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 MUSC/S NRV FAC UNI
Phoenix, AZ
See all hospitals reporting CPT 64612 →Price type
Banner University Medical Center Phoenix’s median price of $315 is 20% below the median hospital's median price ($393), higher than 34% 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: 8 payers, 28 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 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $228.19 | $228.19 | $228.19 – $228.19 |
| 2 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $228.19 | $228.19 | $228.19 – $228.19 |
| 3 | Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient | $302.31 | $302.31 | $302.31 – $302.31 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $314.62 | $314.62 | $314.62 – $314.62 |
| 5 | Bcbs Az medicare advantage facility · fee schedule · outpatient | $314.62 | $314.62 | $314.62 – $314.62 |
| 6 | Cigna hmo medicare advantage plan facility · fee schedule · outpatient | $314.62 | $314.62 | $314.62 – $314.62 |
| 7 | Cigna ppo medicare advantage plan facility · fee schedule · outpatient | $314.62 | $314.62 | $314.62 – $314.62 |
| 8 | Kaiser medicare advantage facility · fee schedule · outpatient | $314.62 | $314.62 | $314.62 – $314.62 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $314.62 | $314.62 | $314.62 – $314.62 |
| 10 | Humana medicare advantage facility · fee schedule · outpatient | $324.06 | $324.06 | $324.06 – $324.06 |
| 11 | Devoted medicare advantage facility · fee schedule · outpatient | $330.35 | $330.35 | $330.35 – $330.35 |
| 12 | Aetna qualified health plan facility · fee schedule · outpatient | $427.88 | $427.88 | $427.88 – $427.88 |
| 13 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $440.47 | $440.47 | $440.47 – $440.47 |
| 14 | Oscar commercial facility · fee schedule · outpatient | $519.12 | $519.12 | $519.12 – $519.12 |
| 15 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $777.06 | $777.06 | $777.06 – $777.06 |
| 16 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $828.86 | $828.86 | $828.86 – $828.86 |
| 17 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $870.30 | $870.30 | $870.30 – $870.30 |
| 18 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $1,036 | $1,036 | $1,036 – $1,036 |
| 19 | Bcbs Az commercial facility · fee schedule · outpatient | $1,036 | $1,036 | $1,036 – $1,036 |
| 20 | Aetna banner employee plans facility · case rate · outpatient | $1,170 | $1,170 | $1,170 – $1,170 |
| 21 | UnitedHealthcare uhc doctor's plan facility · case rate · outpatient | $2,114 | $2,114 | $2,114 – $2,114 |
| 22 | UnitedHealthcare uhc core facility · case rate · outpatient | $2,210 | $2,210 | $2,210 – $2,210 |
| 23 | UnitedHealthcare commercial facility · case rate · outpatient | $2,326 | $2,326 | $2,326 – $2,326 |
| 24 | Cigna localflex facility · case rate · outpatient | $4,018 | $4,018 | $4,018 – $4,018 |
| 25 | Aetna joint venture facility · case rate · outpatient | $4,405 | $4,405 | $4,405 – $4,405 |
Last updated: Mar 2, 2026
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