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-GARDNR VAG DNA DIR P
Carmichael, CA
See all hospitals reporting CPT 87510 →Price type
Dignity Health’s median price of $20 is 20% below the median hospital's median price ($25), higher than 8% of the 2,025 hospitals reporting CPT 87510. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 39 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 medicare|all other plans fee schedule · outpatient | $18 | $18 | $1 | 5% | — | $17 – $19 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $19 | $19 | $1 | 5% | — | $18 – $20 |
| 3 | Blue Cross Blue Shield medicare|hmo fee schedule · outpatient | $19 | $19 | $1 | 5% | — | $18 – $20 |
| 4 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $19 | $19 | $1 | 5% | — | $18 – $20 |
| 5 | Humana commercial|all plans fee schedule · outpatient | $19 | $19 | $1 | 5% | — | $18 – $20 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $19 | $19 | $1 | 5% | — | $18 – $20 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $19 | $19 | $1 | 5% | — | $18 – $20 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $19 | $19 | $1 | 5% | — | $18 – $20 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $19 | $19 | $1 | 5% | — | $18 – $20 |
| 10 | Anthem medicare|imperial fee schedule · outpatient | $20 | $20 | $1 | 5% | — | $19 – $21 |
| 11 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $21 | $21 | $3 | 14% | — | $18 – $24 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $21 | $21 | $3 | 14% | — | $18 – $24 |
| 13 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $21 | $21 | $3 | 14% | — | $18 – $24 |
| 14 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $21 | $21 | $3 | 14% | — | $18 – $24 |
| 15 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $22 | $22 | $4 | 17% | — | $18 – $26 |
| 16 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $22 | $22 | $4 | 17% | — | $18 – $26 |
| 17 | Molina medicaid|all plans fee schedule · outpatient | $26 | $26 | $8 | 29% | — | $18 – $34 |
| 18 | Anthem medicaid|all plans fee schedule · outpatient | $35 | $35 | $17 | 48% | — | $18 – $51 |
| 19 | Cigna commercial|localplus fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $47 | $47 | $29 | 61% | — | $18 – $76 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $47 | $47 | $29 | 61% | — | $18 – $76 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $47 | $47 | $29 | 61% | — | $18 – $76 |
| 23 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $57 | $57 | $51 | 90% | — | $6 – $108 |
| 24 | Cigna commercial|all other plans fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 25 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $73 | $73 | $66 | 90% | — | $7 – $139 |
Last updated: Feb 28, 2026
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