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 Destroy Lumb/Sac Facet Jnt
Low
$245
Average
$2.6k
Median
$2.4k
High
$7.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
68 payers; the 90th percentile is 3.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +33 other terms | 415 | $2.6k | $3.3k | $2.9k | 87% | 115–205 | $1 – $39.1k |
| 2 | Bcbs Mt fee schedule · outpatient · +1 other terms | 1 | $3.7k | $3.7k | $1.1k | 31% | 43–52 | $2.1k – $4.5k |
| 3 | Bcbs Id fee schedule · outpatient · +6 other terms | 5 | $2.2k | $4.7k | $4.9k | 106% | 25–34 | $1.9k – $18.4k |
| 4 | Cigna case rate · outpatient · +31 other terms | 357 | $6.8k | $8.3k | $5.6k | 68% | 17–170 | $1 – $40.7k |
| 5 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 603 | $2.0k | $2.7k | $3.1k | 116% | 13–130 | $1 – $57.4k |
| 6 | Aetna fee schedule · outpatient · +37 other terms | 517 | $2.1k | $2.4k | $2.1k | 87% | 13–130 | $1 – $21.3k |
| 7 | Anthem fee schedule · outpatient · +30 other terms | 132 | $1.4k | $1.3k | $2.0k | 153% | 12–120 | $46 – $14.3k |
| 8 | Humana fee schedule · outpatient · +30 other terms | 387 | $1.9k | $1.8k | $1.1k | 59% | 7–70 | $1 – $12.8k |
| 9 | Premera facility · fee schedule · both · +15 other terms | 19 | $2.0k | $2.0k | $425 | 21% | 6–60 | $321 – $3.2k |
| 10 | Molina fee schedule · outpatient · +32 other terms | 243 | $1.4k | $1.4k | $1.2k | 90% | 4–40 | $1 – $8.0k |
| 11 | Medica fee schedule · outpatient · +26 other terms | 38 | $1.2k | $1.4k | $1.1k | 75% | 3–30 | $140 – $4.6k |
| 12 | Ambetter fee schedule · outpatient · +20 other terms | 84 | $3.4k | $2.8k | $1.5k | 51% | 1–10 | $198 – $6.4k |
| 13 | Caresource fee schedule · outpatient · +20 other terms | 65 | $2.0k | $2.7k | $853 | 31% | 1–10 | $1 – $4.8k |
| 14 | Bcbs Al facility · other · outpatient · +3 other terms | 4 | $1.2k | $1.3k | $132 | 10% | 1–10 | $1.1k – $1.5k |
| 15 | WellCare fee schedule · outpatient · +19 other terms | 190 | $2.1k | $2.0k | $754 | 38% | — | $163 – $4.6k |
| 16 | Oscar case rate · outpatient · +22 other terms | 136 | $5.6k | $5.1k | $1.7k | 33% | — | $2.4k – $10.1k |
| 17 | Kaiser fee schedule · outpatient · +24 other terms | 106 | $2.5k | $2.6k | $2.2k | 87% | — | $20 – $14.1k |
| 18 | Aetna Better Health fee schedule · outpatient · +19 other terms | 80 | $833 | $921 | $752 | 82% | — | $143 – $7.1k |
| 19 | Devoted fee schedule · outpatient · +18 other terms | 71 | $2.0k | $1.7k | $670 | 39% | — | $186 – $2.2k |
| 20 | MultiPlan fee schedule · outpatient · +20 other terms | 69 | $3.1k | $3.2k | $940 | 29% | — | $1 – $6.8k |
| 21 | Healthcare Highways case rate · outpatient · +5 other terms | 66 | $3.6k | $4.1k | $946 | 23% | — | $2.7k – $5.5k |
| 22 | Highmark facility · fee schedule · outpatient · +20 other terms | 65 | $2.1k | $2.3k | $1.8k | 80% | — | $2 – $8.8k |
| 23 | Tricare fee schedule · outpatient · +17 other terms | 55 | $1.9k | $2.0k | $988 | 50% | — | $192 – $5.3k |
| 24 | First Health fee schedule · outpatient · +23 other terms | 47 | $2.1k | $2.9k | $2.2k | 74% | — | $211 – $7.2k |
| 25 | Optum fee schedule · outpatient · +25 other terms | 45 | $1.8k | $1.8k | $1.5k | 85% | — | $186 – $7.2k |
← Hospitals reporting CPT 64635 · Snapshot 20261111T120946Z-9134e7f7