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 INJ EPIDURAL L/S EA ADDL LEVEL
Lititz, PA
See all hospitals reporting CPT 64484 →Price type
UPMC Lititz’s median price of $1.5k is 74% above the median hospital's median price ($880), higher than 69% of the 2,024 hospitals reporting CPT 64484. 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, 14 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 medicare facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 3 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $800 | $800 | — | — | — | $800 – $800 |
| 6 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 14 | Cigna commercial facility · case rate · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
Last updated: Mar 6, 2026
See Additional level lumbar or sacral transforaminal epidural injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.