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 IR SINGLE LVL CERV/THOR FACET JT INJ W/ GUIDANC
Lancaster, PA
See all hospitals reporting CPT 64490 →Price type
Lancaster General Health’s median price of $1.9k is 52% above the median hospital's median price ($1.2k), higher than 73% of the 2,244 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: 12 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 | Tricare tricare facility · fee schedule · outpatient | $809 | $809 | — | — | — | $809 – $809 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · fee schedule · outpatient | $854 | $854 | — | — | — | $854 – $854 |
| 3 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $890 | $890 | — | — | — | $890 – $890 |
| 4 | Medicare medicare facility · fee schedule · outpatient | $899 | $899 | — | — | — | $899 – $899 |
| 5 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $899 | $899 | — | — | — | $899 – $899 |
| 6 | Aetna aetna medicare advantage facility · other · outpatient | $908 | $908 | — | — | — | $908 – $908 |
| 7 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $912 | $912 | — | — | — | $912 – $912 |
| 8 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $917 | $917 | — | — | — | $917 – $917 |
| 9 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $917 | $917 | — | — | — | $917 – $917 |
| 10 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $925 | $925 | — | — | — | $925 – $925 |
| 11 | Devoted devoted health medicare advantage facility · other · outpatient | $943 | $943 | — | — | — | $943 – $943 |
| 12 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $950 | $950 | — | — | — | $950 – $950 |
| 13 | Highmark highmark chip facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Highmark highmark aca facility · other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Oscar oscar health plan facility · other · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Highmark highmark commercial preferred facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Aetna aetna commercial facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 20 | Highmark highmark commercial facility · other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 21 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 23 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 25 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
Last updated: Mar 31, 2026
See Cervical or thoracic 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.