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
HB Inj Foramen Epidural Add-on W/Imaging Guidance; Lumbar or Sacral
Low
$87
Average
$761
Median
$452
High
$4.4k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 6.0× 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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54 hospital rates
iThe hospitals that file a Premera 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $904 | $904 | — | — | — | $904 – $904 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $1.3k | $1.3k | $49 | 4% | — | $1.2k – $1.3k |
| 4 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $841 | $820 | $30 | 4% | — | $765 – $841 |
| 5 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $300 | $315 | $44 | 14% | — | $270 – $375 |
| 6 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $904 | $904 | — | — | — | $904 – $904 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $121 | $121 | $24 | 20% | — | $97 – $145 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $121 | $121 | $24 | 20% | — | $97 – $145 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $238 | $278 | $56 | 20% | — | $238 – $357 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 13 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · outpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 14 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · inpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 15 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 16 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $409 | $409 | $46 | 11% | — | $364 – $455 |
| 18 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 19 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 20 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $416 | $416 | $46 | 11% | — | $370 – $462 |
| 21 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $218 | $218 | $44 | 20% | — | $175 – $262 |
| 22 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $101 | $101 | $20 | 20% | — | $80 – $121 |
| 23 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 1 | $121 | $121 | $24 | 20% | — | $97 – $145 |
| 24 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 1 | $121 | $121 | $24 | 20% | — | $97 – $145 |
| 25 | Nazareth Hospital Philadelphia, PA facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
← Payers reporting CPT 64484 · Snapshot 20261111T120946Z-9134e7f7