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 LUMBARSACRAL ADDL - 64484 - 13064484
Bloomington, IN
See all hospitals reporting CPT 64484 →Price type
Monroe Hospital’s median price of $1.2k is 42% above the median hospital's median price ($877), higher than 62% of the 2,050 hospitals reporting CPT 64484. 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, 6 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 | UnitedHealthcare uhc commercial percent of total billed charges · outpatientfrom % of charges | $965 | $965 | — | — | 12 | $965 – $965 |
| 2 | Blue Cross Blue Shield bcbs medicaid - hoosier healthwise case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Caresource care source medicaid - healthy indiana plan - hip case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Caresource care source medicaid - hoosier healthwise case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | UnitedHealthcare uhc medicaid chip - hoosier care case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Aetna aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
Last updated: Mar 17, 2026
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