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
PM INJ TRANSFORAMEN W/IMG 1LV
Low
$1
Average
$1.8k
Median
$1.4k
High
$12.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1785 hospitals; the 90th percentile is 6.8× 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.
Filter by billing methodology
Filter by billing class
3,196 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $129 | $129 | — | — | 432 | $129 – $129 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $129 | $129 | — | — | 414 | $129 – $129 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 3 | $877 | $1.1k | $276 | 26% | 60–78 | $864 – $1.5k |
| 4 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $10.3k | $10.3k | — | — | 36–45 | $10.3k – $10.3k |
| 5 | Northwestern Lake Forest Hospital Grayslake, IL fee schedule · outpatient | 2 | $4 | $4 | — | — | 30 | $4 – $4 |
| 6 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 26 | $1.6k – $1.6k |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · outpatient | 1 | $877 | $877 | — | — | 24 | $877 – $877 |
| 8 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | $55 | 2% | 15 | $2.9k – $3.0k |
| 9 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 1 | $1.7k | $2.5k | $1.8k | 72% | 13–22 | $886 – $5.1k |
| 10 | LONGMONT UNITED HOSPITAL Longmont, CO other · inpatient | 2 | $1.1k | $1.1k | $232 | 21% | 4–40 | $891 – $1.4k |
| 11 | MERCY HEALTH FAIRFIELD HOSPITAL LLC Fairfield, OH other · outpatient | 3 | $877 | $877 | — | — | 4–40 | $877 – $877 |
| 12 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 3 | $933 | $740 | $368 | 50% | 3–30 | $296 – $1.1k |
| 13 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | 3–30 | $2.8k – $2.8k |
| 14 | Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL percent of total billed charges · outpatientfrom % of charges | 3 | $3.1k | $3.6k | $1.3k | 38% | 3–30 | $2.3k – $6.4k |
| 15 | Pitt County Memorial Hospital, Inc. Greenville, NC other · both | 2 | $852 | $852 | — | — | 3–30 | $852 – $852 |
| 16 | Pitt County Memorial Hospital, Inc. Washington, NC other · both | 2 | $852 | $852 | — | — | 3–30 | $852 – $852 |
| 17 | Plymouth Medical Center Plymouth, IN facility · other · both | 2 | $710 | $710 | $226 | 32% | 3–30 | $484 – $935 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 1 | $936 | $936 | — | — | 3–30 | $936 – $936 |
| 19 | Saint Luke’s North Hospital Smithville, MO case rate · both | 1 | $2.3k | $2.3k | — | — | 3–30 | $2.3k – $2.3k |
| 20 | Saint Luke’s North Hospital City, KS case rate · both | 1 | $2.3k | $2.3k | — | — | 3–30 | $2.3k – $2.3k |
| 21 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.9k | $374 | 20% | 3–30 | $1.6k – $2.4k |
| 22 | St. Lukes Hospital of Kansas City City, KS case rate · both | 1 | $3.6k | $3.6k | — | — | 3–30 | $3.6k – $3.6k |
| 23 | The Mercy Hospital Inc Springfield, MA facility · other · both | 1 | $1.1k | $1.1k | — | — | 3–30 | $1.1k – $1.1k |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $3.5k | $3.6k | $1.4k | 38% | 3–30 | $2.0k – $6.0k |
| 25 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $3.3k | $895 | 27% | 3–30 | $2.7k – $4.6k |
← Payers reporting CPT 64479 · Snapshot 20261112T181611Z-3fa9fb76