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
Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 3+ Level
Eureka, IL
See all hospitals reporting CPT 64492 →Price type
Carle Eureka Hospital’s median price of $241 is 72% below the median hospital's median price ($851), higher than 23% of the 1,923 hospitals reporting CPT 64492. 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, 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 | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $53 | $53 | — | — | — | $53 – $53 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 5 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | WellCare medicare advantage hmo case rate · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 7 | Aetna commercial fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 8 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $100 | $146 | $67 | 46% | — | $97 – $241 |
| 9 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $100 | $146 | $67 | 46% | — | $97 – $241 |
| 10 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $100 | $146 | $67 | 46% | — | $97 – $241 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $226 | $329 | $151 | 46% | — | $218 – $542 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $226 | $329 | $151 | 46% | — | $218 – $542 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $226 | $329 | $151 | 46% | — | $218 – $542 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $226 | $329 | $151 | 46% | — | $218 – $542 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $241 | $351 | $161 | 46% | — | $233 – $578 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $308 | $448 | $206 | 46% | — | $298 – $739 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $310 | $451 | $207 | 46% | — | $299 – $743 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $332 | $483 | $221 | 46% | — | $321 – $796 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $332 | $483 | $221 | 46% | — | $321 – $796 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $336 | $489 | $224 | 46% | — | $325 – $807 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $377 | $548 | $251 | 46% | — | $364 – $903 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $422 | $613 | $281 | 46% | — | $407 – $1.0k |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $746 | $746 | — | — | — | $746 – $746 |
Last updated: Apr 15, 2026
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