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 INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,EA ADD LEVEL
Boulder, CO
See all hospitals reporting CPT 64484 →Price type
Boulder Community Health’s median price of $123 is 86% below the median hospital's median price ($877), higher than 14% of the 2,050 hospitals reporting CPT 64484. 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, 40 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage professional · case rate · both | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 4 | Humana medicare advantage professional · fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Anthem managed care facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Kaiser medicare advantage professional · fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 7 | Anthem commercial facility · fee schedule · outpatient | $48 | $61 | $30 | 49% | — | $42 – $127 |
| 8 | Anthem commercial professional · fee schedule · both | $63 | $70 | $10 | 14% | — | $63 – $85 |
| 9 | Kaiser commercial professional · fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 10 | MultiPlan commercial professional · fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 11 | Phcs commercial professional · fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 12 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 14 | UnitedHealthcare medicare advantage professional · fee schedule · both | $83 | $83 | $39 | 47% | — | $44 – $123 |
| 15 | Anthem managed care professional · fee schedule · both | $85 | $85 | — | — | — | $85 – $85 |
| 16 | Cigna commercial professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 17 | Aetna commercial professional · fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 18 | Aetna ppo professional · fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 19 | UnitedHealthcare commercial professional · fee schedule · both | $104 | $104 | — | — | — | $104 – $104 |
| 20 | Aetna medicare advantage facility · case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 21 | Anthem medicare advantage facility · case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 22 | Humana medicare advantage facility · case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 23 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 24 | Kaiser medicare advantage facility · case rate · outpatient | $126 | $126 | $1 | 0% | — | $125 – $126 |
| 25 | Devoted medicare advantage facility · case rate · outpatient | $126 | $126 | — | — | — | $126 – $126 |
Last updated: Sep 16, 2026
See Additional level lumbar or sacral transforaminal epidural injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.