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 of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
Custer, SD
See all hospitals reporting CPT 64484 →Price type
Monument Health Network Inc’s median price of $980 is 12% above the median hospital's median price ($877), higher than 55% 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: 6 payers, 12 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 | Medica medica mcr adv fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Wellmark bcbs wellmark mcr adv fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $272 | $272 | — | — | — | $272 – $272 |
| 4 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
| 5 | Wellmark bcbs wellmark mcr adv percent of total billed charges · outpatientfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
| 6 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $363 | $363 | — | — | — | $363 – $363 |
| 7 | Wellmark bcbs wellmark - all other plans percent of total billed charges · outpatientfrom % of charges | $980 | $980 | — | — | — | $980 – $980 |
| 8 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Humana humana commercial - all plans percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Sep 1, 2026
See Additional level lumbar or sacral transforaminal epidural injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.