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 RPR W/NRV ALGRFT 1ST
Glendale, CA
See all hospitals reporting CPT 64912 →Price type
Dignity Community Care’s median price of $6.7k is about the same as the median hospital's median price ($6.8k), higher than 50% of the 1,593 hospitals reporting CPT 64912. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem medicaid|all plans fee schedule · outpatient | $845 | $845 | — | — | — | $845 – $845 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $946 | $946 | — | — | — | $946 – $946 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 6 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 7 | Humana commercial|all plans fee schedule · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 8 | UnitedHealthcare medicare|all plans case rate · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 9 | Anthem medicare|alhambra senior fee schedule · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 10 | Anthem commercial|alhambra fee schedule · outpatient | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 11 | Anthem commercial|hcla fee schedule · outpatient | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
Last updated: Feb 28, 2026
See Nerve repair using donor nerve graft pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.