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
HC N Block Inj Trigeminal
Utica, NY
See all hospitals reporting CPT 64400 →Price type
MVHS, Inc.’s median price of $396 is about the same as the median hospital's median price ($395), higher than 51% of the 2,403 hospitals reporting CPT 64400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 27 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 empire plan fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 2 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $154 | $154 | — | — | — | $154 – $154 |
| 3 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 4 | Humana humana military other · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 5 | Tricare humana military other · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 6 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $346 | $346 | — | — | — | $346 – $346 |
| 7 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $378 | $378 | — | — | — | $378 – $378 |
| 8 | Excellus excellus bcbs medicare advantage other · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 9 | Humana humana medicare advantage other · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 10 | Medicare medicare other · outpatient | $383 | $383 | — | — | 1–10 | $383 – $383 |
| 11 | Optum vaccn optum other · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 12 | UnitedHealthcare uhc medicare advantage other · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 13 | Aetna aetna medicare advantage other · outpatient | $391 | $391 | — | — | — | $391 – $391 |
| 14 | WellCare wellcare medicare advantage other · outpatient | $395 | $395 | — | — | — | $395 – $395 |
| 15 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · inpatientfrom % of charges | $396 | $396 | — | — | — | $396 – $396 |
| 16 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · inpatientfrom % of charges | $396 | $396 | — | — | — | $396 – $396 |
| 17 | Excellus excellus bcbs hmo/ppo percent of total billed charges · inpatientfrom % of charges | $396 | $396 | — | — | — | $396 – $396 |
| 18 | Excellus excellus bcbs indemnity percent of total billed charges · inpatientfrom % of charges | $396 | $396 | — | — | — | $396 – $396 |
| 19 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $411 | $411 | — | — | — | $411 – $411 |
| 20 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $436 | $436 | — | — | — | $436 – $436 |
| 21 | Bcbs Ny excellus bcbs indemnity case rate · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 22 | Blue Cross Blue Shield excellus bcbs hmo/ppo case rate · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 23 | Excellus excellus bcbs hmo/ppo case rate · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 24 | Excellus excellus bcbs indemnity case rate · outpatient | $852 | $852 | — | — | — | $852 – $852 |
| 25 | Cigna mvp and cigna commercial other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Aug 7, 2026
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