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 3 Lev
Low
$0
Average
$1.2k
Median
$643
High
$39.1k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 295 hospitals; the 90th percentile is 57.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Delnor Hospital Geneva, IL | $1.9k | $1.6k | $394 | 24% | 250 | $1.0k – $1.9k |
| 2 | Northwestern Lake Forest Hospital Lake Forest, IL | $1.1k | $1.1k | — | — | 5–50 | $1.1k – $1.1k |
| 3 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital McHenry, IL | $1.6k | $1.6k | — | — | 3–30 | $1.6k – $1.6k |
| 4 | Duke University Hospital Durham, NC | $764 | $764 | — | — | 2–20 | $764 – $764 |
| 5 | Duke University Hospital Raleigh, NC | $764 | $764 | — | — | 2–20 | $764 – $764 |
| 6 | ARH Tug Valley Health Services, Inc. Paintsville, KY | $558 | $558 | — | — | 2–20 | $558 – $558 |
| 7 | Northfield Hospital Northfield, MN | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 8 | Northwestern Memorial Hospital Chicago, IL | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 9 | Self Regional Healthcare Greenwood, SC | $937 | $937 | — | — | 1–10 | $937 – $937 |
| 10 | Dupont Hospital LLC Wayne, IN | $1.2k | $2.6k | $4.8k | 181% | 1–10 | $94 – $20.1k |
Ask Claude or any MCP client for CPT 64495 pricing at a specific hospital — see how to connect.