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 SPENOPALATINE GANGL NRV BLK
Low
$1
Average
$1.0k
Median
$564
High
$11.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1543 hospitals; the 90th percentile is 11.7× 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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2,733 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 | $106 | $106 | — | — | 479 | $106 – $106 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $106 | $106 | — | — | 252 | $106 – $106 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $3.1k | $1.4k | 44% | 75 | $1.9k – $4.9k |
| 4 | Northwestern Memorial Hospital Chicago, IL per diem · outpatient | 2 | $246 | $246 | $13 | 5% | 50 | $233 – $259 |
| 5 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $1.7k | $1.6k | $149 | 9% | 18 | $1.4k – $1.8k |
| 6 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $512 | $495 | $30 | 6% | 18 | $437 – $512 |
| 7 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $717 | $717 | $407 | 57% | 13 | $310 – $1.1k |
| 8 | Pitt County Memorial Hospital, Inc. Greenville, NC other · both | 2 | $282 | $282 | — | — | 6–60 | $282 – $282 |
| 9 | Pitt County Memorial Hospital, Inc. Washington, NC other · both | 2 | $282 | $282 | — | — | 6–60 | $282 – $282 |
| 10 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $334 | $334 | — | — | 3–30 | $334 – $334 |
| 11 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $125 | $125 | — | — | 2–20 | $125 – $125 |
| 12 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $512 | $512 | $75 | 15% | 2–20 | $437 – $587 |
| 13 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC other · outpatient | 2 | $588 | $588 | — | — | 2–20 | $588 – $588 |
| 14 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 3 | $134 | $160 | $91 | 57% | 2–20 | $76 – $294 |
| 15 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $10.3k | $10.3k | — | — | 1–10 | $10.3k – $10.3k |
| 16 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 1 | $988 | $988 | — | — | 1–10 | $988 – $988 |
| 17 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 18 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $484 | $484 | — | — | 1–10 | $484 – $484 |
| 19 | Froedtert Community Hospital Pewaukee Pewaukee, WI other · inpatient | 1 | $361 | $361 | — | — | 1–10 | $361 – $361 |
| 20 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · outpatient | 1 | $334 | $334 | — | — | 1–10 | $334 – $334 |
| 21 | Missouri Baptist Medical Center Saint Louis, MO case rate · outpatient | 1 | $8.2k | $8.2k | — | — | 1–10 | $8.2k – $8.2k |
| 22 | Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.4k | $419 | 29% | 1–10 | $973 – $2.0k |
| 23 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 24 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 4 | $267 | $235 | $134 | 57% | 1–10 | $68 – $409 |
| 25 | Stanford Health Care Stanford, CA fee schedule · outpatient | 2 | $393 | $1.0k | $1.7k | 167% | 1–10 | $262 – $5.2k |
← Payers reporting CPT 64505 · Snapshot 20261112T181611Z-3fa9fb76