Njx dx/ther agt pvrt facet jt crv/thrc 1 level (CPT 64490)
64490 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.
159 of 309 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 | $288.90 | $321 | $933.02 | 0.3× |
| Holmes Regional Medical Center | Melbourne, FL | $292 | $1,168 | $923.64 | 0.3× |
| Cape Canaveral Hospital | Cocoa Beach, FL | $292 | $1,168 | $923.64 | 0.3× |
| Viera Hospital | Melbourne, FL | $292 | $1,168 | $923.64 | 0.3× |
| Palm Bay Hospital | Palm Bay, FL | $292 | $1,168 | $923.64 | 0.3× |
| Memorial Hospital of Carbon County | Rawlins, WY | $312 | $416 | $903.63 | 0.3× |
| Sublette County Health | Pinedale, WY | $340.20 | $378 | $903.63 | 0.4× |
| Doctors Memorial Hospital | Perry, FL | $470.80 | $1,177 | $923.64 | 0.5× |
| Valley View Hospital | Glenwood Springs, CO | $480.46 | $565.25 | $933.02 | 0.5× |
| Memorial Hospital of Converse County | Douglas, WY | $488.49 | $857 | $903.63 | 0.5× |
| Sheridan Memorial Hospital | Sheridan, WY | $594 | $742.50 | $903.63 | 0.7× |
| Gunnison Valley Hospital | Gunnison, CO | $599.68 | $705.50 | $933.02 | 0.6× |
| Denver Health Medical Center | Denver, CO | $628.85 | $1,796.70 | $933.02 | 0.7× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $633 | $1,266 | $888.50 | 0.7× |
| Star Valley Medical Center | Afton, WY | $653.10 | $933 | $903.63 | 0.7× |
| Cody Regional Health | Cody, WY | $758.20 | $892 | $903.63 | 0.8× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $767.91 | $1,949 | $933.02 | 0.8× |
| Rio Grande Hospital | Del Norte, CO | $772.65 | $1,030.20 | $933.02 | 0.8× |
| Banner Wyoming Medical Center | Casper, WY | $818.58 | $1,949 | $903.63 | 0.9× |
| Halifax Health Medical Center | Daytona Beach, FL | $824 | $1,030 | $923.64 | 0.9× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $824 | $1,030 | $923.64 | 0.9× |
| South Lincoln Medical Center | Kemmerer, WY | $846.44 | $1,128.58 | $903.63 | 0.9× |
| St. John's Medical Center | Jackson, WY | $869.50 | $869.50 | $903.63 | 1.0× |
| Banner North Colorado Medical Center | Greeley, CO | $871.20 | $1,949 | $933.02 | 0.9× |
| Jackson Memorial Hospital | Miami, FL | $875 | $1,291 | $923.64 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $893.66 | — | $923.64 | 1.0× |
| Vail Health Hospital | Vail, CO | $928.50 | $1,238 | $933.02 | 1.0× |
| Washakie Medical Center | Worland, WY | $940.61 | $1,635 | $903.63 | 1.0× |
| Desoto Memorial Hospital | Arcadia, FL | $979.33 | $1,958.67 | $923.64 | 1.1× |
| Delta County Memorial Hospital | Delta, CO | $983.58 | $1,639.30 | $933.02 | 1.1× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $1,018 | $2,036 | $923.64 | 1.1× |
| Holy Cross Hospital | Fort Lauderdale, FL | $1,023.75 | $1,575 | $923.64 | 1.1× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $1,064 | $1,520 | $923.64 | 1.2× |
| Sarasota Memorial Hospital | Sarasota, FL | $1,064.60 | $2,661.50 | $923.64 | 1.2× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $1,064.60 | $2,661.50 | $923.64 | 1.2× |
| Powell Valley Healthcare | Powell, WY | $1,070.75 | $1,259.70 | $903.63 | 1.2× |
| Sterling Regional MedCenter | Sterling, CO | $1,084.17 | $2,545 | $933.02 | 1.2× |
| Grand River Medical Center | Rifle, CO | $1,088.50 | $2,177 | $933.02 | 1.2× |
| Cape Coral Hospital | Cape Coral, FL | $1,133.20 | $5,666 | $923.64 | 1.2× |
| UCHealth University of Colorado Hospital | Aurora, CO | $1,178.10 | $3,366 | $933.02 | 1.3× |
