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
RHC EVL COMP >64 INIT NEW
Merced, CA
See all hospitals reporting CPT 99387 →Price type
Dignity Health’s median price of $184 is 5% above the median hospital's median price ($176), higher than 54% of the 1,208 hospitals reporting CPT 99387. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 22 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 | $134 | $134 | — | — | — | $134 – $134 |
| 2 | Anthem medicaid|< 21 fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 3 | Anthem medicaid|> 21 fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 4 | Kaiser medicaid|< 21 fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 5 | Kaiser medicaid|> 21 fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 6 | Molina medicaid|< 21 fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 7 | Molina medicaid|> 21 fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $228 | $228 | — | — | — | $228 – $228 |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $228 | $228 | — | — | — | $228 – $228 |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $242 | $242 | — | — | — | $242 – $242 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $242 | $242 | — | — | — | $242 – $242 |
| 15 | First Health commercial|all plans fee schedule · inpatient | $281 | $281 | — | — | — | $281 – $281 |
| 16 | First Health commercial|all plans fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 17 | MultiPlan commercial|all plans fee schedule · inpatient | $330 | $330 | — | — | — | $330 – $330 |
| 18 | MultiPlan commercial|all plans fee schedule · outpatient | $330 | $330 | — | — | — | $330 – $330 |
| 19 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $347 | $347 | — | — | — | $347 – $347 |
| 20 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 21 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 22 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
Last updated: Feb 28, 2026
See New patient preventive checkup, age 65 and older pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.