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
Facet Inj L/S Single Lvl W Ima
Eureka, IL
See all hospitals reporting CPT 64493 →Price type
Carle Eureka Hospital’s median price of $619 is 49% below the median hospital's median price ($1.2k), higher than 13% of the 2,328 hospitals reporting CPT 64493. 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, 24 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 | $77 | $77 | — | — | — | $77 – $77 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $79 | $79 | — | — | — | $79 – $79 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 5 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Aetna commercial fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $439 | $365 | $136 | 37% | — | $174 – $482 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $439 | $365 | $136 | 37% | 3–30 | $174 – $482 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $439 | $365 | $136 | 37% | — | $174 – $482 |
| 10 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $988 | $821 | $306 | 37% | — | $392 – $1.1k |
| 11 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $988 | $821 | $306 | 37% | 3–30 | $392 – $1.1k |
| 12 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $988 | $821 | $306 | 37% | — | $392 – $1.1k |
| 13 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $988 | $821 | $306 | 37% | — | $392 – $1.1k |
| 14 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $1.1k | $876 | $326 | 37% | — | $419 – $1.2k |
| 15 | WellCare medicare advantage hmo case rate · outpatient | $948 | $948 | — | — | — | $948 – $948 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.1k | $417 | 37% | — | $535 – $1.5k |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.1k | $419 | 37% | 3–30 | $538 – $1.5k |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.2k | $449 | 37% | — | $576 – $1.6k |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.2k | $449 | 37% | — | $576 – $1.6k |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.2k | $455 | 37% | — | $584 – $1.6k |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.4k | $510 | 37% | — | $654 – $1.8k |
| 22 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.5k | $571 | 37% | 3–30 | $732 – $2.0k |
| 24 | Aetna Better Health managed medicaid other · outpatient | $1.9k | $1.9k | — | — | 3–30 | $1.9k – $1.9k |
Last updated: Apr 15, 2026
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