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
NFCT AGT GNTYP ALYS HEP B
Summit, WI
See all hospitals reporting CPT 87912 →Price type
Aurora Medical Center Summit’s median price of $644 is 138% above the median hospital's median price ($270), higher than 90% of the 1,864 hospitals reporting CPT 87912. 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, 11 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 | UnitedHealthcare charter fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 2 | UnitedHealthcare exchange fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 4 | UnitedHealthcare nexus fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 5 | Anthem blue priority fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 6 | Anthem blue preferred fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 7 | Aetna hmo fee schedule · outpatient | $574 | $574 | — | — | — | $574 – $574 |
| 8 | Healthpartners employee trust fund fee schedule · outpatient | $683 | $683 | — | — | — | $683 – $683 |
| 9 | Molina commercial fee schedule · outpatient | $711 | $711 | — | — | — | $711 – $711 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $751 | $751 | — | — | — | $751 – $751 |
| 11 | Healthpartners robin fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
Last updated: Nov 21, 2025
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