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 INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL
Hilo, HI
See all hospitals reporting CPT 64493 →Price type
Hilo Benioff Medical Center’s median price of $1.0k is 13% below the median hospital's median price ($1.2k), higher than 40% 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: 4 payers, 13 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 | UnitedHealthcare medicare professional · fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Devoted medicare professional · fee schedule · both | $92 | $92 | — | — | — | $92 – $92 |
| 3 | UnitedHealthcare medicaid professional · fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Kaiser commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 5 | Kaiser medicaid professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 6 | Kaiser medicare professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 7 | UnitedHealthcare medicaid facility · case rate · outpatient | $340 | $340 | — | — | — | $340 – $340 |
| 8 | Humana medicare facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Kaiser medicare facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | UnitedHealthcare medicare facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Devoted medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Kaiser medicaid facility · case rate · outpatient | $1.9k | $1.9k | $950 | 50% | — | $938 – $2.8k |
| 13 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Jun 15, 2026
See Lumbar facet joint injection, single level, image-guided pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.