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
$1
Average
$501
Median
$297
High
$1.7k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
95 hospitals; the 90th percentile is 39.4× 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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111 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 7 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $119 | $105 | $30 | 29% | — | $55 – $129 |
| 8 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 10 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 11 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $802 | $802 | — | — | — | $802 – $802 |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $483 | $483 | — | — | — | $483 – $483 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 14 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 15 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $492 | $492 | $23 | 5% | — | $469 – $516 |
| 16 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Emerson Hospital Concord, MA facility · fee schedule · outpatient | 1 | $679 | $679 | — | — | — | $679 – $679 |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both | 2 | $1.4k | $1.4k | $124 | 9% | — | $1.2k – $1.5k |
| 19 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $1.2k | $1.3k | $108 | 8% | — | $1.2k – $1.5k |
| 20 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both | 2 | $1.4k | $1.4k | $124 | 9% | — | $1.2k – $1.5k |
| 21 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN fee schedule · both | 2 | $1.4k | $1.4k | $124 | 9% | — | $1.2k – $1.5k |
| 22 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $1.4k | $1.4k | $124 | 9% | — | $1.2k – $1.5k |
| 23 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 24 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 25 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting CPT 64495 · Snapshot 20261111T120946Z-9134e7f7