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
DST FCT JT LM/SA 1ST W IMG UNI
Monroeville, PA
See all hospitals reporting CPT 64635 →Price type
UPMC East’s median price of $2.0k is 11% below the median hospital's median price ($2.3k), higher than 39% of the 2,140 hospitals reporting CPT 64635. 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, 37 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $627 | $627 | — | — | — | $627 – $627 |
| 2 | Highmark managed care - social mission facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Highmark managed care facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | Aetna medicare facility · fee schedule · outpatient | $2.0k | $2.0k | $47 | 2% | — | $2.0k – $2.0k |
| 12 | Highmark medicare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | Cigna medicare facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 22 | UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Mar 6, 2026
See Lumbar facet joint nerve destruction with imaging guidance pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.