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
Njx aa&/strd pltr com dg nrv
Gary, IN
See all hospitals reporting CPT 64455 →Price type
The Methodist Hospitals, Inc.’s median price of $646 is 80% above the median hospital's median price ($359), higher than 76% of the 1,913 hospitals reporting CPT 64455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
| 3 | Anthem medicare advantage facility · fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
| 4 | Humana medicare advantage facility · fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
| 6 | Anthem pathway essentials facility · fee schedule · outpatient | $485 | $485 | — | — | — | $485 – $485 |
| 7 | Caresource caresource facility · fee schedule · outpatient | $533 | $533 | — | — | — | $533 – $533 |
| 8 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $646 | $646 | — | — | — | $646 – $646 |
| 9 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 10 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 11 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 12 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 13 | Anthem individual on exchange facility · fee schedule · outpatient | $860 | $860 | — | — | — | $860 – $860 |
| 14 | UnitedHealthcare navigate and core payer facility · case rate · outpatient | $866 | $866 | — | — | — | $866 – $866 |
| 15 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · case rate · outpatient | $933 | $933 | — | — | — | $933 – $933 |
| 16 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Aug 18, 2026
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