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 1ST
Gilbert, AZ
See all hospitals reporting CPT 64912 →Price type
Dignity Health’s median price of $5.8k is 14% below the median hospital's median price ($6.8k), higher than 35% of the 1,586 hospitals reporting CPT 64912. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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|all plans fee schedule · outpatient | $941 | $941 | — | — | — | $941 – $941 |
| 2 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 3 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 4 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Cigna commercial|exchange case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | Cigna commercial|localplus surefit case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 7 | Cigna commercial|all other plans case rate · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 8 | Cigna commercial|ppo case rate · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 9 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 11 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 12 | Cigna medicare|all plans fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 13 | First Health medicare|all plans fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 14 | Humana medicare|all plans fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 15 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
Last updated: Feb 28, 2026
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