Sphenopalatine ganglion nerve block at Ascension Providence

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

N BLOCK SPENOPALATINE GANGL

Waco, TX

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How this price compares nationally

Ascension Providence’s median price of $289 is 31% below the median hospital's median price ($416), higher than 19% of the 1,903 hospitals reporting CPT 64505. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64505 at Ascension Providence

Negotiated rates from the hospital’s own file: 8 payers, 21 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 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
2	Blue Cross Blue Shield 975_bcbs star outpatient 20241201 fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
3	Molina 908_molina chip outpatient 20241201 fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
4	Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
5	Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
6	UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
7	UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
8	UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
9	Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
10	Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
11	Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
12	Tricare 877_tricare outpatient 20250101 other · outpatient	$289	$289	—	—	—	$289 – $289
13	Tricare 986_tricare inpatient 20251001 other · inpatient	$289	$289	—	—	—	$289 – $289
14	WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient	$289	$289	—	—	—	$289 – $289
15	WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient	$289	$289	—	—	—	$289 – $289
16	Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient	$295	$295	—	—	—	$295 – $295
17	Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient	$295	$295	—	—	—	$295 – $295
18	UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient	$295	$295	—	—	—	$295 – $295
19	UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient	$295	$295	—	—	—	$295 – $295
20	Ambetter 876_superior ambetter outpatient 20250101 other · outpatient	$434	$434	—	—	—	$434 – $434
21	Ambetter 985_superior ambetter inpatient 20251001 other · inpatient	$434	$434	—	—	—	$434 – $434

Last updated: Jan 1, 2026

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