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 PARVRT F JNT L/S 1 LEV LT
Hialeah, FL
See all hospitals reporting CPT 64493 →Price type
Hsa Pgh Llc’s median price of $970 is 20% below the median hospital's median price ($1.2k), higher than 35% of the 2,296 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: 15 payers, 44 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 | $65 | $76 | $15 | 20% | — | $65 – $97 |
| 2 | Aetna aetna non-gatekeeper facility · per diem · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 3 | UnitedHealthcare united healthcare of florida exchange facility · percent of total billed charges · outpatientfrom % of charges | $199 | $232 | $47 | 20% | — | $199 – $298 |
| 4 | UnitedHealthcare united healthcare of florida all payer facility · percent of total billed charges · outpatientfrom % of charges | $301 | $351 | $71 | 20% | — | $301 – $452 |
| 5 | UnitedHealthcare united healthcare of florida hmo facility · percent of total billed charges · outpatientfrom % of charges | $301 | $351 | $71 | 20% | — | $301 – $452 |
| 6 | UnitedHealthcare united healthcare of florida ppo facility · percent of total billed charges · outpatientfrom % of charges | $301 | $351 | $71 | 20% | — | $301 – $452 |
| 7 | Humana humana commercial hmo facility · other · outpatient | $326 | $380 | $77 | 20% | — | $326 – $489 |
| 8 | Humana humana commercial ppo facility · other · outpatient | $341 | $398 | $80 | 20% | — | $341 – $511 |
| 9 | Aetna aetna non-gatekeeper facility · case rate · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 10 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $420 | $490 | $99 | 20% | — | $420 – $630 |
| 11 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $420 | $490 | $99 | 20% | — | $420 – $630 |
| 12 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $478 | $558 | $113 | 20% | — | $478 – $718 |
| 13 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $478 | $558 | $113 | 20% | — | $478 – $718 |
| 14 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $503 | $587 | $119 | 20% | — | $503 – $755 |
| 15 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $554 | $623 | $120 | 19% | — | $554 – $831 |
| 16 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $554 | $623 | $120 | 19% | — | $554 – $831 |
| 17 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $554 | $623 | $120 | 19% | — | $554 – $831 |
| 18 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $562 | $632 | $122 | 19% | — | $562 – $843 |
| 19 | Molina molina managed medicaid facility · other · outpatient | $570 | $642 | $124 | 19% | — | $570 – $856 |
| 20 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $562 | $656 | $133 | 20% | — | $562 – $844 |
| 21 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $562 | $656 | $133 | 20% | — | $562 – $844 |
| 22 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $896 | $1.0k | $194 | 19% | — | $896 – $1.3k |
| 23 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $1.4k | $1.5k | $297 | 19% | — | $1.4k – $2.1k |
| 24 | Humana humana medicare hmo facility · fee schedule · outpatient | $1.1k | $1.9k | $1.4k | 77% | — | $891 – $4.3k |
| 25 | Humana humana medicare ppo facility · fee schedule · outpatient | $1.1k | $1.9k | $1.4k | 77% | — | $891 – $4.3k |
Last updated: Sep 1, 2026
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