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 PARAVERT F JNT C/T 2 LEV
Longview, TX
See all hospitals reporting CPT 64491 →Price type
Longview Medical Center LP’s median price of $776 is 9% below the median hospital's median price ($848), higher than 47% of the 2,026 hospitals reporting CPT 64491. 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, 23 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 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 2 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 3 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 4 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 5 | UnitedHealthcare node uhc chip medicaid tx facility · other · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 6 | UnitedHealthcare node uhc star medicaid tx facility · other · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 7 | Medicaid node tx medicaid facility · fee schedule · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 8 | Molina node molina chip medicaid tx facility · per diem · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 9 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 10 | UnitedHealthcare node uhc star plus medicaid tx facility · other · outpatient | $757 | $757 | — | — | — | $757 – $757 |
| 11 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $795 | $795 | — | — | — | $795 – $795 |
| 12 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $840 | $840 | — | — | — | $840 – $840 |
| 13 | Aetna node aetna mcr adv facility · other · outpatient | $881 | $881 | — | — | — | $881 – $881 |
| 14 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Cigna cigna all facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 17 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 18 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 19 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 20 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 21 | MultiPlan multiplan primary facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 22 | Aetna aetna auto facility · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 23 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
Last updated: Apr 1, 2026
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