Injection aa&/strd intercostal nrv ea addl lvl (CPT 64421)
64421 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
75 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Spanish Peaks Regional Health Center | Walsenburg, CO | $49.50 | $55 | $933.02 | 0.1× |
| Sublette County Health | Pinedale, WY | $52.20 | $58 | $903.63 | 0.1× |
| Montrose Regional Health | Montrose, CO | $114 | $152 | $933.02 | 0.1× |
| Washakie Medical Center | Worland, WY | $122.99 | $174 | $903.63 | 0.1× |
| St. Elizabeth Hospital | Fort Morgan, CO | $253.15 | $632.87 | $933.02 | 0.3× |
| Middle Park Medical Center | Kremmling, CO | $311.29 | $389.11 | $933.02 | 0.3× |
| Rangely District Hospital | Rangely, CO | $314.46 | $483.79 | $933.02 | 0.3× |
| Parkland Memorial Hospital | Dallas, TX | $398 | $995 | $888.50 | 0.4× |
| Aspen Valley Hospital | Aspen, CO | $399 | $399 | $933.02 | 0.4× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $447.93 | $756 | $903.63 | 0.5× |
| Rio Grande Hospital | Del Norte, CO | $456.66 | $608.87 | $933.02 | 0.5× |
| Prowers Medical Center | Lamar, CO | $465 | $775 | $933.02 | 0.5× |
| Powell Valley Healthcare | Powell, WY | $509.58 | $599.50 | $903.63 | 0.6× |
| Memorial Hospital of Carbon County | Rawlins, WY | $535.88 | $714.50 | $903.63 | 0.6× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $543 | $1,086 | $888.50 | 0.6× |
| Banner Wyoming Medical Center | Casper, WY | $564.90 | $1,345 | $903.63 | 0.6× |
| St. John's Medical Center | Jackson, WY | $603 | $603 | $903.63 | 0.7× |
| Family Health West Hospital | Fruita, CO | $619.85 | $885.50 | $933.02 | 0.7× |
| Denver Health Medical Center | Denver, CO | $628.85 | $1,796.70 | $933.02 | 0.7× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $657 | $2,190 | $933.02 | 0.7× |
| East Morgan County Hospital | Brush, CO | $678.37 | $1,338 | $933.02 | 0.7× |
| Sterling Regional MedCenter | Sterling, CO | $681.04 | $1,338 | $933.02 | 0.7× |
| St. Thomas More Hospital | Canon City, CO | $727.80 | $1,819.48 | $933.02 | 0.8× |
| St. Mary-Corwin Hospital | Pueblo, CO | $733.99 | $1,834.97 | $933.02 | 0.8× |
| Johnson County Healthcare Center | Buffalo, WY | $745.50 | $745.50 | $903.63 | 0.8× |
| Longs Peak Hospital | Longmont, CO | $766.50 | $2,190 | $943.37 | 0.8× |
| UCHealth Broomfield Hospital | Broomfield, CO | $766.50 | $2,190 | $933.02 | 0.8× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $766.50 | $2,190 | $933.02 | 0.8× |
| Southwest Memorial Hospital | Cortez, CO | $768 | $1,535.50 | $933.02 | 0.8× |
| Foothills Hospital | Boulder, CO | $770.75 | $1,541.50 | $943.37 | 0.8× |
| Gunnison Valley Hospital | Gunnison, CO | $783.70 | $922 | $933.02 | 0.8× |
| Banner North Colorado Medical Center | Greeley, CO | $801.47 | $1,793 | $933.02 | 0.9× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $875.70 | $1,946 | $933.02 | 0.9× |
| Platte County Hospital | Wheatland, WY | $876.39 | $1,338 | $903.63 | 1.0× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $923.40 | $1,793 | $933.02 | 1.0× |
| UCHealth Greeley Hospital | Greeley, CO | $1,076.40 | $1,794 | $933.02 | 1.2× |
| Sheridan Memorial Hospital | Sheridan, WY | $1,212 | $1,515 | $903.63 | 1.3× |
