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
DENERVATION-FACE MUSCLE(S)
Oak Lawn, IL
See all hospitals reporting CPT 64612 →Price type
Advocate Childrens Hospital Oak Lawn’s median price of $476 is 21% above the median hospital's median price ($393), higher than 58% of the 1,913 hospitals reporting CPT 64612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $400.58 | $400.58 | $321.00 – $480.16 |
| 2 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $398.00 | $400.95 | $309.40 – $498.40 |
| 3 | Blue Cross Blue Shield managed care facility · percent of total billed charges · outpatientfrom % of charges | $418.77 | $418.77 | $335.58 – $501.96 |
| 4 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $426.94 | $426.94 | $342.13 – $511.75 |
| 5 | Ambetter medicare advantage facility · case rate · outpatient | $446.18 | $446.18 | $446.18 – $446.18 |
| 6 | Molina medicare advantage facility · case rate · outpatient | $446.18 | $446.18 | $446.18 – $446.18 |
| 7 | Oscar medicare advantage facility · case rate · outpatient | $461.57 | $461.57 | $461.57 – $461.57 |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $497.36 | $501.19 | $386.16 – $623.89 |
| 9 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $547.97 | $547.97 | $439.11 – $656.82 |
| 10 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $594.00 | $594.00 | $476.00 – $712.00 |
| 11 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $594.00 | $594.00 | $476.00 – $712.00 |
| 12 | UnitedHealthcare commercial facility · case rate · outpatient | $3,686 | $4,101 | $3,181 – $5,437 |
| 13 | UnitedHealthcare hmo facility · case rate · outpatient | $6,291 | $6,291 | $6,291 – $6,291 |
Last updated: Nov 4, 2025
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