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
HC CHEMO DENERVATION MUSCLE FACIAL
Lincolnton, NC
See all hospitals reporting CPT 64612 →Price type
Atrium Health Hospitals Inc’s median price of $522 is 33% above the median hospital's median price ($393), higher than 62% 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: 13 payers, 59 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 | Amerihealth Caritas managed medicaid fee schedule · both | $101.04 | $101.04 | $101.04 – $101.04 |
| 2 | UnitedHealthcare managed medicaid fee schedule · both | $101.04 | $101.04 | $101.04 – $101.04 |
| 3 | WellCare managed medicaid fee schedule · both | $101.04 | $101.04 | $101.04 – $101.04 |
| 4 | Cigna Healthspring medicare advantage fee schedule · both | $108.76 | $108.76 | $108.76 – $108.76 |
| 5 | Humana medicare advantage fee schedule · both | $110.94 | $110.94 | $110.94 – $110.94 |
| 6 | Aetna medicare advantage fee schedule · both | $112.57 | $112.57 | $112.57 – $112.57 |
| 7 | UnitedHealthcare medicare advantage case rate · both | $112.88 | $112.88 | $112.88 – $112.88 |
| 8 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $158.15 | $158.15 | $158.15 – $158.15 |
| 9 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $161.10 | $161.10 | $161.10 – $161.10 |
| 10 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $233.16 | $233.16 | $233.16 – $233.16 |
| 11 | Aetna north carolina preferred plus fee schedule · both | $258.18 | $258.18 | $258.18 – $258.18 |
| 12 | Humana medicare advantage fee schedule · outpatient | $282.47 | $282.47 | $282.47 – $282.47 |
| 13 | Aetna broad network fee schedule · both | $284.86 | $284.86 | $284.86 – $284.86 |
| 14 | Aetna medicare advantage fee schedule · outpatient | $286.62 | $286.62 | $286.62 – $286.62 |
| 15 | Cigna Healthspring medicare advantage fee schedule · outpatient | $290.78 | $290.78 | $290.78 – $290.78 |
| 16 | UnitedHealthcare medicare advantage fee schedule · outpatient | $291.63 | $291.63 | $291.63 – $291.63 |
| 17 | Bcbs Nc local group commercial fee schedule · both | $294.13 | $294.13 | $294.13 – $294.13 |
| 18 | UnitedHealthcare iex commercial fee schedule · both | $295.79 | $295.79 | $295.79 – $295.79 |
| 19 | Bcbs Nc local individual commercial fee schedule · both | $310.81 | $310.81 | $310.81 – $310.81 |
| 20 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $371.54 | $371.54 | $371.54 – $371.54 |
| 21 | UnitedHealthcare hmo-ppo managed care fee schedule · both | $384.81 | $384.81 | $384.81 – $384.81 |
| 22 | Bcbs Nc hmo-ppo managed care fee schedule · both | $387.03 | $387.03 | $387.03 – $387.03 |
| 23 | Bcbs Nc local group commercial percent of total billed charges · inpatientfrom % of charges | $401.97 | $401.97 | $401.97 – $401.97 |
| 24 | Bcbs Nc local individual commercial percent of total billed charges · inpatientfrom % of charges | $423.70 | $423.70 | $423.70 – $423.70 |
| 25 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $424.82 | $424.82 | $424.82 – $424.82 |
Last updated: Dec 1, 2025
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