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
INJ PARAVERT F JNT C/T 1 LEV
Jamestown, NY
See all hospitals reporting CPT 64490 →Price type
UPMC Chautauqua’s median price of $582 is 52% below the median hospital's median price ($1.2k), higher than 13% of the 2,244 hospitals reporting CPT 64490. 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, 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 | Blue Cross Blue Shield medicaid facility · case rate · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 2 | Blue Cross Blue Shield commercial facility · case rate · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 3 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 4 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 5 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 7 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $582 | $582 | — | — | — | $582 – $582 |
| 8 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $582 | $582 | — | — | — | $582 – $582 |
| 9 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $582 | $582 | — | — | — | $582 – $582 |
| 10 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $621 | $621 | — | — | — | $621 – $621 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $698 | $698 | — | — | — | $698 – $698 |
| 12 | Humana medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | UnitedHealthcare medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | WellCare medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Aetna medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Mar 6, 2026
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