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-VIT K 99225
Merced, CA
See all hospitals reporting CPT 84597 →Price type
Dignity Health’s median price of $18 is 25% below the median hospital's median price ($23), higher than 36% of the 2,483 hospitals reporting CPT 84597. 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, 34 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 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Aetna medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Anthem medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 12 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Kaiser medicaid|< 21 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Kaiser medicaid|> 21 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Molina medicaid|< 21 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Molina medicaid|> 21 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $20 | $20 | — | — | — | $20 – $20 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 19 | Cigna commercial|ppo fee schedule · inpatient | $20 | $20 | — | — | — | $20 – $20 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Anthem commercial|exchange fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 22 | Kaiser commercial|all plans fee schedule · inpatient | $21 | $21 | — | — | — | $21 – $21 |
| 23 | Kaiser commercial|all plans fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 24 | Anthem medicaid|< 21 fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 25 | Anthem medicaid|> 21 fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
Last updated: Feb 28, 2026
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