Sacroiliac joint nerve ablation with image guidance at Rush Medical Foundation

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

PR ABLATION, RADIOFREQ, SACROILIAC JOINT, W/IMG

Quitman, MS

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How this price compares nationally

Rush Medical Foundation’s median price of $196 is 92% below the median hospital's median price ($2.4k), higher than 2% of the 1,864 hospitals reporting CPT 64625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64625 at Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 11 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	Molina all payor fee schedule · outpatient	$170	$170	$10	6%	—	$160 – $180
3	Cigna Healthspring all payor fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
4	Optum all payor fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
5	WellCare all payor fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
6	Ambetter all payor fee schedule · outpatient	$249	$249	—	—	—	$249 – $249
7	Cigna all payor fee schedule · outpatient	$368	$368	—	—	—	$368 – $368
8	UnitedHealthcare all payor fee schedule · outpatient	$500	$393	$152	39%	—	$178 – $500
9	Aetna all payor fee schedule · outpatient	$574	$574	—	—	—	$574 – $574
10	Bcbs Ms all payor fee schedule · outpatient	$616	$616	$12	2%	—	$604 – $627
11	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$845	$845	—	—	—	$845 – $845

Last updated: Apr 1, 2026

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