Additional level lumbar or sacral transforaminal epidural injection at Olivia Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Injection foramen epidural; each addtl

Olivia, MN

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How this price compares nationally

Olivia Hospital’s median price of $299 is 66% below the median hospital's median price ($877), higher than 24% of the 2,050 hospitals reporting CPT 64484. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64484 at Olivia Hospital

Negotiated rates from the hospital’s own file: 6 payers, 16 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	Blue Cross Blue Shield bcbs medicare advantage [50299] facility · fee schedule · both	$57	$57	—	—	—	$57 – $57
2	UnitedHealthcare uhc medicare advantage ppo [50275] facility · fee schedule · both	$58	$58	—	—	—	$58 – $58
3	Medica medica government advantage [50316] facility · fee schedule · both	$58	$58	—	—	—	$58 – $58
4	Ucare ucare pmap [50283] facility · fee schedule · both	$58	$58	—	—	—	$58 – $58
5	Blue Cross Blue Shield bcbs pmap [95296] facility · percent of total billed charges · bothfrom % of charges	$152	$152	$12	8%	2–20	$140 – $164
6	Blue Cross Blue Shield bcbs medicare advantage [50299] facility · percent of total billed charges · bothfrom % of charges	$277	$277	—	—	—	$277 – $277
7	UnitedHealthcare uhc medicare advantage ppo [50275] facility · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
8	Medica medica government advantage [50316] facility · percent of total billed charges · bothfrom % of charges	$285	$285	—	—	—	$285 – $285
9	Ucare ucare pmap [50283] facility · percent of total billed charges · bothfrom % of charges	$285	$285	—	—	—	$285 – $285
10	Medica medica choice care pmap [50314] facility · fee schedule · both	$299	$299	—	—	—	$299 – $299
11	Medica medica choice care pmap [50314] facility · percent of total billed charges · bothfrom % of charges	$382	$382	—	—	—	$382 – $382
12	Healthpartners hp self insured [91021] facility · percent of total billed charges · bothfrom % of charges	$763	$763	$60	8%	—	$703 – $823
13	UnitedHealthcare uhc [50131] facility · percent of total billed charges · bothfrom % of charges	$798	$798	—	—	—	$798 – $798
14	Medica medica choice [90156] facility · percent of total billed charges · bothfrom % of charges	$837	$837	$66	8%	2–20	$771 – $902
15	First Health first health network [95334] facility · percent of total billed charges · bothfrom % of charges	$848	$848	$66	8%	—	$782 – $915
16	Blue Cross Blue Shield bcbs mn [90043] facility · percent of total billed charges · bothfrom % of charges	$849	$849	$67	8%	—	$782 – $915

Last updated: Mar 31, 2026

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