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
PARAVERT F JNT C/T F/CT 1 LV
Teaneck, NJ
See all hospitals reporting CPT 64490 →Price type
Holy Name’s median price of $1.9k is 56% above the median hospital's median price ($1.2k), higher than 74% of the 2,211 hospitals reporting CPT 64490. 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 | Aetna whole health facility · fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 2 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $476 | $476 | — | — | — | $476 – $476 |
| 3 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $500 | $500 | — | — | — | $500 – $500 |
| 4 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $745 | $745 | — | — | — | $745 – $745 |
| 5 | Aetna medicare prime facility · fee schedule · outpatient | $944 | $944 | — | — | — | $944 – $944 |
| 6 | Aetna golden medicare facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Clover clover facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Aetna worker's comp facility · other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | WellCare medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 14 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 15 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 16 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 17 | Cigna hmo/pos facility · fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 18 | UnitedHealthcare uhc facility · case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 19 | First Health first health facility · case rate · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 20 | Aetna qualified health plans facility · case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 21 | Aetna hmo/pos facility · case rate · outpatient | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
Last updated: Nov 10, 2025
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