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
REPAIR REVISE NERVE ADD-ON
Carmichael, CA
See all hospitals reporting CPT 64874 →Price type
Dignity Health’s median price of $6.5k is 268% above the median hospital's median price ($1.8k), higher than 91% of the 1,237 hospitals reporting CPT 64874. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 17 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 medicaid|< 21 fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 5 | Blue Cross Blue Shield commercial|aco trio case rate · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 6 | Blue Cross Blue Shield commercial|aco trio calpers case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 7 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 8 | Aetna commercial|all other plans case rate · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 9 | Aetna commercial|hmo case rate · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 10 | Aetna commercial|ppo case rate · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 11 | Blue Cross Blue Shield commercial|ppo tandem case rate · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 12 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 13 | Blue Cross Blue Shield commercial|calpers case rate · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 14 | Anthem commercial|connection epo case rate · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 15 | Blue Cross Blue Shield commercial|ppo case rate · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 16 | Anthem commercial|all other plans case rate · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 17 | Anthem commercial|mcs case rate · outpatient | $17.7k | $17.7k | — | — | — | $17.7k – $17.7k |
Last updated: Feb 28, 2026
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