Additional level lumbar or sacral transforaminal epidural injection at Carle Eureka Hospital

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

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $348 is 60% below the median hospital's median price ($877), higher than 26% of the 2,050 hospitals reporting CPT 64484. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64484 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 23 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$44	$44	—	—	—	$44 – $44
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$45	$45	—	—	—	$45 – $45
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
5	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
6	Aetna commercial fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
7	WellCare medicare advantage hmo case rate · outpatient	$112	$112	—	—	—	$112 – $112
8	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$210	$203	$69	34%	—	$104 – $287
9	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$210	$203	$69	34%	—	$104 – $287
10	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$210	$203	$69	34%	—	$104 – $287
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$473	$456	$155	34%	—	$234 – $647
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$473	$456	$155	34%	—	$234 – $647
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$473	$456	$155	34%	—	$234 – $647
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$473	$456	$155	34%	—	$234 – $647
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$504	$487	$165	34%	—	$249 – $690
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$645	$623	$211	34%	—	$319 – $882
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$648	$626	$212	34%	—	$320 – $887
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$694	$670	$228	34%	—	$343 – $950
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$694	$670	$228	34%	—	$343 – $950
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$704	$679	$231	34%	—	$348 – $963
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$788	$761	$258	34%	—	$389 – $1.1k
22	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$819	$819	$72	9%	—	$746 – $891
23	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$882	$852	$289	34%	—	$436 – $1.2k

Last updated: Apr 15, 2026

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