Nerve block injection to trigeminal nerve at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

NJX AA&/STRD TRIGEMINAL NRV

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $315 is 20% below the median hospital's median price ($395), higher than 32% of the 2,403 hospitals reporting CPT 64400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64400 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 6 payers, 19 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	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
3	WellCare managed medicaid fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
4	Molina managed medicaid fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
5	Aetna managed medicaid fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
6	Blue Cross Blue Shield exchange case rate · outpatient	$88	$88	—	—	—	$88 – $88
7	Blue Cross Blue Shield hmo case rate · outpatient	$180	$180	—	—	—	$180 – $180
8	Blue Cross Blue Shield ppo case rate · outpatient	$200	$200	—	—	—	$200 – $200
9	Blue Cross Blue Shield medicare advantage case rate · outpatient	$309	$309	—	—	—	$309 – $309
10	Humana medicare advantage case rate · outpatient	$321	$321	—	—	—	$321 – $321
11	Humana medicare advantage ppo case rate · outpatient	$321	$321	—	—	—	$321 – $321
12	Molina medicare advantage case rate · outpatient	$324	$324	—	—	—	$324 – $324
13	WellCare medicare advantage hmo case rate · outpatient	$324	$324	—	—	—	$324 – $324
14	WellCare medicare advantage mmp case rate · outpatient	$340	$340	—	—	—	$340 – $340
15	UnitedHealthcare medicare advantage ppo case rate · outpatient	$343	$343	—	—	—	$343 – $343
16	UnitedHealthcare medicare advantage hmo case rate · outpatient	$349	$349	—	—	—	$349 – $349
17	Blue Cross Blue Shield traditional case rate · outpatient	$639	$639	—	—	—	$639 – $639
18	UnitedHealthcare all payer case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	UnitedHealthcare ppo case rate · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k

Last updated: Apr 21, 2026

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