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 THIRD PLUS LVL LUMB/SACR FACET JT INJ W/ GUI
Lancaster, PA
See all hospitals reporting CPT 64495 →Price type
Lancaster General Health’s median price of $795 is 1% below the median hospital's median price ($807), higher than 49% of the 1,976 hospitals reporting CPT 64495. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 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 united healthcare medicaid mco facility · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Aetna aetna medicare advantage facility · other · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 3 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 4 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $306 | $306 | — | — | — | $306 – $306 |
| 5 | Devoted devoted health medicare advantage facility · other · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 6 | Highmark highmark chip facility · other · outpatient | $453 | $453 | — | — | — | $453 – $453 |
| 7 | Oscar oscar health plan facility · other · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 8 | Highmark highmark aca facility · other · outpatient | $545 | $545 | — | — | — | $545 – $545 |
| 9 | Highmark highmark commercial preferred facility · other · outpatient | $626 | $626 | — | — | — | $626 – $626 |
| 10 | Aetna aetna commercial facility · fee schedule · outpatient | $633 | $633 | — | — | — | $633 – $633 |
| 11 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $706 | $706 | — | — | — | $706 – $706 |
| 12 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $756 | $756 | — | — | — | $756 – $756 |
| 13 | Highmark highmark commercial facility · other · outpatient | $778 | $778 | — | — | — | $778 – $778 |
| 14 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $782 | $782 | — | — | — | $782 – $782 |
| 15 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $795 | $795 | — | — | — | $795 – $795 |
| 16 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $795 | $795 | — | — | — | $795 – $795 |
| 17 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $795 | $795 | — | — | — | $795 – $795 |
| 18 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 19 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 20 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 21 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 22 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 23 | Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 24 | Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 25 | Highmark highmark commercial non-preferred facility · other · outpatient | $943 | $943 | — | — | — | $943 – $943 |
Last updated: Mar 31, 2026
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