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 AASTRD TFRM EPI CT 1 LVL
Bloomington, IN
See all hospitals reporting CPT 64479 →Price type
Monroe Hospital’s median price of $1.2k is 2% above the median hospital's median price ($1.2k), higher than 51% of the 2,153 hospitals reporting CPT 64479. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 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 | Aetna aetna medicare fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 2 | Blue Cross Blue Shield bcbs medicaid - healthy indiana plan - hip fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 3 | Blue Cross Blue Shield bcbs medicare fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 4 | Caresource care source medicare fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 5 | Tricare tricare fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 6 | UnitedHealthcare uhc medicare fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 7 | UnitedHealthcare uhc va ccn fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 8 | Blue Cross Blue Shield bcbs medicaid - hoosier healthwise case rate · outpatient | $1.2k | $1.2k | $14 | 1% | — | $1.2k – $1.2k |
| 9 | Caresource care source medicaid - healthy indiana plan - hip case rate · outpatient | $1.2k | $1.2k | $14 | 1% | — | $1.2k – $1.2k |
| 10 | Caresource care source medicaid - hoosier healthwise case rate · outpatient | $1.2k | $1.2k | $14 | 1% | — | $1.2k – $1.2k |
| 11 | UnitedHealthcare uhc medicaid chip - hoosier care case rate · outpatient | $1.2k | $1.2k | $14 | 1% | — | $1.2k – $1.2k |
| 12 | Caresource care source exchange - qhp fee schedule · outpatient | $1.3k | $1.3k | $68 | 5% | — | $1.2k – $1.4k |
| 13 | Blue Cross Blue Shield bcbs workers compensation fee schedule · outpatient | $1.4k | $1.4k | $231 | 16% | — | $1.2k – $1.7k |
| 14 | Blue Cross Blue Shield bcbs commercial insurance on exchange pathway case rate · outpatient | $1.5k | $1.5k | $272 | 18% | — | $1.2k – $1.8k |
| 15 | MultiPlan multiplan workers compensation fee schedule · outpatient | $1.5k | $1.5k | $296 | 20% | — | $1.2k – $1.8k |
| 16 | Blue Cross Blue Shield bcbs commercial insurance off exchange pathway case rate · outpatient | $1.7k | $1.7k | $440 | 27% | — | $1.2k – $2.1k |
| 17 | Blue Cross Blue Shield bcbs commercial ppo case rate · outpatient | $1.7k | $1.7k | $440 | 27% | — | $1.2k – $2.1k |
| 18 | Blue Cross Blue Shield bcbs commercial traditional case rate · outpatient | $1.8k | $1.8k | $536 | 31% | — | $1.2k – $2.3k |
| 19 | Blue Cross Blue Shield bcbs commercial hmo case rate · outpatient | $1.8k | $1.8k | $596 | 33% | — | $1.2k – $2.4k |
Last updated: Mar 17, 2026
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