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
HC MBB/INJ FACET CERV/THOR 1ST LEVEL
Crowley, LA
See all hospitals reporting CPT 64490 →Price type
Acadia General Hospital, Inc’s median price of $809 is 34% below the median hospital's median price ($1.2k), higher than 18% of the 2,244 hospitals reporting CPT 64490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna Better Health all payor other · outpatient | $266 | $266 | $89 | 33% | — | $177 – $355 |
| 2 | Amerihealth Caritas all payor other · outpatient | $266 | $266 | $89 | 33% | — | $177 – $355 |
| 3 | Humana all payor other · outpatient | $266 | $266 | $89 | 33% | — | $177 – $355 |
| 4 | UnitedHealthcare all payor other · outpatient | $266 | $266 | $89 | 33% | — | $177 – $355 |
| 5 | UnitedHealthcare all payor case rate · outpatient | $376 | $439 | $89 | 20% | — | $376 – $564 |
| 6 | Aetna all payor case rate · outpatient | $498 | $581 | $117 | 20% | — | $498 – $747 |
| 7 | Aetna all payor fee schedule · outpatient | $809 | $944 | $191 | 20% | — | $809 – $1.2k |
| 8 | Humana all payor fee schedule · outpatient | $809 | $944 | $191 | 20% | — | $809 – $1.2k |
| 9 | Optum all payor fee schedule · outpatient | $809 | $944 | $191 | 20% | — | $809 – $1.2k |
| 10 | Tricare all payor other · outpatient | $809 | $944 | $191 | 20% | — | $809 – $1.2k |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $809 | $944 | $191 | 20% | — | $809 – $1.2k |
| 12 | WellCare all payor fee schedule · outpatient | $850 | $991 | $200 | 20% | — | $850 – $1.3k |
| 13 | Bcbs La all payor fee schedule · outpatient | $919 | $1.0k | $214 | 21% | — | $809 – $1.4k |
| 14 | Cigna all payor case rate · outpatient | $954 | $1.1k | $225 | 20% | — | $954 – $1.4k |
Last updated: Apr 1, 2026
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