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
SP INJ PAR FAC JT CERV/TH 1ST
Arlington, TX
See all hospitals reporting CPT 64490 →Price type
AMH Cath Labs LLC’s median price of $1.4k is 16% above the median hospital's median price ($1.2k), higher than 58% 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: 9 payers, 31 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 | $341 | $341 | — | — | — | $341 – $341 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 4 | Molina managed medicaid fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $890 | $890 | — | — | — | $890 – $890 |
| 7 | Humana medicare advantage case rate · outpatient | $926 | $926 | — | — | — | $926 – $926 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $926 | $926 | — | — | — | $926 – $926 |
| 9 | Blue Cross Blue Shield exchange case rate · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 10 | Molina medicare advantage case rate · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $979 | $979 | — | — | — | $979 – $979 |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $988 | $988 | — | — | — | $988 – $988 |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 22 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | Blue Cross Blue Shield hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | Blue Cross Blue Shield ppo case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Apr 21, 2026
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