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
NEUROLYTIC L/S FACET SNG W IMG UNI
Chicago, IL
See all hospitals reporting CPT 64635 →Price type
Advocate Trinity Hospital’s median price of $3.0k is 30% above the median hospital's median price ($2.3k), higher than 69% of the 2,140 hospitals reporting CPT 64635. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 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 | UnitedHealthcare commercial case rate · outpatient | $98 | $109 | $26 | 24% | — | $84 – $144 |
| 2 | UnitedHealthcare hmo case rate · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 3 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | $322 | 12% | — | $2.4k – $3.0k |
| 5 | Ambetter medicare advantage case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | Molina medicare advantage case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 7 | Oscar medicare advantage case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 8 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | $127 | 4% | — | $3.1k – $3.3k |
| 9 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 10 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Nov 4, 2025
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