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
1619E RL-A-VZV PAN 50162
Camarillo, CA
See all hospitals reporting CPT 86787 →Price type
Dignity Health’s median price of $6 is 76% below the median hospital's median price ($23), higher than 0% of the 2,674 hospitals reporting CPT 86787. 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, 27 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 commercial|dignityhealth fee schedule · inpatient | $2 | $2 | $1 | 45% | — | $1 – $4 |
| 2 | Anthem commercial|dignityhealth fee schedule · outpatient | $2 | $2 | $1 | 45% | — | $1 – $4 |
| 3 | Blue Cross Blue Shield commercial|epn fee schedule · outpatient | $3 | $4 | $2 | 45% | — | $2 – $6 |
| 4 | Anthem commercial|exchange fee schedule · outpatient | $4 | $4 | $2 | 45% | — | $3 – $8 |
| 5 | Blue Cross Blue Shield commercial|ffs fee schedule · outpatient | $4 | $5 | $2 | 45% | — | $3 – $8 |
| 6 | Kaiser commercial|all plans fee schedule · inpatient | $4 | $5 | $2 | 45% | — | $3 – $8 |
| 7 | Kaiser commercial|all plans fee schedule · outpatient | $4 | $5 | $2 | 45% | — | $3 – $8 |
| 8 | First Health commercial|all plans fee schedule · inpatient | $4 | $5 | $2 | 45% | — | $3 – $9 |
| 9 | First Health commercial|all plans fee schedule · outpatient | $4 | $5 | $2 | 45% | — | $3 – $9 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $5 | $6 | $3 | 45% | — | $4 – $11 |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $5 | $6 | $3 | 45% | — | $4 – $11 |
| 12 | Anthem commercial|hmo fee schedule · outpatient | $6 | $7 | $3 | 45% | — | $5 – $13 |
| 13 | Anthem commercial|non-mcs fee schedule · outpatient | $6 | $7 | $3 | 45% | — | $5 – $13 |
| 14 | Aetna medicare|all plans fee schedule · outpatient | $6 | $8 | $3 | 41% | — | $5 – $13 |
| 15 | Anthem medicare|all plans fee schedule · outpatient | $6 | $8 | $3 | 41% | — | $5 – $13 |
| 16 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $6 | $8 | $3 | 41% | — | $5 – $13 |
| 17 | Humana medicare|all plans fee schedule · outpatient | $6 | $8 | $3 | 41% | — | $5 – $13 |
| 18 | Kaiser medicare|all plans fee schedule · outpatient | $6 | $8 | $3 | 41% | — | $5 – $13 |
| 19 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $6 | $8 | $3 | 41% | — | $5 – $13 |
| 20 | Anthem commercial|mcs fee schedule · outpatient | $6 | $8 | $3 | 45% | — | $5 – $14 |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $6 | $8 | $3 | 45% | — | $5 – $14 |
| 22 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $6 | $8 | $3 | 45% | — | $5 – $14 |
| 23 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $6 | $8 | $3 | 45% | — | $5 – $14 |
| 24 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $6 | $8 | $3 | 45% | — | $5 – $14 |
| 25 | Cigna commercial|all other plans fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
Last updated: Feb 28, 2026
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