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 INTRCST LVL ADDBI
Page, AZ
See all hospitals reporting CPT 64421 →Price type
Page Hospital’s median price of $1.1k is 3% above the median hospital's median price ($1.1k), higher than 54% of the 2,130 hospitals reporting CPT 64421. 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 | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $537 | $626 | $126 | 20% | — | $537 – $805 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $838 | $978 | $198 | 20% | — | $838 – $1.3k |
| 4 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $838 | $978 | $198 | 20% | — | $838 – $1.3k |
| 5 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $838 | $978 | $198 | 20% | — | $838 – $1.3k |
| 6 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $838 | $978 | $198 | 20% | — | $838 – $1.3k |
| 7 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $838 | $978 | $198 | 20% | — | $838 – $1.3k |
| 8 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $870 | $1.0k | $205 | 20% | — | $870 – $1.3k |
| 9 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $922 | $1.1k | $217 | 20% | — | $922 – $1.4k |
| 10 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $936 | $1.1k | $221 | 20% | — | $936 – $1.4k |
| 11 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $999 | $1.2k | $235 | 20% | — | $999 – $1.5k |
| 12 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.2k | $247 | 20% | — | $1.0k – $1.6k |
| 13 | Aetna banner employee plans facility · case rate · outpatient | $1.2k | $1.2k | $100 | 8% | — | $1.1k – $1.3k |
| 14 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.3k | $269 | 20% | — | $1.1k – $1.7k |
| 15 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.3k | $271 | 20% | — | $1.1k – $1.7k |
| 16 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.5k | $294 | 20% | — | $1.2k – $1.9k |
| 17 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.5k | $294 | 20% | — | $1.2k – $1.9k |
| 18 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.5k | $294 | 20% | — | $1.2k – $1.9k |
| 19 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.6k | $326 | 20% | — | $1.4k – $2.1k |
| 20 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.6k | $332 | 20% | — | $1.4k – $2.1k |
| 21 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.6k | $332 | 20% | — | $1.4k – $2.1k |
| 22 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.7k | $339 | 20% | — | $1.4k – $2.2k |
| 23 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.7k | $343 | 20% | — | $1.5k – $2.2k |
| 24 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.7k | $343 | 20% | — | $1.5k – $2.2k |
| 25 | Humana commercial facility · per diem · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Mar 2, 2026
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