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 2nd Lev Bil
Perryville, MO
See all hospitals reporting CPT 64491 →Price type
Mercy Perry’s median price of $983 is 16% above the median hospital's median price ($848), higher than 56% 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: 16 payers, 29 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 wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | $36 | 17% | — | $173 – $245 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $424 | $424 | $72 | 17% | — | $352 – $496 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $424 | $424 | $72 | 17% | — | $352 – $496 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $424 | $424 | $72 | 17% | — | $352 – $496 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $424 | $424 | $72 | 17% | — | $352 – $496 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $424 | $424 | $72 | 17% | — | $352 – $496 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $424 | $424 | $72 | 17% | — | $352 – $496 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $423 | $429 | $60 | 14% | 3–30 | $358 – $506 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | $75 | 17% | — | $366 – $516 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | $75 | 17% | — | $366 – $516 |
| 11 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $505 | $505 | $86 | 17% | — | $419 – $592 |
| 12 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $585 | $585 | $100 | 17% | — | $486 – $685 |
| 13 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $661 | $661 | $113 | 17% | — | $548 – $774 |
| 14 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $662 | $662 | $113 | 17% | — | $549 – $775 |
| 15 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $795 | $795 | $136 | 17% | — | $659 – $930 |
| 16 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $913 | $913 | $156 | 17% | — | $757 – $1.1k |
| 17 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $913 | $913 | $156 | 17% | — | $757 – $1.1k |
| 18 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $920 | $920 | $157 | 17% | — | $763 – $1.1k |
| 19 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $920 | $920 | $157 | 17% | — | $763 – $1.1k |
| 20 | Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $177 | 17% | — | $861 – $1.2k |
| 21 | MultiPlan hb pcmh multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $190 | 17% | — | $925 – $1.3k |
| 22 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Blue Cross Blue Shield hb pcmh anthem traditional facility · case rate · outpatient | $2.1k | $1.8k | $474 | 27% | — | $1.1k – $2.1k |
| 25 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Mar 12, 2026
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