Additional level lumbar or sacral transforaminal epidural injection at Jackson Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj foramen epidural add-on

Montgomery, AL

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How this price compares nationally

Jackson Hospital’s median price of $781 is 11% below the median hospital's median price ($877), higher than 45% of the 2,050 hospitals reporting CPT 64484. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64484 at Jackson Hospital

Negotiated rates from the hospital’s own file: 5 payers, 33 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	UnitedHealthcare 310300 fee schedule · both	$211	$211	—	—	—	$211 – $211
2	UnitedHealthcare 310300 fee schedule · inpatient	$211	$211	—	—	—	$211 – $211
3	UnitedHealthcare 310300 fee schedule · outpatient	$211	$211	—	—	—	$211 – $211
4	Cigna 300301 fee schedule · both	$707	$707	—	—	—	$707 – $707
5	Cigna 300301 fee schedule · inpatient	$707	$707	—	—	—	$707 – $707
6	Cigna 300301 fee schedule · outpatient	$707	$707	—	—	—	$707 – $707
7	Bcbs Al 100100 fee schedule · both	$854	$854	—	—	—	$854 – $854
8	Bcbs Al 100100 fee schedule · inpatient	$854	$854	—	—	—	$854 – $854
9	Bcbs Al 100100 fee schedule · outpatient	$854	$854	—	—	—	$854 – $854
10	Bcbs Al 100109 fee schedule · both	$854	$854	—	—	—	$854 – $854
11	Bcbs Al 100109 fee schedule · inpatient	$854	$854	—	—	—	$854 – $854
12	Bcbs Al 100109 fee schedule · outpatient	$854	$854	—	—	—	$854 – $854
13	Blue Cross Blue Shield 100101 fee schedule · both	$854	$854	—	—	—	$854 – $854
14	Blue Cross Blue Shield 100101 fee schedule · inpatient	$854	$854	—	—	—	$854 – $854
15	Blue Cross Blue Shield 100101 fee schedule · outpatient	$854	$854	—	—	—	$854 – $854
16	Blue Cross Blue Shield 100102 fee schedule · both	$854	$854	—	—	—	$854 – $854
17	Blue Cross Blue Shield 100102 fee schedule · inpatient	$854	$854	—	—	—	$854 – $854
18	Blue Cross Blue Shield 100102 fee schedule · outpatient	$854	$854	—	—	—	$854 – $854
19	Blue Cross Blue Shield 100104 fee schedule · both	$854	$854	—	—	—	$854 – $854
20	Blue Cross Blue Shield 100104 fee schedule · inpatient	$854	$854	—	—	—	$854 – $854
21	Blue Cross Blue Shield 100104 fee schedule · outpatient	$854	$854	—	—	—	$854 – $854
22	Blue Cross Blue Shield 100105 fee schedule · both	$854	$854	—	—	—	$854 – $854
23	Blue Cross Blue Shield 100105 fee schedule · inpatient	$854	$854	—	—	—	$854 – $854
24	Blue Cross Blue Shield 100105 fee schedule · outpatient	$854	$854	—	—	—	$854 – $854
25	Blue Cross Blue Shield 100108 fee schedule · both	$854	$854	—	—	—	$854 – $854

Page 1 of 2 · 33 rates

Last updated: Jun 23, 2026

Compare to other hospitals

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.