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
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add
SAN ANTONIO, TX
See all hospitals reporting CPT 64495 →Price type
Methodist Hospital’s median price of $1.9k is 127% above the median hospital's median price ($821), higher than 75% of the 1,959 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: 4 payers, 16 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 | First Health chip per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 2 | First Health chipperinate per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 3 | First Health mcdstar per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 4 | Aetna qhphix case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Aetna narrownetwork case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | Aetna newbusinessrates case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Aetna commercialbasenetwork case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | UnitedHealthcare smallgroup case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | UnitedHealthcare charter case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | UnitedHealthcare nexusaco case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | UnitedHealthcare allpayerappendix case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | Aetna oon case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Oscar broadnetworkhix case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | Oscar epo case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | Oscar pos case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | Oscar ppo case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
Last updated: May 1, 2026
See Lumbar facet joint injection, additional levels pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.