| Johnson County Healthcare Center | Buffalo, WY | $1,218 | $1,218 | $903.63 | 1.3× |
| Santa Rosa Medical Center | Milton, FL | $1,231.90 | $8,212.68 | $923.64 | 1.3× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $1,238.70 | $4,129 | $933.02 | 1.3× |
| Parrish Medical Center | Titusville, FL | $1,275.60 | $3,189 | $923.64 | 1.4× |
| UF Health Jacksonville | Jacksonville, FL | $1,291.85 | $2,348.82 | $923.64 | 1.4× |
| Community Hospital Grand Junction | Grand Junction, CO | $1,294.16 | $2,311 | $933.02 | 1.4× |
| Parkview Medical Center | Pueblo, CO | $1,352.40 | $3,381 | $933.02 | 1.4× |
| Lee Memorial Hospital | Fort Myers, FL | $1,360 | $6,800 | $923.64 | 1.5× |
| Gulf Coast Medical Center | Fort Myers, FL | $1,360 | $6,800 | $923.64 | 1.5× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $1,376 | $2,293 | $933.02 | 1.5× |
| Howard University Hospital | Washington, DC | $1,385.21 | $1,731.51 | $941.75 | 1.5× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $1,387.75 | $2,135 | $923.64 | 1.5× |
| Naples Community Hospital | Naples, FL | $1,406.80 | $3,517 | $923.64 | 1.5× |
| Longs Peak Hospital | Longmont, CO | $1,445.15 | $4,129 | $943.37 | 1.5× |
| UCHealth Broomfield Hospital | Broomfield, CO | $1,445.15 | $4,129 | $933.02 | 1.5× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $1,445.15 | $4,129 | $933.02 | 1.5× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $1,449.90 | $1,611 | $933.02 | 1.6× |
| Montrose Regional Health | Montrose, CO | $1,463.25 | $1,951 | $933.02 | 1.6× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $1,482.45 | $2,470.75 | $888.50 | 1.7× |
| Northwest Florida Community Hospital | Chipley, FL | $1,560.80 | $1,951 | $923.64 | 1.7× |
| Haxtun Hospital District | Haxtun, CO | $1,599 | $1,640 | $933.02 | 1.7× |
| Melissa Memorial Hospital | Holyoke, CO | $1,622.80 | $2,028.50 | $933.02 | 1.7× |
| Platte County Hospital | Wheatland, WY | $1,666.98 | $2,545 | $903.63 | 1.8× |
| St. Anthony Summit Medical Center | Frisco, CO | $1,688 | $4,219.98 | $933.02 | 1.8× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $1,714.30 | $2,765 | $923.64 | 1.9× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $1,714.30 | $2,765 | $923.64 | 1.9× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $1,714.30 | $2,765 | $923.64 | 1.9× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $1,717.88 | $2,545 | $903.63 | 1.9× |
| Middle Park Medical Center | Kremmling, CO | $1,748.32 | $2,185.40 | $933.02 | 1.9× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $1,770 | $1,770 | $933.02 | 1.9× |
| Southeast Colorado Hospital | Springfield, CO | $1,790 | $2,237 | $933.02 | 1.9× |
| Mease Dunedin Hospital | Dunedin, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| Winter Haven Hospital | Winter Haven, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| St. Anthony's Hospital | Saint Petersburg, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| St. Joseph's Hospital | Tampa, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| Bartow Regional Medical Center | Bartow, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| Morton Plant Hospital | Clearwater, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| South Florida Baptist Hospital | Plant City, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| Mease Countryside Hospital | Safety Harbor, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $1,798.20 | $2,997 | $923.64 | 1.9× |
