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
NERVE GRAFT ADD-ON
Los Angeles, CA
See all hospitals reporting CPT 64902 →Price type
Dignity Community Care’s median price of $1.0k is 47% below the median hospital's median price ($1.9k), higher than 30% of the 1,221 hospitals reporting CPT 64902. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 10 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $960 | $960 | — | — | — | $960 – $960 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $960 | $960 | — | — | — | $960 – $960 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $1000 | $1000 | — | — | — | $1000 – $1000 |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 8 | Anthem commercial|exchange case rate · outpatient | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 9 | Anthem commercial|all other plans case rate · outpatient | $23.6k | $23.6k | — | — | — | $23.6k – $23.6k |
| 10 | Anthem commercial|mcs case rate · outpatient | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
Last updated: Feb 28, 2026
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