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)
Wauwatosa, WI
See all hospitals reporting CPT 64612 →Price type
Aurora Psychiatric Hospital’s median price of $1.5k is 280% above the median hospital's median price ($393), higher than 85% 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: 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $344.00 | $344.00 | $344.00 – $344.00 |
| 2 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $464.00 | $464.00 | $464.00 – $464.00 |
| 3 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $600.00 | $600.00 | $600.00 – $600.00 |
| 4 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $600.00 | $600.00 | $600.00 – $600.00 |
| 5 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $660.80 | $660.80 | $660.80 – $660.80 |
| 6 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $660.80 | $660.80 | $660.80 – $660.80 |
| 7 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $673.60 | $673.60 | $673.60 – $673.60 |
| 8 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $673.60 | $673.60 | $673.60 – $673.60 |
| 9 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $676.80 | $676.80 | $676.80 – $676.80 |
| 10 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $676.80 | $676.80 | $676.80 – $676.80 |
| 11 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $680.00 | $680.00 | $680.00 – $680.00 |
| 12 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $680.00 | $680.00 | $680.00 – $680.00 |
| 13 | Anthem blue priority case rate · outpatient | $1,377 | $1,377 | $1,377 – $1,377 |
| 14 | Anthem blue preferred case rate · outpatient | $1,530 | $1,530 | $1,530 – $1,530 |
| 15 | UnitedHealthcare exchange case rate · outpatient | $1,630 | $1,630 | $1,630 – $1,630 |
| 16 | UnitedHealthcare charter case rate · outpatient | $1,641 | $1,641 | $1,641 – $1,641 |
| 17 | UnitedHealthcare nexus case rate · outpatient | $1,641 | $1,641 | $1,641 – $1,641 |
| 18 | UnitedHealthcare hmo case rate · outpatient | $1,789 | $1,789 | $1,789 – $1,789 |
| 19 | Molina commercial case rate · outpatient | $1,825 | $1,825 | $1,825 – $1,825 |
| 20 | Aetna hmo case rate · outpatient | $1,894 | $1,894 | $1,894 – $1,894 |
| 21 | Cigna ppo-gppo case rate · outpatient | $3,500 | $3,500 | $3,500 – $3,500 |
Last updated: Nov 21, 2025
See Botox injections to relax facial muscles on one side pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.