| Mercy Hospital Durango | Durango, CO | $1,822.46 | $4,556.14 | $933.02 | 2.0× |
| Estes Park Medical Center | Estes Park, CO | $1,838.25 | $2,451 | $933.02 | 2.0× |
| UF Health Leesburg Hospital | Leesburg, FL | $1,854.05 | $3,371 | $923.64 | 2.0× |
| Flagler Hospital | Saint Augustine, FL | $1,854.05 | $3,371 | $923.64 | 2.0× |
| UF Health Shands Hospital | Gainesville, FL | $1,854.05 | $3,371 | $923.64 | 2.0× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $1,854.05 | $3,371 | $923.64 | 2.0× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $1,937.25 | $4,305 | $933.02 | 2.1× |
| St. Thomas More Hospital | Canon City, CO | $1,945 | $4,862.50 | $933.02 | 2.1× |
| Boca Raton Regional Hospital | Boca Raton, FL | $1,961.05 | $3,017 | $923.64 | 2.1× |
| Regional West Medical Center | Scottsbluff, NE | $2,028.60 | $3,381 | $918.43 | 2.2× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $2,033.29 | $3,388.81 | $888.50 | 2.3× |
| St. Mary-Corwin Hospital | Pueblo, CO | $2,056.64 | $5,141.58 | $933.02 | 2.2× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $2,058.25 | $2,940.35 | $903.63 | 2.3× |
| George Washington University Hospital | Washington, DC | $2,156.40 | $5,391 | $941.75 | 2.3× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $2,156.40 | $5,391 | $941.75 | 2.3× |
| Tampa General Hospital | Tampa, FL | $2,230.90 | $6,374 | $923.64 | 2.4× |
| Longmont United Hospital | Longmont, CO | $2,234.43 | $5,586.06 | $943.37 | 2.4× |
| St. Anthony Hospital | Lakewood, CO | $2,234.43 | $5,586.06 | $933.02 | 2.4× |
| Penrose Hospital | Colorado Springs, CO | $2,234.43 | $5,586.06 | $933.02 | 2.4× |
| St. Anthony North Health Campus | Westminster, CO | $2,234.43 | $5,586.06 | $933.02 | 2.4× |
| OrthoColorado Hospital | Lakewood, CO | $2,234.43 | $5,586.06 | $933.02 | 2.4× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $2,234.43 | $5,586.06 | $933.02 | 2.4× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $2,304 | $2,304 | $903.63 | 2.5× |
| Broward Health Medical Center | Fort Lauderdale, FL | $2,453.72 | $2,453.72 | $923.64 | 2.7× |
| Broward Health North | Pompano Beach, FL | $2,453.72 | $2,453.72 | $923.64 | 2.7× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $2,453.72 | $2,453.72 | $923.64 | 2.7× |
| Broward Health Coral Springs | Coral Springs, FL | $2,453.72 | $2,453.72 | $923.64 | 2.7× |
| AdventHealth Fish Memorial | Orange City, FL | $2,530.89 | $2,530.89 | $923.64 | 2.7× |
| MedStar Washington Hospital Center | Washington, DC | $2,584 | $3,975.39 | $941.75 | 2.7× |
| North Shore Medical Center | Miami, FL | $2,636.69 | $2,636.69 | $923.64 | 2.9× |
| UCHealth Greeley Hospital | Greeley, CO | $2,640 | $4,400 | $933.02 | 2.8× |
| Foothills Hospital | Boulder, CO | $2,645.75 | $5,291.50 | $943.37 | 2.8× |
| MedStar Georgetown University Hospital | Washington, DC | $2,745.64 | $4,224.06 | $941.75 | 2.9× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $2,838 | $7,095 | $923.64 | 3.1× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $2,838 | $7,095 | $923.64 | 3.1× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $2,838 | $7,095 | $923.64 | 3.1× |
