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-HCV NS3/4A 3001234A
Merced, CA
See all hospitals reporting CPT 87900 →Price type
Dignity Health’s median price of $116 is 24% below the median hospital's median price ($153), higher than 7% of the 2,108 hospitals reporting CPT 87900. 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 | $41 | $56 | $27 | 48% | — | $33 – $94 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $55 | $75 | $36 | 48% | — | $45 – $126 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $116 | $116 | $0 | 0% | — | $115 – $116 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $116 | $116 | $0 | 0% | — | $115 – $116 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $116 | $116 | $0 | 0% | — | $115 – $116 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $116 | $116 | $0 | 0% | — | $115 – $116 |
| 7 | Aetna medicare|all plans fee schedule · outpatient | $130 | $125 | $7 | 6% | — | $115 – $130 |
| 8 | Anthem medicare|all plans fee schedule · outpatient | $130 | $125 | $7 | 6% | — | $115 – $130 |
| 9 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $130 | $125 | $7 | 6% | — | $115 – $130 |
| 10 | Humana medicare|all plans fee schedule · outpatient | $130 | $125 | $7 | 6% | — | $115 – $130 |
| 11 | Kaiser medicare|all plans fee schedule · outpatient | $130 | $125 | $7 | 6% | — | $115 – $130 |
| 12 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $130 | $125 | $7 | 6% | — | $115 – $130 |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $91 | $125 | $60 | 48% | — | $75 – $210 |
| 14 | Cigna commercial|all other plans fee schedule · outpatient | $91 | $125 | $60 | 48% | — | $75 – $210 |
| 15 | Cigna commercial|ppo fee schedule · inpatient | $91 | $125 | $60 | 48% | — | $75 – $210 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $91 | $125 | $60 | 48% | — | $75 – $210 |
| 17 | Anthem medicaid|< 21 fee schedule · outpatient | $133 | $127 | $8 | 7% | — | $115 – $133 |
| 18 | Anthem medicaid|> 21 fee schedule · outpatient | $133 | $127 | $8 | 7% | — | $115 – $133 |
| 19 | Anthem commercial|exchange fee schedule · outpatient | $95 | $131 | $63 | 48% | — | $78 – $220 |
| 20 | Kaiser commercial|all plans fee schedule · inpatient | $97 | $133 | $64 | 48% | — | $80 – $223 |
| 21 | Kaiser commercial|all plans fee schedule · outpatient | $97 | $133 | $64 | 48% | — | $80 – $223 |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $140 | $137 | $17 | 12% | — | $115 – $156 |
| 23 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $140 | $137 | $17 | 12% | — | $115 – $156 |
| 24 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $140 | $137 | $17 | 12% | — | $115 – $156 |
| 25 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $140 | $137 | $17 | 12% | — | $115 – $156 |
Last updated: Feb 28, 2026
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