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
ED INJ/S ANES NRV TRIGEMINAL BR RT
Page, AZ
See all hospitals reporting CPT 64400 →Price type
Page Hospital’s median price of $482 is 22% above the median hospital's median price ($395), higher than 60% 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: 8 payers, 25 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 | Humana medicare advantage facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $234 | $263 | $51 | 19% | — | $234 – $351 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $365 | $411 | $79 | 19% | — | $365 – $548 |
| 4 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $365 | $411 | $79 | 19% | — | $365 – $548 |
| 5 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $365 | $411 | $79 | 19% | — | $365 – $548 |
| 6 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $365 | $411 | $79 | 19% | — | $365 – $548 |
| 7 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $365 | $411 | $79 | 19% | — | $365 – $548 |
| 8 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $379 | $426 | $82 | 19% | — | $379 – $569 |
| 9 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $402 | $452 | $87 | 19% | — | $402 – $603 |
| 10 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $408 | $459 | $88 | 19% | — | $408 – $612 |
| 11 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $435 | $489 | $94 | 19% | — | $435 – $653 |
| 12 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $457 | $514 | $99 | 19% | — | $457 – $685 |
| 13 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $497 | $559 | $108 | 19% | — | $497 – $746 |
| 14 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $500 | $584 | $118 | 20% | — | $500 – $751 |
| 15 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $544 | $612 | $118 | 19% | — | $544 – $816 |
| 16 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $544 | $612 | $118 | 19% | — | $544 – $816 |
| 17 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $544 | $612 | $118 | 19% | — | $544 – $816 |
| 18 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $603 | $678 | $131 | 19% | — | $603 – $904 |
| 19 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $614 | $691 | $133 | 19% | — | $614 – $921 |
| 20 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $614 | $691 | $133 | 19% | — | $614 – $921 |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $635 | $714 | $138 | 19% | — | $635 – $952 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $635 | $714 | $138 | 19% | — | $635 – $952 |
| 23 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $626 | $730 | $148 | 20% | — | $626 – $939 |
| 24 | Aetna banner employee plans facility · case rate · outpatient | $1.1k | $1.2k | $87 | 7% | — | $1.1k – $1.3k |
| 25 | Humana commercial facility · per diem · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Mar 2, 2026
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