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 LUMB/SA 3RD
Arlington, TX
See all hospitals reporting CPT 64495 →Price type
AMH Cath Labs LLC’s median price of $681 is 16% below the median hospital's median price ($807), higher than 44% of the 1,976 hospitals reporting CPT 64495. 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, 27 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 medicare advantage case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 2 | Humana medicare advantage case rate · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 4 | Molina medicare advantage case rate · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 10 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 11 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 13 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 14 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $510 | $510 | — | — | — | $510 – $510 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $680 | $680 | — | — | — | $680 – $680 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $683 | $683 | — | — | — | $683 – $683 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $859 | $859 | — | — | — | $859 – $859 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $861 | $861 | — | — | — | $861 – $861 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $866 | $866 | — | — | — | $866 – $866 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $866 | $866 | — | — | — | $866 – $866 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $921 | $921 | — | — | — | $921 – $921 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Cigna indemnity 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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