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 Dstr Neurolytic Trigeminal Nrv 2 3 Div Branch
Utica, NY
See all hospitals reporting CPT 64605 →Price type
MVHS, Inc.’s median price of $2.6k is 19% above the median hospital's median price ($2.2k), higher than 65% of the 1,520 hospitals reporting CPT 64605. 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, 23 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 | $325 | $325 | — | — | — | $325 – $325 |
| 2 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Humana humana military other · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 4 | Tricare humana military other · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Excellus excellus bcbs medicare advantage other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 6 | Humana humana medicare advantage other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 7 | Medicare medicare other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | Optum vaccn optum other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | UnitedHealthcare uhc medicare advantage other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Aetna aetna medicare advantage other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 11 | WellCare wellcare medicare advantage other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 12 | UnitedHealthcare uhc commercial case rate · inpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 13 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 15 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 16 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 17 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 18 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 19 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 20 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 22 | UnitedHealthcare uhc commercial fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 23 | Cigna mvp and cigna commercial other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
Last updated: Aug 7, 2026
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