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
SURG 64493 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL
Windom, MN
See all hospitals reporting CPT 64493 →Price type
Windom Area Hospital’s median price of $1.3k is 11% above the median hospital's median price ($1.2k), higher than 56% of the 2,328 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: 9 payers, 32 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 replacement professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Blue Cross Blue Shield medicare replacement professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Humana medicare replacement professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Medica medicare replacement professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Ucare medicare replacement professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 6 | UnitedHealthcare medicare replacement professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 7 | Medica commercial professional · fee schedule · both | $158 | $158 | — | — | — | $158 – $158 |
| 8 | Bcbs Mn pmap professional · percent of total billed charges · bothfrom % of charges | $852 | $852 | $171 | 20% | — | $682 – $1.0k |
| 9 | Medica pmap professional · percent of total billed charges · bothfrom % of charges | $852 | $852 | $171 | 20% | — | $682 – $1.0k |
| 10 | Blue Cross Blue Shield medicare replacement facility · other · inpatient | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 11 | Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $246 | 20% | — | $985 – $1.5k |
| 12 | Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $246 | 20% | — | $985 – $1.5k |
| 13 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $246 | 20% | 2–20 | $985 – $1.5k |
| 14 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $246 | 20% | 2–20 | $985 – $1.5k |
| 15 | Aetna medicare replacement facility · other · inpatient | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
| 16 | Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $285 | 20% | 2–20 | $1.1k – $1.7k |
| 17 | Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $285 | 20% | 2–20 | $1.1k – $1.7k |
| 18 | Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $285 | 20% | — | $1.1k – $1.7k |
| 19 | Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $285 | 20% | — | $1.1k – $1.7k |
| 20 | Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $285 | 20% | — | $1.1k – $1.7k |
| 21 | UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $285 | 20% | — | $1.1k – $1.7k |
| 22 | Medica pmap facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | $322 | 20% | — | $1.3k – $1.9k |
| 23 | Medica pmap facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $322 | 20% | — | $1.3k – $1.9k |
| 24 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | $530 | 20% | — | $2.1k – $3.2k |
| 25 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | $530 | 20% | — | $2.1k – $3.2k |
Last updated: Feb 3, 2026
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