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
INJ OTH PERIPH NERVE/BR
Arlington, TX
See all hospitals reporting CPT 64450 →Price type
AMH Cath Labs LLC’s median price of $865 is 5% above the median hospital's median price ($825), higher than 53% of the 2,565 hospitals reporting CPT 64450. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 35 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 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Molina managed medicaid fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Blue Cross Blue Shield hmo case rate · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 8 | Blue Cross Blue Shield ppo case rate · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 9 | Blue Cross Blue Shield traditional case rate · outpatient | $404 | $404 | — | — | — | $404 – $404 |
| 10 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $551 | $551 | — | — | — | $551 – $551 |
| 11 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $710 | $710 | — | — | — | $710 – $710 |
| 12 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $729 | $729 | $10 | 1% | — | $719 – $739 |
| 13 | Humana medicare advantage case rate · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 14 | Humana medicare advantage ppo case rate · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 15 | Molina medicare advantage case rate · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 16 | WellCare medicare advantage hmo case rate · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 17 | WellCare medicare advantage mmp case rate · outpatient | $781 | $781 | — | — | — | $781 – $781 |
| 18 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $788 | $788 | — | — | — | $788 – $788 |
| 19 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $803 | $803 | — | — | — | $803 – $803 |
| 20 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $963 | $963 | — | — | — | $963 – $963 |
| 21 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $972 | $972 | $13 | 1% | — | $959 – $985 |
| 22 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Apr 21, 2026
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