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-HBVGENO 2001567
Merced, CA
See all hospitals reporting CPT 87912 →Price type
Dignity Health’s median price of $167 is 38% below the median hospital's median price ($270), higher than 3% of the 1,864 hospitals reporting CPT 87912. 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $167 | $167 | — | — | — | $167 – $167 |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $167 | $167 | — | — | — | $167 – $167 |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 13 | Anthem commercial|exchange fee schedule · outpatient | $175 | $175 | — | — | 1–10 | $175 – $175 |
| 14 | Kaiser commercial|all plans fee schedule · inpatient | $177 | $177 | — | — | — | $177 – $177 |
| 15 | Kaiser commercial|all plans fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 16 | First Health commercial|all plans fee schedule · inpatient | $205 | $205 | — | — | — | $205 – $205 |
| 17 | First Health commercial|all plans fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 18 | Anthem commercial|all other plans fee schedule · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $241 | $241 | — | — | — | $241 – $241 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 21 | Aetna commercial|all other plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 22 | Aetna commercial|hmo fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 23 | Aetna commercial|ppo fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 24 | Aetna medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 25 | Anthem commercial|mcs fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
Last updated: Feb 28, 2026
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