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
LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION
Low
$25
Average
$11.5k
Median
$9.9k
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 649.1× 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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61 hospital rates
iThe hospitals that file a Tricare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $74 | $76 | $26 | 34% | — | $47 – $109 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 4 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $83 | $85 | $30 | 35% | — | $52 – $123 |
| 5 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 6 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 7 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 10 | GLENS FALLS HOSPITAL INC Falls, NY professional · fee schedule · outpatient | 4 | $74 | $76 | $26 | 34% | — | $47 – $109 |
| 11 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $55 | $55 | $9 | 17% | — | $45 – $64 |
| 12 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $452 | $452 | — | — | — | $452 – $452 |
| 13 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 14 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 15 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35k | $35k | — | — | — | $35k – $35k |
| 16 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 17 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 18 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 19 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 20 | METHODIST NORTH HOSPITAL MEMPHIS, TN other · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 21 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS other · outpatient | 1 | $619 | $619 | — | — | — | $619 – $619 |
| 22 | METHODIST SOUTH HOSPITAL MEMPHIS, TN other · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 23 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 24 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 25 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · fee schedule · both | 1 | $54 | $54 | — | — | — | $54 – $54 |
← Payers reporting CPT 64473 · Snapshot 20261112T181611Z-3fa9fb76