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
2218E RL-A-CMVNGS5 3004615
Phoenix, AZ
See all hospitals reporting CPT 87910 →Price type
Dignity Health’s median price of $283 is 4% above the median hospital's median price ($273), higher than 53% of the 1,697 hospitals reporting CPT 87910. 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, 28 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 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 2 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 3 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $154 | $154 | — | — | 2–20 | $154 – $154 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 5 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 6 | Cigna medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 7 | First Health medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 9 | Optum medicare|optumcare fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 10 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $257 | $257 | — | — | 2–20 | $257 – $257 |
| 11 | UnitedHealthcare medicare|dual complete fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 12 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 13 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $279 | $279 | $180 | 64% | — | $99 – $458 |
| 14 | Optum medicare|optumhealth fee schedule · outpatient | $283 | $283 | — | — | 2–20 | $283 – $283 |
| 15 | Cigna commercial|exchange fee schedule · outpatient | $528 | $528 | $7 | 1% | — | $521 – $535 |
| 16 | Cigna commercial|localplus surefit fee schedule · outpatient | $547 | $547 | $26 | 5% | — | $521 – $572 |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $637 | $637 | $116 | 18% | — | $521 – $753 |
| 18 | Aetna commercial|all plans fee schedule · outpatient | $666 | $666 | $145 | 22% | — | $521 – $810 |
| 19 | Optum commercial|optumhealth fee schedule · outpatient | $689 | $689 | $444 | 64% | — | $245 – $1.1k |
| 20 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $704 | $704 | $183 | 26% | 2–20 | $521 – $887 |
| 21 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $704 | $704 | $183 | 26% | — | $521 – $887 |
| 22 | Cigna commercial|lifesource fee schedule · outpatient | $807 | $807 | $520 | 64% | — | $287 – $1.3k |
| 23 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $852 | $852 | $331 | 39% | — | $521 – $1.2k |
| 24 | First Health commercial|all plans fee schedule · inpatient | $1.0k | $1.0k | $662 | 64% | — | $365 – $1.7k |
| 25 | First Health commercial|all plans fee schedule · outpatient | $1.0k | $1.0k | $662 | 64% | — | $365 – $1.7k |
Last updated: Feb 28, 2026
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