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
TF INJ DX/THER AGT PVRT FACET JT LUMB/SA
Kane, PA
See all hospitals reporting CPT 64493 →Price type
UPMC Kane’s median price of $773 is 36% below the median hospital's median price ($1.2k), higher than 16% of the 2,306 hospitals reporting CPT 64493. 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, 18 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 | Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $520 | $520 | — | — | — | $520 – $520 |
| 2 | Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $520 | $520 | — | — | — | $520 – $520 |
| 3 | Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $520 | $520 | — | — | — | $520 – $520 |
| 4 | Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $520 | $520 | — | — | — | $520 – $520 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $535 | $535 | — | — | — | $535 – $535 |
| 6 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $541 | $541 | — | — | — | $541 – $541 |
| 7 | UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | — | — | — | $546 – $546 |
| 8 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $562 | $562 | — | — | — | $562 – $562 |
| 9 | UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges | $572 | $572 | — | — | — | $572 – $572 |
| 10 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $733 | $733 | — | — | — | $733 – $733 |
| 11 | Highmark managed care - social mission facility · fee schedule · outpatient | $733 | $733 | — | — | — | $733 – $733 |
| 12 | Highmark commercial - indemnity facility · fee schedule · outpatient | $898 | $898 | — | — | — | $898 – $898 |
| 13 | Highmark managed care facility · fee schedule · outpatient | $898 | $898 | — | — | — | $898 – $898 |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $984 | $984 | — | — | — | $984 – $984 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $984 | $984 | — | — | — | $984 – $984 |
| 16 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $31.7k | $31.7k | — | — | — | $31.7k – $31.7k |
Last updated: Mar 6, 2026
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