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 L/S 1 LEV
Longview, TX
See all hospitals reporting CPT 64493 →Price type
Longview Medical Center LP’s median price of $889 is 26% below the median hospital's median price ($1.2k), higher than 26% of the 2,328 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: 10 payers, 31 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 | Medicaid node tx medicaid facility · fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · other · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 3 | UnitedHealthcare node uhc star medicaid tx facility · other · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 4 | Molina node molina chip medicaid tx facility · per diem · outpatient | $376 | $376 | — | — | — | $376 – $376 |
| 5 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $376 | $376 | — | — | — | $376 – $376 |
| 6 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $627 | $627 | — | — | — | $627 – $627 |
| 7 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $659 | $659 | — | — | — | $659 – $659 |
| 8 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $659 | $659 | — | — | — | $659 – $659 |
| 9 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $706 | $706 | — | — | — | $706 – $706 |
| 10 | UnitedHealthcare node uhc star plus medicaid tx facility · other · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 11 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $790 | $790 | — | — | — | $790 – $790 |
| 12 | Cigna cigna all facility · case rate · outpatient | $796 | $796 | — | — | — | $796 – $796 |
| 13 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $835 | $835 | — | — | — | $835 – $835 |
| 14 | Humana node humana mcr adv facility · fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 15 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 16 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 17 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 18 | Tricare node tricare facility · fee schedule · outpatient | $889 | $889 | — | — | — | $889 – $889 |
| 19 | Aetna node aetna mcr adv facility · other · outpatient | $892 | $892 | — | — | 1–10 | $892 – $892 |
| 20 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $892 | $892 | — | — | — | $892 – $892 |
| 21 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $892 | $892 | — | — | — | $892 – $892 |
| 22 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 23 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 25 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Apr 1, 2026
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