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
NH-IA HEPATITIS C QN RT
Long Beach, CA
See all hospitals reporting CPT 87522 →Price type
Dignity Health’s median price of $43 is 39% below the median hospital's median price ($71), higher than 6% of the 2,647 hospitals reporting CPT 87522. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 32 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 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $32 | $32 | $17 | 54% | — | $15 – $49 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $41 | $41 | $2 | 5% | — | $39 – $43 |
| 3 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $41 | $41 | $2 | 5% | — | $39 – $43 |
| 4 | Cigna medicare|all plans fee schedule · outpatient | $41 | $41 | $2 | 5% | — | $39 – $43 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $41 | $41 | $2 | 5% | — | $39 – $43 |
| 6 | Kaiser medicare|all plans fee schedule · outpatient | $41 | $41 | $2 | 5% | — | $39 – $43 |
| 7 | Molina medicare|all plans fee schedule · outpatient | $41 | $41 | $2 | 5% | — | $39 – $43 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $41 | $41 | $2 | 5% | — | $39 – $43 |
| 9 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $41 | $41 | $22 | 54% | — | $19 – $63 |
| 10 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $45 | $45 | $6 | 14% | — | $39 – $51 |
| 11 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $45 | $45 | $6 | 14% | — | $39 – $51 |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $45 | $45 | $6 | 14% | — | $39 – $51 |
| 13 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $45 | $45 | $6 | 14% | — | $39 – $51 |
| 14 | Anthem medicaid|all plans fee schedule · outpatient | $49 | $49 | $10 | 20% | 2–20 | $39 – $59 |
| 15 | Anthem commercial|exchange fee schedule · outpatient | $49 | $49 | $26 | 54% | — | $22 – $75 |
| 16 | Blue Cross Blue Shield medicare|trauma fee schedule · outpatient | $51 | $51 | $3 | 5% | — | $48 – $54 |
| 17 | Molina medicaid|all plans fee schedule · outpatient | $51 | $51 | $12 | 24% | — | $39 – $63 |
| 18 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $55 | $55 | $29 | 54% | — | $25 – $84 |
| 19 | Kaiser commercial|all plans fee schedule · inpatient | $59 | $59 | $32 | 54% | — | $27 – $90 |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $59 | $59 | $32 | 54% | — | $27 – $90 |
| 21 | Kaiser medicaid|< 21 fee schedule · outpatient | $63 | $63 | $5 | 8% | 2–20 | $58 – $68 |
| 22 | Kaiser medicaid|> 21 fee schedule · outpatient | $63 | $63 | $5 | 8% | — | $58 – $68 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $67 | $67 | $36 | 54% | — | $31 – $103 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $67 | $67 | $36 | 54% | — | $31 – $103 |
| 25 | Anthem commercial|all other plans fee schedule · outpatient | $73 | $73 | $39 | 54% | 2–20 | $34 – $112 |
Last updated: Feb 28, 2026
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