Lumbar facet joint injection, additional levels at Windom Area Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SURG 64495 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL

Windom, MN

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How this price compares nationally

Windom Area Hospital’s median price of $665 is 18% below the median hospital's median price ($807), higher than 43% of the 1,976 hospitals reporting CPT 64495. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64495 at Windom Area Hospital

Negotiated rates from the hospital’s own file: 9 payers, 29 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	$48	$48	—	—	—	$48 – $48
2	Blue Cross Blue Shield medicare replacement professional · fee schedule · both	$48	$48	—	—	—	$48 – $48
3	Humana medicare replacement professional · fee schedule · both	$48	$48	—	—	—	$48 – $48
4	Medica medicare replacement professional · fee schedule · both	$48	$48	—	—	—	$48 – $48
5	Ucare medicare replacement professional · fee schedule · both	$48	$48	—	—	—	$48 – $48
6	UnitedHealthcare medicare replacement professional · fee schedule · both	$48	$48	—	—	—	$48 – $48
7	Medica commercial professional · fee schedule · both	$89	$89	—	—	—	$89 – $89
8	Bcbs Mn pmap professional · percent of total billed charges · bothfrom % of charges	$350	$350	$70	20%	—	$280 – $420
9	Medica pmap professional · percent of total billed charges · bothfrom % of charges	$350	$350	$70	20%	—	$280 – $420
10	Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges	$592	$592	$118	20%	—	$473 – $710
11	Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges	$592	$592	$118	20%	—	$473 – $710
12	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$592	$592	$118	20%	—	$473 – $710
13	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$592	$592	$118	20%	—	$473 – $710
14	Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$685	$685	$137	20%	—	$548 – $822
15	Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$685	$685	$137	20%	—	$548 – $822
16	Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$685	$685	$137	20%	—	$548 – $822
17	Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$685	$685	$137	20%	—	$548 – $822
18	Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$685	$685	$137	20%	—	$548 – $822
19	UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$685	$685	$137	20%	—	$548 – $822
20	Medica pmap facility · percent of total billed charges · inpatientfrom % of charges	$774	$774	$155	20%	—	$619 – $929
21	Medica pmap facility · percent of total billed charges · outpatientfrom % of charges	$774	$774	$155	20%	—	$619 – $929
22	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	$255	20%	—	$1.0k – $1.5k
23	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$255	20%	—	$1.0k – $1.5k
24	Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$261	20%	—	$1.0k – $1.6k
25	Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$261	20%	—	$1.0k – $1.6k

Page 1 of 2 · 29 rates

Last updated: Feb 3, 2026

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