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 INJ FACET JT CERV/THOR 1 LVL
Rochester, MN
See all hospitals reporting CPT 64490 →Price type
Mayo Clinic’s median price of $2.9k is 137% above the median hospital's median price ($1.2k), higher than 93% 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: 18 payers, 144 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 3 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · both | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 5 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 6 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 7 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 8 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 9 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 11 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 12 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 13 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 14 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both | $137 | $137 | — | — | — | $137 – $137 |
| 15 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 16 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 17 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 18 | Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 19 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 20 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 21 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 22 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 23 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 24 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 25 | Blue Cross Blue Shield pps medicaid bcbs [1146] facility · fee schedule · both | $966 | $966 | — | — | — | $966 – $966 |
Last updated: Aug 14, 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.