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 and> Bil
Perryville, MO
See all hospitals reporting CPT 64495 →Price type
Mercy Perry’s median price of $956 is 19% above the median hospital's median price ($807), higher than 56% 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: 16 payers, 26 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 | $217 | $217 | — | — | — | $217 – $217 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $449 | $449 | — | — | — | $449 – $449 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 11 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $525 | $525 | — | — | — | $525 – $525 |
| 12 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $609 | $609 | — | — | — | $609 – $609 |
| 13 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $687 | $687 | — | — | — | $687 – $687 |
| 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 | $688 | $688 | — | — | — | $688 – $688 |
| 15 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $826 | $826 | — | — | — | $826 – $826 |
| 16 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $949 | $949 | — | — | — | $949 – $949 |
| 17 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $949 | $949 | — | — | — | $949 – $949 |
| 18 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $956 | $956 | — | — | — | $956 – $956 |
| 19 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $956 | $956 | — | — | — | $956 – $956 |
| 20 | Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | MultiPlan hb pcmh multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | Blue Cross Blue Shield hb pcmh anthem traditional facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Anthem hb pcmh anthem blue access facility · case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 24 | Blue Cross Blue Shield hb pcmh anthem blue access facility · case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 25 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · case rate · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
Last updated: Mar 12, 2026
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