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-QD-HEP B ULTRA QN 6617
Redding, CA
See all hospitals reporting CPT 87517 →Price type
Dignity Health’s median price of $49 is 30% below the median hospital's median price ($69), higher than 33% of the 2,528 hospitals reporting CPT 87517. 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, 21 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 | $28 | $28 | $8 | 28% | — | $20 – $35 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $36 | $36 | $10 | 28% | — | $26 – $46 |
| 3 | Aetna medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Anthem medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Kaiser medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 8 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $51 | $51 | $1 | 1% | — | $50 – $51 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $51 | $51 | $1 | 1% | — | $50 – $51 |
| 11 | UnitedHealthcare commercial|options fee schedule · outpatient | $51 | $51 | $1 | 1% | — | $50 – $51 |
| 12 | Anthem commercial|exchange fee schedule · outpatient | $52 | $52 | $14 | 28% | — | $38 – $67 |
| 13 | Cigna commercial|all other plans fee schedule · outpatient | $55 | $55 | $15 | 28% | — | $40 – $70 |
| 14 | Cigna commercial|ppo fee schedule · outpatient | $55 | $55 | $15 | 28% | — | $40 – $70 |
| 15 | Anthem commercial|all other plans fee schedule · outpatient | $63 | $63 | $17 | 28% | 2–20 | $46 – $81 |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $68 | $68 | $19 | 28% | — | $49 – $86 |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $68 | $68 | $19 | 28% | — | $49 – $86 |
| 18 | Aetna commercial|all other plans fee schedule · outpatient | $69 | $69 | $19 | 28% | — | $50 – $88 |
| 19 | Aetna commercial|hmo fee schedule · outpatient | $69 | $69 | $19 | 28% | — | $50 – $88 |
| 20 | Aetna commercial|ppo fee schedule · outpatient | $69 | $69 | $19 | 28% | — | $50 – $88 |
| 21 | Anthem medicaid|all plans fee schedule · outpatient | $69 | $69 | $19 | 28% | — | $50 – $88 |
Last updated: Feb 28, 2026
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