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 EXTREM MUSCLES 1-4
Summit, WI
See all hospitals reporting CPT 64642 →Price type
Aurora Medical Center Summit’s median price of $1.5k is 87% above the median hospital's median price ($796), higher than 78% of the 1,944 hospitals reporting CPT 64642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $572 | $572 | — | — | — | $572 – $572 |
| 2 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $771 | $771 | — | — | — | $771 – $771 |
| 3 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $998 | $998 | — | — | — | $998 – $998 |
| 4 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $998 | $998 | — | — | — | $998 – $998 |
| 5 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Anthem blue priority case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Anthem blue preferred case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Molina commercial case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Aetna hmo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | UnitedHealthcare exchange case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | UnitedHealthcare charter case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | UnitedHealthcare nexus case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | UnitedHealthcare hmo case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 21 | Cigna ppo-gppo case rate · outpatient | $19k | $19k | — | — | — | $19k – $19k |
Last updated: Nov 21, 2025
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