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 1st Lev Bil
Ozark, MO
See all hospitals reporting CPT 64493 →Price type
Mercy Hospital Springfield’s median price of $1.6k is 30% above the median hospital's median price ($1.2k), higher than 65% 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: 14 payers, 35 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 hb sprg medicare facility · fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 2 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 3 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 4 | Medicaid hb sprg/jopl ark medicaid facility · case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 5 | Aetna hb sprg medicare facility · other · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 6 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 7 | Cigna hb sprg medicare facility · other · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 8 | Humana hb sprg humana medicare 100% facility · other · outpatient | $869 | $869 | — | — | 1–10 | $869 – $869 |
| 9 | Medica hb sprg medicare facility · other · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 10 | Medicare hb sprg medicare facility · other · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 11 | Tricare hb sprg tricare facility · other · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 12 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $869 | $869 | — | — | — | $869 – $869 |
| 13 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $869 | $869 | — | — | 136 | $869 – $869 |
| 14 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 15 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $905 | $905 | — | — | — | $905 – $905 |
| 16 | Humana hb sprg humana facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $326 | 20% | 2–20 | $1.3k – $2.0k |
| 20 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $326 | 20% | — | $1.3k – $2.0k |
| 21 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $365 | 20% | — | $1.5k – $2.2k |
| 22 | UnitedHealthcare hb sprg uhc all payer facility · other · outpatient | $1.9k | $1.9k | — | — | 12 | $1.9k – $1.9k |
| 23 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | $443 | 20% | — | $1.8k – $2.7k |
Last updated: Jun 4, 2026
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