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
PR Injection Anesthetic Agent and/or Steroid Trigeminal Nerve|BILATERAL PROCEDURE
Low
$1
Average
$522
Median
$310
High
$11.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
761 hospitals; the 90th percentile is 19.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,085 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $300 | $291 | $91 | 31% | 43–97 | $175 – $398 |
| 2 | Mercy Health Saint Marys Rockford, MI facility · other · outpatient | 3 | $300 | $291 | $91 | 31% | 39–57 | $175 – $398 |
| 3 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $125 | $125 | — | — | 28 | $125 – $125 |
| 4 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 2 | $5.6k | $5.6k | $218 | 4% | 24–42 | $5.4k – $5.8k |
| 5 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $407 | $407 | — | — | 24 | $407 – $407 |
| 6 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $621 | $621 | — | — | 12–21 | $621 – $621 |
| 7 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $72 | $25 | 34% | 4–40 | $35 – $100 |
| 8 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL fee schedule · outpatient | 1 | $363 | $363 | — | — | 4–40 | $363 – $363 |
| 9 | ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Litchfield, IL fee schedule · outpatient | 1 | $520 | $520 | — | — | 4–40 | $520 – $520 |
| 10 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL fee schedule · outpatient | 1 | $363 | $363 | — | — | 4–40 | $363 – $363 |
| 11 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $288 | $288 | — | — | 3–30 | $288 – $288 |
| 12 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $383 | $347 | $42 | 12% | 3–30 | $298 – $383 |
| 13 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $313 | $281 | $132 | 47% | 2–20 | $136 – $546 |
| 14 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $273 | $273 | — | — | 2–20 | $273 – $273 |
| 15 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $467 | $467 | — | — | 1–10 | $467 – $467 |
| 16 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | 1–10 | $207 – $207 |
| 17 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 18 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 2 | $247 | $247 | $141 | 57% | 1–10 | $106 – $388 |
| 19 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 3 | $144 | $221 | $109 | 49% | 1–10 | $144 – $375 |
| 20 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · bothfrom % of charges | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 21 | Highland District Hospital Hillsboro, OH fee schedule · outpatient | 1 | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 22 | Jackson HMA LLC Jackson, MS facility · other · outpatient | 2 | $235 | $235 | $8 | 3% | 1–10 | $227 – $243 |
| 23 | Las Cruces Medical Center LLC Las Cruces, NM facility · other · outpatient | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 24 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 7 | $1.4k | $2.2k | $1.4k | 64% | 1–10 | $876 – $5.4k |
| 25 | PeaceHealth Peace Island Medical Center Friday Harbor, WA facility · other · outpatient | 1 | $298 | $298 | — | — | 1–10 | $298 – $298 |
← Payers reporting CPT 64400 · Snapshot 20261111T120946Z-9134e7f7