Botox injections to relax facial muscles on one side at Allen Memorial Hospital Corporation

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CHEMODENERVATION; FACE NERVE MUSCLES

Waterloo, IA

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How this price compares nationally

Allen Memorial Hospital Corporation’s median price of $245 is 38% below the median hospital's median price ($393), higher than 16% of the 1,913 hospitals reporting CPT 64612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 64612 at Allen Memorial Hospital Corporation

Negotiated rates from the hospital’s own file: 7 payers, 25 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	Medica commercial percent of total billed charges · outpatientfrom % of charges	$101.66	$101.66	$95.95 – $107.36
2	Aetna medicare advantage fee schedule · both	$106.01	$106.01	$106.01 – $106.01
3	Molina medicare advantage fee schedule · both	$108.13	$108.13	$108.13 – $108.13
4	Wellmark medicare advantage fee schedule · both	$108.13	$108.13	$108.13 – $108.13
5	Humana medicare advantage fee schedule · both	$111.31	$111.31	$111.31 – $111.31
6	UnitedHealthcare medicare advantage fee schedule · both	$111.31	$111.31	$111.31 – $111.31
7	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$131.81	$131.81	$131.81 – $131.81
8	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$131.81	$131.81	$131.81 – $131.81
9	Wellmark commercial fee schedule · both	$231.00	$231.00	$231.00 – $231.00
10	Wellmark hmo fee schedule · both	$231.00	$231.00	$231.00 – $231.00
11	Aetna hmo fee schedule · both	$265.21	$265.21	$265.21 – $265.21
12	Wellmark ppo fee schedule · both	$271.80	$271.80	$271.80 – $271.80
13	Aetna medicare advantage case rate · outpatient	$277.61	$277.61	$277.61 – $277.61
14	Molina medicare advantage case rate · outpatient	$277.61	$277.61	$277.61 – $277.61
15	Wellmark medicare advantage case rate · outpatient	$277.61	$277.61	$277.61 – $277.61
16	Cigna commercial fee schedule · both	$283.97	$283.97	$283.97 – $283.97
17	Humana medicare advantage case rate · outpatient	$285.77	$285.77	$285.77 – $285.77
18	UnitedHealthcare medicare advantage case rate · outpatient	$285.77	$285.77	$285.77 – $285.77
19	Aetna ppo fee schedule · both	$316.30	$316.30	$316.30 – $316.30
20	UnitedHealthcare hmo fee schedule · both	$357.04	$357.04	$357.04 – $357.04
21	UnitedHealthcare ppo fee schedule · both	$357.04	$357.04	$357.04 – $357.04
22	Aetna hmo fee schedule · outpatient	$655.48	$655.48	$655.48 – $655.48
23	Aetna ppo fee schedule · outpatient	$681.96	$681.96	$681.96 – $681.96
24	UnitedHealthcare hmo fee schedule · outpatient	$804.45	$804.45	$804.45 – $804.45
25	UnitedHealthcare ppo fee schedule · outpatient	$804.45	$804.45	$804.45 – $804.45

Last updated: Jan 28, 2026

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