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
Arlington, TX
See all hospitals reporting CPT 64643 →Price type
AMH Cath Labs LLC’s median price of $101 is 80% below the median hospital's median price ($500), higher than 19% of the 1,607 hospitals reporting CPT 64643. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 2 | Humana medicare advantage case rate · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 4 | Molina medicare advantage case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 9 | UnitedHealthcare all payer case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | UnitedHealthcare ppo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 21, 2026
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