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-Q-RVP PCR 95512
Henderson, NV
See all hospitals reporting CPT 87633 →Price type
Dignity Health’s median price of $630 is 33% above the median hospital's median price ($475), higher than 67% of the 2,357 hospitals reporting CPT 87633. 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, 18 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 commercial|hmo fee schedule · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 2 | Anthem commercial|ppo fee schedule · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 3 | Aetna medicare|all plans fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 4 | Anthem medicare|all plans fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 7 | UnitedHealthcare commercial|dh employees fee schedule · inpatient | $463 | $463 | $167 | 36% | — | $296 – $630 |
| 8 | UnitedHealthcare commercial|dh employees fee schedule · outpatient | $463 | $463 | $167 | 36% | — | $296 – $630 |
| 9 | UnitedHealthcare commercial|all payer fee schedule · outpatient | $625 | $625 | — | — | 2–20 | $625 – $625 |
| 10 | Aetna commercial|hmo fee schedule · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 11 | Aetna commercial|all other plans fee schedule · outpatient | $872 | $872 | — | — | — | $872 – $872 |
| 12 | Aetna commercial|ppo fee schedule · outpatient | $872 | $872 | — | — | — | $872 – $872 |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $1.1k | $1.1k | $384 | 36% | — | $682 – $1.4k |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $1.1k | $1.1k | $384 | 36% | — | $682 – $1.4k |
| 15 | UnitedHealthcare commercial|options fee schedule · inpatient | $1.1k | $1.1k | $400 | 36% | — | $711 – $1.5k |
| 16 | UnitedHealthcare commercial|options fee schedule · outpatient | $1.1k | $1.1k | $400 | 36% | — | $711 – $1.5k |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $1.3k | $1.3k | $263 | 21% | 2–20 | $988 – $1.5k |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $1.3k | $1.3k | $263 | 21% | 2–20 | $988 – $1.5k |
Last updated: Feb 28, 2026
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