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.
Original text from hospital filings
Chemodenerv 1 Extrem 1-4 Ea
Low
$79
Average
$258
Median
$107
High
$1.1k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 9.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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57 hospital rates
iThe hospitals that file a Regence rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $640 | $688 | $128 | 19% | 31–40 | $581 – $893 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $168 | 12% | 31–40 | $1.2k – $1.6k |
| 3 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $166 | $161 | $10 | 6% | 15–24 | $143 – $166 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $134 | $107 | $38 | 36% | — | $53 – $134 |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 2 | $764 | $764 | $3 | 0% | — | $761 – $767 |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 2 | $142 | $142 | $1 | 0% | — | $141 – $142 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $134 | $107 | $38 | 36% | — | $53 – $134 |
| 8 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 9 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $163 | $163 | $24 | 15% | — | $139 – $187 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 2 | $112 | $96 | $22 | 23% | — | $65 – $112 |
| 12 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 13 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 14 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 17 | IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital Fillmore, UT professional · fee schedule · outpatient | 2 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 19 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 22 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 24 | IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
| 25 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT professional · fee schedule · outpatient | 1 | $79 | $79 | $11 | 14% | — | $68 – $89 |
← Payers reporting CPT 64643 · Snapshot 20261111T120946Z-9134e7f7