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Facet joint injection in Pennsylvania: what insurers pay

Posted commercial rates at 4 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 64493

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$1,7312.0×12026-03-06
Riddle Memorial Hospital Media$2,1962.4×22026-04-01
Bryn Mawr Hospital Bryn Mawr$2,2992.5×22026-04-01
Thomas Jefferson University Hospital Philadelphia$5,0515.6×32026-09-15

Questions

How much do insurers pay for facet joint injection in Pennsylvania?

4 Pennsylvania hospitals post usable commercial rates for facet joint injection in their federal price-transparency files. For CPT 64493, hospital outpatient, the median across 4 hospitals is $2,248, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.