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-CMVQ 3005895
Folsom, CA
See all hospitals reporting CPT 87497 →Price type
Dignity Health’s median price of $69 is about the same as the median hospital's median price ($70), higher than 49% of the 2,575 hospitals reporting CPT 87497. 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, 36 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 | Kaiser medicaid|all plans fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Anthem medicare|all other plans fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Aetna medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Blue Cross Blue Shield medicare|hmo fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Humana commercial|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Anthem medicare|imperial fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 11 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 13 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 14 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 15 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 16 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 17 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 18 | First Health commercial|all plans fee schedule · inpatient | $69 | $69 | — | — | — | $69 – $69 |
| 19 | First Health commercial|all plans fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 21 | Anthem commercial|connection epo fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $76 | $76 | — | — | — | $76 – $76 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 24 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 25 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
Last updated: Feb 28, 2026
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