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 EA ADDL
Carmichael, CA
See all hospitals reporting CPT 64913 →Price type
Dignity Health’s median price of $5.2k is 267% above the median hospital's median price ($1.4k), higher than 89% of the 1,232 hospitals reporting CPT 64913. 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 | $133 | $133 | — | — | — | $133 – $133 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 5 | Aetna commercial|all other plans case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 6 | Aetna commercial|hmo case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 7 | Aetna commercial|ppo case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 8 | Blue Cross Blue Shield commercial|aco trio case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 9 | Anthem commercial|connection epo case rate · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 10 | Blue Cross Blue Shield commercial|aco trio calpers case rate · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 11 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 12 | Anthem commercial|all other plans case rate · outpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 13 | Blue Cross Blue Shield commercial|ppo tandem case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 14 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 15 | Blue Cross Blue Shield commercial|calpers case rate · outpatient | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 16 | Anthem commercial|mcs case rate · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 17 | Blue Cross Blue Shield commercial|ppo case rate · outpatient | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
Last updated: Feb 28, 2026
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