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
RL-A-HBVGENO 2001567
Los Angeles, CA
See all hospitals reporting CPT 87912 →Price type
Dignity Community Care’s median price of $200 is 26% below the median hospital's median price ($270), higher than 5% of the 1,875 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: 9 payers, 29 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 | Anthem medicaid|all plans fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Molina medicaid|< 21 fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 3 | Molina medicaid|> 21 fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 4 | Kaiser medicaid|< 21 fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Kaiser medicaid|> 21 fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 8 | Anthem commercial|exchange fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 9 | First Health commercial|all plans fee schedule · inpatient | $177 | $177 | — | — | — | $177 – $177 |
| 10 | First Health commercial|all plans fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 11 | Kaiser commercial|all plans fee schedule · inpatient | $180 | $180 | — | — | — | $180 – $180 |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 13 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 14 | MultiPlan commercial|all plans fee schedule · inpatient | $203 | $203 | — | — | — | $203 – $203 |
| 15 | MultiPlan commercial|all plans fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 16 | Anthem commercial|all other plans fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 17 | Aetna commercial|all other plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 18 | Aetna commercial|hmo fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 19 | Aetna commercial|ppo fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 20 | Aetna medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 21 | Anthem commercial|mcs fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 22 | Anthem medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 23 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 24 | Molina medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 25 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
Last updated: Feb 28, 2026
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