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)
Park Ridge, IL
See all hospitals reporting CPT 64612 →Price type
Advocate Lutheran General Hospital’s median price of $594 is 51% above the median hospital's median price ($393), higher than 66% 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 | Ambetter medicare advantage case rate · outpatient | $446.18 | $446.18 | $446.18 – $446.18 |
| 2 | Molina medicare advantage case rate · outpatient | $446.18 | $446.18 | $446.18 – $446.18 |
| 3 | Oscar medicare advantage case rate · outpatient | $461.57 | $461.57 | $461.57 – $461.57 |
| 4 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $488.25 | $488.25 | $488.25 – $488.25 |
| 5 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $515.85 | $515.85 | $515.85 – $515.85 |
| 6 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $525.81 | $525.81 | $525.81 – $525.81 |
| 7 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $533.95 | $533.95 | $470.60 – $597.30 |
| 8 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $614.95 | $614.95 | $590.97 – $638.93 |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $672.42 | $672.42 | $672.42 – $672.42 |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $724.00 | $724.00 | $724.00 – $724.00 |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $724.00 | $724.00 | $724.00 – $724.00 |
| 12 | UnitedHealthcare commercial case rate · outpatient | $3,686 | $4,101 | $3,181 – $5,437 |
| 13 | UnitedHealthcare hmo case rate · outpatient | $6,291 | $6,291 | $6,291 – $6,291 |
Last updated: Nov 4, 2025
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