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 ANES; TRIGEMINAL NERVE RT
Hialeah, FL
See all hospitals reporting CPT 64400 →Price type
Hsa Pgh Llc’s median price of $494 is 25% above the median hospital's median price ($395), higher than 60% of the 2,360 hospitals reporting CPT 64400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 40 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $60 | $70 | $14 | 20% | — | $60 – $90 |
| 2 | Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges | $274 | $320 | $65 | 20% | — | $274 – $411 |
| 3 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $311 | $350 | $67 | 19% | — | $311 – $466 |
| 4 | Humana humana commercial hmo facility · other · outpatient | $302 | $353 | $71 | 20% | — | $302 – $453 |
| 5 | Humana humana commercial ppo facility · other · outpatient | $316 | $369 | $75 | 20% | — | $316 – $474 |
| 6 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $333 | $374 | $72 | 19% | — | $333 – $499 |
| 7 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $333 | $374 | $72 | 19% | — | $333 – $499 |
| 8 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $333 | $374 | $72 | 19% | — | $333 – $499 |
| 9 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $338 | $380 | $73 | 19% | — | $338 – $507 |
| 10 | Molina molina managed medicaid facility · other · outpatient | $343 | $386 | $74 | 19% | — | $343 – $514 |
| 11 | Aetna aetna non-gatekeeper facility · case rate · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 12 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $389 | $454 | $92 | 20% | — | $389 – $584 |
| 13 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $389 | $454 | $92 | 20% | — | $389 – $584 |
| 14 | Magellan magellan behavioral health facility · per diem · outpatient | $465 | $465 | — | — | — | $465 – $465 |
| 15 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $436 | $490 | $94 | 19% | — | $436 – $654 |
| 16 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $444 | $518 | $105 | 20% | — | $444 – $666 |
| 17 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $444 | $518 | $105 | 20% | — | $444 – $666 |
| 18 | Humana humana commercial hmo facility · case rate · outpatient | $557 | $557 | — | — | — | $557 – $557 |
| 19 | Humana humana commercial ppo facility · case rate · outpatient | $582 | $582 | — | — | — | $582 – $582 |
| 20 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $522 | $609 | $123 | 20% | — | $522 – $783 |
| 21 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $522 | $609 | $123 | 20% | — | $522 – $783 |
| 22 | UnitedHealthcare united healthcare of florida exchange facility · case rate · outpatient | $288 | $685 | $687 | 100% | — | $288 – $1.9k |
| 23 | UnitedHealthcare united healthcare of florida all payer facility · case rate · outpatient | $436 | $1.0k | $1.0k | 100% | — | $436 – $2.8k |
| 24 | UnitedHealthcare united healthcare of florida hmo facility · case rate · outpatient | $436 | $1.0k | $1.0k | 100% | — | $436 – $2.8k |
| 25 | UnitedHealthcare united healthcare of florida ppo facility · case rate · outpatient | $548 | $1.1k | $992 | 88% | — | $548 – $2.8k |
Last updated: Sep 1, 2026
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