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 INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 1ST LEVEL
Boulder, CO
See all hospitals reporting CPT 64490 →Price type
Boulder Community Health’s median price of $972 is 21% below the median hospital's median price ($1.2k), higher than 35% 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, 41 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 | Aetna medicare advantage professional · case rate · both | $96 | $96 | — | — | — | $96 – $96 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Humana medicare advantage professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Anthem commercial professional · fee schedule · both | $129 | $142 | $20 | 14% | — | $129 – $174 |
| 7 | Kaiser commercial professional · fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
| 8 | MultiPlan commercial professional · fee schedule · both | $163 | $163 | — | — | — | $163 – $163 |
| 9 | Phcs commercial professional · fee schedule · both | $163 | $163 | — | — | — | $163 – $163 |
| 10 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 12 | Anthem managed care professional · fee schedule · both | $174 | $174 | — | — | — | $174 – $174 |
| 13 | Cigna commercial professional · fee schedule · both | $177 | $177 | — | — | — | $177 – $177 |
| 14 | Aetna commercial professional · fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 15 | Aetna ppo professional · fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $211 | $211 | — | — | — | $211 – $211 |
| 17 | UnitedHealthcare medicare advantage professional · fee schedule · both | $519 | $519 | $424 | 82% | — | $96 – $943 |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $943 | $943 | — | — | — | $943 – $943 |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $943 | $943 | — | — | — | $943 – $943 |
| 20 | Humana medicare advantage facility · case rate · outpatient | $962 | $962 | — | — | — | $962 – $962 |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $962 | $962 | — | — | — | $962 – $962 |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $967 | $967 | $5 | 0% | — | $962 – $972 |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $972 | $972 | — | — | — | $972 – $972 |
| 24 | Cigna commercial facility · case rate · outpatient | $1.7k | $1.7k | $242 | 15% | — | $1.4k – $1.9k |
| 25 | Anthem commercial facility · case rate · outpatient | $2.1k | $2.4k | $582 | 24% | — | $1.8k – $3.3k |
Last updated: Sep 16, 2026
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