CPT 87904

Infectious Agent Detection by DNA/RNA

Current code35 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 87904 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$5.38 – $7.975 plans$48.40$121
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4.92 – $5.215 plans$115$288
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$55.20$181
Island HospitalAnacortes$5.08 – $5.513 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$18.64$28.68
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$5.09 – $5.505 plans$48.40$121
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5.00 – $5.405 plans$48.40$121
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5.00 – $5.405 plans$48.40$121
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5.12 – $5.535 plans$48.40$121
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4.89 – $5.185 plans$115$288
Olympic Medical CenterPort AngelesFile dated 2026-06-24$6.29 – $6.895 plans$95.20$119
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$112$160
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Skagit Valley HospitalMount Vernon—$57.60$72.00
St Anthony HospitalGig HarborFile dated 2026-02-28—$54.99$181
St Clare HospitalLakewoodFile dated 2026-02-28—$52.11$181
St Elizabeth HospitalEnumclawFile dated 2026-02-28$30.74 – $37.425 plans$63.88$181
St Francis Community HospitalFederal WayFile dated 2026-02-28—$56.73$181
St Joseph Medical CenterTacomaFile dated 2026-02-28—$59.88$181
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$79.79$181
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$105$219
Swedish Medical CenterSeattleFile dated 2026-04-01—$105$219
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$105$219
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$5.125 plans$48.40$121
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$74.97$147
Yakima Valley MemorialYakimaFile dated 2026-08-27$4.89 – $5.685 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Lab fee schedule (national limit)
$26.07