CPT 64490 Surgery - Nervous

How Much Does Inj paravert f jnt c/t 1 lev Cost?

Inj paravert f jnt c/t 1 lev (CPT 64490) costs $94 at Medicare rates. Hospital outpatient rate: $904.

Cost Comparison by Payer

How much Inj paravert f jnt c/t 1 lev costs across different settings and payers

Medicare
Facility rate
$94
Hospital Outpatient
OPPS rate
$904
Surgery Center
ASC rate
$486
Medicare (Facility)
$94
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$205
Non-facility setting
Hospital Outpatient
$904
OPPS rate
Surgery Center (ASC)
$486
Ambulatory surgery center

Procedures Commonly Done Together

These procedures are frequently performed alongside Inj paravert f jnt c/t 1 lev

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Inj paravert f jnt c/t 1 lev Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA $124 $315 — $485
AL — ALABAMA $88 $242 — $372
AR — ARKANSAS $88 $239 — $367
AZ — ARIZONA $93 $261 — $402
CA — BAKERSFIELD $96 $284 — $437
CA — CHICO $96 $283 — $436
CA — EL CENTRO $96 $283 — $436
CA — FRESNO $96 $283 — $436
CA — HANFORD-CORCORAN $96 $283 — $436
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $101 $302 — $465
CA — MADERA $96 $283 — $436
CA — MERCED $96 $283 — $436
CA — MODESTO $96 $283 — $436
CA — NAPA $105 $327 — $504
CA — OXNARD-THOUSAND OAKS-VENTURA $100 $301 — $463
CA — REDDING $96 $283 — $436
CA — REST OF CALIFORNIA $96 $283 — $436
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $98 $286 — $440
CA — SACRAMENTO-ROSEVILLE-FOLSOM $99 $297 — $457
CA — SALINAS $99 $296 — $455
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $100 $303 — $466
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $109 $346 — $533
CA — SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) $109 $346 — $533
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) $112 $354 — $545
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) $111 $353 — $543

How to Reduce Your Cost for Inj paravert f jnt c/t 1 lev

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($205) differs from the facility rate ($94). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $88 to $124 depending on location. Commercial rates vary even more.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $486, compared to $904 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.77
Work RVU
0.88
Practice Expense RVU
0.17
Malpractice RVU
6.14
Total RVU

Payment = Total RVU (6.14) x CF ($33.40) = $205

Frequently Asked Questions

How much does Inj paravert f jnt c/t 1 lev cost?

The Medicare facility rate for Inj paravert f jnt c/t 1 lev is $94. In a hospital outpatient setting, the rate is $904. At an ambulatory surgery center, the rate is $486. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Inj paravert f jnt c/t 1 lev cost without insurance?

Without insurance, the cost of Inj paravert f jnt c/t 1 lev can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Inj paravert f jnt c/t 1 lev?

Most commercial health insurance plans and Medicare cover Inj paravert f jnt c/t 1 lev when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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