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 64491 INJ A/ST PVERT FCT JNT/NV;C/TH 2 LEV
Orange, TX
See all hospitals reporting CPT 64491 →Price type
CHRISTUS Hospital - Orange’s median price of $751 is 11% below the median hospital's median price ($844), higher than 46% of the 2,034 hospitals reporting CPT 64491. 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, 21 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 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 2 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 5 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $451 | $451 | — | — | — | $451 – $451 |
| 6 | Humana choicecare other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 7 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 8 | Molina star km percent of total billed charges · outpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 9 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 10 | UnitedHealthcare hix case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 11 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $939 | $939 | — | — | — | $939 – $939 |
| 12 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $939 | $939 | — | — | — | $939 – $939 |
| 13 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | UnitedHealthcare all payer case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Aetna new business case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Aetna epo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Aetna hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Aetna pos case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Aetna ppo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Jan 13, 2026
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