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 ABLATION, RADIOFREQ, SACROILIAC JOINT, W/IMG
Meridian, MS
See all hospitals reporting CPT 64625 →Price type
Rush Medical Foundation’s median price of $2.0k is 20% below the median hospital's median price ($2.4k), higher than 31% of the 1,864 hospitals reporting CPT 64625. 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, 20 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 all payor fee schedule · outpatient | $162 | $162 | $16 | 10% | — | $145 – $178 |
| 2 | Cigna Healthspring all payor fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Optum all payor fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 4 | WellCare all payor fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 5 | Ambetter all payor fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 6 | Cigna all payor fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 7 | UnitedHealthcare all payor fee schedule · outpatient | $500 | $393 | $152 | 39% | — | $178 – $500 |
| 8 | Aetna all payor fee schedule · outpatient | $574 | $574 | — | — | — | $574 – $574 |
| 9 | Molina all payor fee schedule · outpatient | $805 | $979 | $848 | 87% | — | $160 – $2.1k |
| 10 | Cigna Healthspring all payor case rate · outpatient | $2.2k | $2.2k | $447 | 20% | — | $1.8k – $2.7k |
| 11 | Humana all payor case rate · outpatient | $2.2k | $2.2k | $447 | 20% | — | $1.8k – $2.7k |
| 12 | Optum all payor case rate · outpatient | $2.2k | $2.2k | $447 | 20% | — | $1.8k – $2.7k |
| 13 | WellCare all payor case rate · outpatient | $2.2k | $2.2k | $447 | 20% | — | $1.8k – $2.7k |
| 14 | Molina all payor case rate · outpatient | $2.3k | $2.3k | $451 | 20% | — | $1.8k – $2.7k |
| 15 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $3.2k | $2.4k | $1.1k | 46% | — | $845 – $3.2k |
| 16 | UnitedHealthcare all payor case rate · outpatient | $2.5k | $2.6k | $607 | 23% | — | $1.8k – $3.4k |
| 17 | Aetna all payor other · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 18 | Bcbs Ms all payor fee schedule · outpatient | $3.2k | $2.8k | $1.7k | 61% | — | $604 – $5.1k |
| 19 | Ambetter all payor case rate · outpatient | $3.1k | $3.1k | $625 | 20% | — | $2.5k – $3.8k |
| 20 | Cigna all payor case rate · outpatient | $3.4k | $3.4k | $676 | 20% | — | $2.7k – $4.1k |
Last updated: Apr 1, 2026
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