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
HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE
Grapevine, TX
See all hospitals reporting CPT 62322 →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $1.3k is 20% above the median hospital's median price ($1.1k), higher than 61% of the 2,095 hospitals reporting CPT 62322. 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, 29 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 | Superior Healthplan medicaid facility · fee schedule · outpatient | $262.86 | $262.86 | $262.86 – $262.86 |
| 2 | Aetna medicaid facility · fee schedule · outpatient | $268.12 | $268.12 | $268.12 – $268.12 |
| 3 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $281.26 | $281.26 | $281.26 – $281.26 |
| 4 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $845.47 | $845.47 | $845.47 – $845.47 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $889.97 | $889.97 | $889.97 – $889.97 |
| 6 | Humana medicare facility · fee schedule · outpatient | $889.97 | $889.97 | $889.97 – $889.97 |
| 7 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $894.68 | $894.68 | $894.68 – $894.68 |
| 8 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $934.47 | $934.47 | $934.47 – $934.47 |
| 9 | Superior Healthplan medicare facility · fee schedule · outpatient | $934.47 | $934.47 | $934.47 – $934.47 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $996.77 | $996.77 | $996.77 – $996.77 |
| 11 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $1,068 | $1,068 | $1,068 – $1,068 |
| 12 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $1,117 | $1,117 | $1,117 – $1,117 |
| 13 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
| 14 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
| 15 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $1,257 | $1,257 | $1,257 – $1,257 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,330 | $1,330 | $1,330 – $1,330 |
| 17 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $1,402 | $1,402 | $1,402 – $1,402 |
| 18 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,402 | $1,402 | $1,402 – $1,402 |
| 19 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $1,468 | $1,468 | $1,468 – $1,468 |
| 20 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $1,504 | $1,504 | $1,504 – $1,504 |
| 21 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $1,504 | $1,504 | $1,504 – $1,504 |
| 22 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $1,671 | $1,671 | $1,671 – $1,671 |
| 23 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $1,693 | $1,693 | $1,693 – $1,693 |
| 24 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,693 | $1,693 | $1,693 – $1,693 |
| 25 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,693 | $1,693 | $1,693 – $1,693 |
Last updated: Jun 29, 2026
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