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
Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, Add Level
Eureka, IL
See all hospitals reporting CPT 64495 →Price type
Carle Eureka Hospital’s median price of $274 is 66% below the median hospital's median price ($807), higher than 25% of the 1,976 hospitals reporting CPT 64495. 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 | $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 | $46 | $46 | — | — | — | $46 – $46 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 5 | Cigna ppo case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | WellCare medicare advantage hmo case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 7 | Aetna commercial fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 8 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $122 | $151 | $65 | 43% | — | $89 – $241 |
| 9 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $122 | $151 | $65 | 43% | — | $89 – $241 |
| 10 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $122 | $151 | $65 | 43% | — | $89 – $241 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $274 | $339 | $147 | 43% | — | $201 – $542 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $274 | $339 | $147 | 43% | — | $201 – $542 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $274 | $339 | $147 | 43% | — | $201 – $542 |
| 14 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $274 | $339 | $147 | 43% | — | $201 – $542 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $292 | $361 | $156 | 43% | — | $214 – $578 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $373 | $462 | $200 | 43% | — | $274 – $739 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $375 | $464 | $201 | 43% | — | $275 – $743 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $402 | $498 | $215 | 43% | — | $295 – $796 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $402 | $498 | $215 | 43% | — | $295 – $796 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $407 | $504 | $218 | 43% | — | $299 – $807 |
| 21 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $562 | $562 | $185 | 33% | — | $377 – $746 |
| 22 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $456 | $565 | $244 | 43% | — | $335 – $903 |
| 23 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $511 | $632 | $274 | 43% | — | $375 – $1.0k |
Last updated: Apr 15, 2026
See Lumbar facet joint injection, additional levels pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.