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 3rd Lev And>
Ozark, MO
See all hospitals reporting CPT 64495 →Price type
Mercy Hospital Springfield’s median price of $1.0k is 29% above the median hospital's median price ($807), higher than 59% 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, 14 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 hb sprg/jopl ark medicaid facility · case rate · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 2 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $885 | $885 | $269 | 30% | — | $616 – $1.2k |
| 3 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $885 | $885 | $269 | 30% | — | $616 – $1.2k |
| 4 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $991 | $991 | $302 | 30% | — | $689 – $1.3k |
| 5 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $366 | 30% | — | $837 – $1.6k |
| 6 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $372 | 30% | — | $849 – $1.6k |
| 7 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $393 | 30% | — | $898 – $1.7k |
| 8 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $411 | 30% | — | $940 – $1.8k |
| 9 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $415 | 30% | — | $948 – $1.8k |
| 10 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $415 | 30% | — | $948 – $1.8k |
| 11 | Anthem hb sprg anthem alliance facility · case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 12 | Blue Cross Blue Shield hb sprg anthem alliance facility · case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 13 | Anthem hb sprg anthem blue access facility · case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 14 | Blue Cross Blue Shield hb sprg anthem blue access facility · case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
Last updated: Jun 4, 2026
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