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.
Original text from hospital filings
NRV GRF MLTST ARM/LEG <4 CM
Arlington, TX
See all hospitals reporting CPT 64897 →Price type
AMH Cath Labs LLC’s median price of $9.2k is 40% above the median hospital's median price ($6.6k), higher than 76% of the 1,436 hospitals reporting CPT 64897. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 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 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | WellCare managed medicaid fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Molina managed medicaid fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Aetna managed medicaid fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 8 | Humana medicare advantage case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 9 | Humana medicare advantage ppo case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 10 | Molina medicare advantage case rate · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 15 | Blue Cross Blue Shield hmo case rate · outpatient | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
| 16 | UnitedHealthcare all payer case rate · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 17 | Blue Cross Blue Shield ppo case rate · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 18 | UnitedHealthcare ppo case rate · outpatient | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 19 | Blue Cross Blue Shield traditional case rate · outpatient | $46.0k | $46.0k | — | — | — | $46.0k – $46.0k |
Last updated: Apr 21, 2026
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