| Poudre Valley Hospital | Fort Collins, CO | $1,255.80 | $1,794 | $933.02 | 1.3× |
| Medical Center of the Rockies | Loveland, CO | $1,255.80 | $1,794 | $933.02 | 1.3× |
| UCHealth University of Colorado Hospital | Aurora, CO | $1,279.25 | $3,655 | $933.02 | 1.4× |
| Longmont United Hospital | Longmont, CO | $1,351.74 | $3,379.36 | $943.37 | 1.4× |
| St. Anthony Hospital | Lakewood, CO | $1,351.74 | $3,379.36 | $933.02 | 1.4× |
| Penrose Hospital | Colorado Springs, CO | $1,351.74 | $3,379.36 | $933.02 | 1.4× |
| St. Anthony North Health Campus | Westminster, CO | $1,351.74 | $3,379.36 | $933.02 | 1.4× |
| OrthoColorado Hospital | Lakewood, CO | $1,351.74 | $3,379.36 | $933.02 | 1.4× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $1,351.74 | $3,379.36 | $933.02 | 1.4× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $1,382.70 | $2,304.50 | $888.50 | 1.6× |
| Valley View Hospital | Glenwood Springs, CO | $1,427.58 | $1,679.50 | $933.02 | 1.5× |
| Grand River Medical Center | Rifle, CO | $1,436.50 | $2,873 | $933.02 | 1.5× |
| National Jewish Health | Denver, CO | $1,444.10 | $2,063 | $933.02 | 1.5× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,445.51 | $2,409.18 | $888.50 | 1.6× |
| Vail Health Hospital | Vail, CO | $1,480.50 | $1,974 | $933.02 | 1.6× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $1,527.20 | $1,909 | $933.02 | 1.6× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $1,584.50 | $2,263.57 | $903.63 | 1.8× |
| Melissa Memorial Hospital | Holyoke, CO | $1,680 | $2,100 | $933.02 | 1.8× |
| Southeast Colorado Hospital | Springfield, CO | $1,790 | $2,237 | $933.02 | 1.9× |
| St. Anthony Summit Medical Center | Frisco, CO | $1,855.98 | $4,639.96 | $933.02 | 2.0× |
| Parkview Medical Center | Pueblo, CO | $1,857.20 | $4,643 | $933.02 | 2.0× |
| Estes Park Medical Center | Estes Park, CO | $1,893 | $2,524 | $933.02 | 2.0× |
| Mercy Hospital Durango | Durango, CO | $1,954.31 | $4,885.76 | $933.02 | 2.1× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $2,000.70 | $2,223 | $933.02 | 2.1× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $2,024.50 | $2,024.50 | $903.63 | 2.2× |
| Community Hospital Grand Junction | Grand Junction, CO | $2,226.56 | $3,976 | $933.02 | 2.4× |
| AdventHealth Porter | Denver, CO | $2,662.01 | $2,662.01 | $933.02 | 2.9× |
| AdventHealth Avista | Louisville, CO | $2,662.01 | $2,662.01 | $943.37 | 2.8× |
| AdventHealth Littleton | Littleton, CO | $2,662.01 | $2,662.01 | $933.02 | 2.9× |
| AdventHealth Parker | Parker, CO | $2,662.01 | $2,662.01 | $933.02 | 2.9× |
| AdventHealth Castle Rock | Castle Rock, CO | $2,662.01 | $2,662.01 | $933.02 | 2.9× |
| Regional West Medical Center | Scottsbluff, NE | $2,785.80 | $4,643 | $918.43 | 3.0× |
| Animas Surgical Hospital | Durango, CO | $3,864 | $3,864 | $933.02 | 4.1× |
| Lincoln Health Hospital | Hugo, CO | $4,476 | $4,476 | $933.02 | 4.8× |
| North Big Horn Hospital District | Lovell, WY | — | $1,035 | $903.63 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $2,093.20 | $933.02 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $2,494.40 | $933.02 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $2,494.40 | $943.37 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.