| Orlando Health South Lake Hospital | Clermont, FL | $2,838 | $7,095 | $923.64 | 3.1× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $2,838 | $7,095 | $923.64 | 3.1× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $2,838 | $7,095 | $923.64 | 3.1× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $2,838 | $7,095 | $923.64 | 3.1× |
| Family Health West Hospital | Fruita, CO | $2,842.70 | $4,061 | $933.02 | 3.0× |
| Parkland Memorial Hospital | Dallas, TX | $2,907.80 | $7,269.51 | $888.50 | 3.3× |
| Sibley Memorial Hospital | Washington, DC | $2,994 | $2,994 | $941.75 | 3.2× |
| AdventHealth Heart of Florida | Davenport, FL | $3,027.93 | $3,027.93 | $923.64 | 3.3× |
| Poudre Valley Hospital | Fort Collins, CO | $3,080 | $4,400 | $933.02 | 3.3× |
| Medical Center of the Rockies | Loveland, CO | $3,080 | $4,400 | $933.02 | 3.3× |
| Aspen Valley Hospital | Aspen, CO | $3,106 | $3,106 | $933.02 | 3.3× |
| Wellington Regional Medical Center | Wellington, FL | $3,198 | $4,264 | $923.64 | 3.5× |
| Doctors Hospital | Coral Gables, FL | $3,280.88 | $5,047.50 | $923.64 | 3.6× |
| AdventHealth Orlando | Orlando, FL | $3,343 | $3,343 | $923.64 | 3.6× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $3,383.20 | $4,229 | $933.02 | 3.6× |
| Mount Sinai Medical Center | Miami Beach, FL | $3,395 | $3,395 | $923.64 | 3.7× |
| Nemours Children's Hospital, Florida | Orlando, FL | $3,398 | $3,398 | $923.64 | 3.7× |
| Larkin Community Hospital | South Miami, FL | $3,485.30 | $4,979 | $923.64 | 3.8× |
| Jupiter Medical Center | Jupiter, FL | $3,751 | $3,751 | $923.64 | 4.1× |
| Animas Surgical Hospital | Durango, CO | $4,209 | $4,209 | $933.02 | 4.5× |
| Coral Gables Hospital | Coral Gables, FL | $4,360.26 | $4,360.26 | $923.64 | 4.7× |
| AdventHealth Porter | Denver, CO | $4,963.52 | $4,963.52 | $933.02 | 5.3× |
| AdventHealth Avista | Louisville, CO | $4,963.52 | $4,963.52 | $943.37 | 5.3× |
| AdventHealth Littleton | Littleton, CO | $4,963.52 | $4,963.52 | $933.02 | 5.3× |
| AdventHealth Parker | Parker, CO | $4,963.52 | $4,963.52 | $933.02 | 5.3× |
| AdventHealth Castle Rock | Castle Rock, CO | $4,963.52 | $4,963.52 | $933.02 | 5.3× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $4,991.35 | $7,679 | $923.64 | 5.4× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $4,991.35 | $7,679 | $923.64 | 5.4× |
| Cleveland Clinic Hospital | Weston, FL | $4,991.35 | $7,679 | $923.64 | 5.4× |
| Memorial Regional Hospital | Hollywood, FL | $5,350.80 | $7,644 | $923.64 | 5.8× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $5,350.80 | $7,644 | $923.64 | 5.8× |
| Memorial Hospital West | Pembroke Pines, FL | $5,350.80 | $7,644 | $923.64 | 5.8× |
| Memorial Hospital Miramar | Miramar, FL | $5,350.80 | $7,644 | $923.64 | 5.8× |
| AdventHealth Carrollwood | Tampa, FL | $9,323.14 | $9,323.14 | $923.64 | 10.1× |
| Lincoln Health Hospital | Hugo, CO | $12,782.16 | $12,782.16 | $933.02 | 13.7× |
| North Big Horn Hospital District | Lovell, WY | — | $1,908.50 | $903.63 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $2,702.80 | $933.02 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $2,709.55 | $933.02 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $2,735.60 | $933.02 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $2,735.60 | $933.02 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $2,735.60 | $943.37 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $3,149.90 | $903.63 | — |
"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.