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 IR Guided Rhizotomy Lum/ Sac Ea Add
San Angelo, TX
See all hospitals reporting CPT 64636 →Price type
Shannon River Crest Hospital’s median price of $198 is 84% below the median hospital's median price ($1.2k), higher than 16% of the 1,926 hospitals reporting CPT 64636. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 2 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $190 | $190 | — | — | — | $190 – $190 |
| 4 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 5 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $206 | $206 | — | — | — | $206 – $206 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $206 | $206 | — | — | — | $206 – $206 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
Last updated: Dec 8, 2025
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