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 Paravert F Jnt L/S 1 Lev
Low
$1
Average
$1.0k
Median
$853
High
$6.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
764 hospitals; the 90th percentile is 6.6× 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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1,090 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 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 10 | $1.6k | $2.4k | $1.7k | 68% | 25–52 | $1.2k – $6.1k |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $923 | $909 | $19 | 2% | 18 | $882 – $923 |
| 3 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $848 | $1.0k | $464 | 45% | 15–33 | $566 – $1.7k |
| 4 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $586 | $586 | $117 | 20% | 14 | $469 – $703 |
| 5 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 2 | $556 | $601 | $135 | 22% | 14 | $399 – $775 |
| 6 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $2.1k | $2.1k | — | — | 13 | $2.1k – $2.1k |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $843 | $843 | — | — | 4–40 | $843 – $843 |
| 8 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 2 | $10.1k | $10.1k | $430 | 4% | 4–40 | $9.7k – $10.5k |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 3 | $925 | $885 | $297 | 34% | 4–40 | $504 – $1.2k |
| 10 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $864 | $838 | $263 | 31% | 4–40 | $504 – $1.1k |
| 11 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $878 | $878 | — | — | 4–40 | $878 – $878 |
| 12 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 2 | $1.6k | $1.6k | $645 | 40% | 4–40 | $964 – $2.3k |
| 13 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 2 | $1.6k | $1.6k | $645 | 40% | 4–40 | $964 – $2.3k |
| 14 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 3 | $867 | $840 | $265 | 31% | 4–40 | $504 – $1.2k |
| 15 | St Joseph Mercy Chelsea Chelsea, MI facility · other · both | 3 | $867 | $840 | $265 | 31% | 4–40 | $504 – $1.2k |
| 16 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $460 | $621 | $357 | 58% | 3–30 | $174 – $1.2k |
| 17 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $1.0k | $1.0k | — | — | 3–30 | $1.0k – $1.0k |
| 18 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $41 | $47 | $16 | 33% | 3–30 | $26 – $81 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · inpatient | 1 | $198 | $198 | — | — | 2–20 | $198 – $198 |
| 20 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $361 | $361 | — | — | 2–20 | $361 – $361 |
| 21 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $361 | $361 | — | — | 2–20 | $361 – $361 |
| 22 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $361 | $361 | — | — | 2–20 | $361 – $361 |
| 23 | MIDSTATE MEDICAL CENTER MERIDEN, CT percent of total billed charges · outpatientfrom % of charges | 1 | $10.7k | $10.7k | — | — | 2–20 | $10.7k – $10.7k |
| 24 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 5 | $39 | $46 | $16 | 35% | 2–20 | $26 – $81 |
| 25 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 5 | $66 | $70 | $25 | 36% | 2–20 | $38 – $112 |
← Payers reporting CPT 64493 · Snapshot 20261111T120946Z-9134e7f7