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,FORAMEN,L/S,ADDL LEVELS(T)
Duluth, MN
See all hospitals reporting CPT 64484 →Price type
Essentia Health Duluth’s median price of $760 is 13% below the median hospital's median price ($877), higher than 44% of the 2,050 hospitals reporting CPT 64484. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $382 | $382 | — | — | — | $382 – $382 |
| 3 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 4 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 5 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $478 | $478 | — | — | — | $478 – $478 |
| 6 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $495 | $495 | — | — | — | $495 – $495 |
| 7 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $520 | $520 | — | — | — | $520 – $520 |
| 8 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $521 | $521 | — | — | — | $521 – $521 |
| 9 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $639 | $639 | — | — | — | $639 – $639 |
| 10 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $656 | $656 | — | — | — | $656 – $656 |
| 11 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $672 | $672 | $33 | 5% | — | $639 – $706 |
| 12 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $760 | $760 | — | — | — | $760 – $760 |
| 13 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $826 | $826 | — | — | — | $826 – $826 |
| 14 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $826 | $826 | — | — | — | $826 – $826 |
| 15 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $826 | $826 | — | — | — | $826 – $826 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $845 | $845 | — | — | — | $845 – $845 |
| 17 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $878 | $878 | — | — | — | $878 – $878 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $982 | $982 | — | — | — | $982 – $982 |
Last updated: Jan 1, 2026
See Additional level lumbar or sacral transforaminal epidural injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.