivity testing panel, per plate","slug":"cpt-87186-antibiotic-sensitivity-testing-panel-per-plate"},{"code_type":"CPT","code":"82043","lay_name":"Urine albumin test (microalbumin), measured amount","slug":"cpt-82043-urine-albumin-test-microalbumin-measured-amount"},{"code_type":"CPT","code":"87491","lay_name":"Chlamydia DNA test using amplification","slug":"cpt-87491-chlamydia-dna-test-using-amplification"},{"code_type":"CPT","code":"87077","lay_name":"Full identification of a cultured bacterium, each organism","slug":"cpt-87077-full-identification-of-a-cultured-bacterium-each-organism"},{"code_type":"CPT","code":"87081","lay_name":"Screening culture for one type of disease-causing bacteria","slug":"cpt-87081-screening-culture-for-one-type-of-disease-causing-bacteria"},{"code_type":"CPT","code":"87340","lay_name":"Hepatitis B surface antigen blood test","slug":"cpt-87340-hepatitis-b-surface-antigen-blood-test"},{"code_type":"CPT","code":"87798","lay_name":"Genetic test for an unlisted germ, amplified method","slug":"cpt-87798-genetic-test-for-an-unlisted-germ-amplified-method"},{"code_type":"CPT","code":"81001","lay_name":"Urine test with automated dipstick and microscope exam","slug":"cpt-81001-urine-test-with-automated-dipstick-and-microscope-exam"},{"code_type":"CPT","code":"87591","lay_name":"Gonorrhea test by DNA amplification","slug":"cpt-87591-gonorrhea-test-by-dna-amplification"}]}