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 CHEMODENERV FACIAL MUSCLE UNILAT
Covington, TN
See all hospitals reporting CPT 64612 →Price type
Baptist Memorial Hospital-Tipton’s median price of $461 is 17% above the median hospital's median price ($393), higher than 57% 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: 9 payers, 31 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 commercial facility · percent of total billed charges · outpatientfrom % of charges | $151.76 | $151.76 | $140.92 – $162.60 |
| 2 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $233.06 | $233.06 | $233.06 – $233.06 |
| 3 | Molina exchange facility · percent of total billed charges · inpatientfrom % of charges | $271.00 | $271.00 | $271.00 – $271.00 |
| 4 | Blue Cross Blue Shield lppo facility · fee schedule · outpatient | $275.72 | $275.72 | $275.72 – $275.72 |
| 5 | Devoted medicare facility · fee schedule · outpatient | $275.72 | $275.72 | $275.72 – $275.72 |
| 6 | Molina medicaid facility · fee schedule · outpatient | $275.72 | $275.72 | $275.72 – $275.72 |
| 7 | Blue Cross Blue Shield firstsource ppo/healthadvantage hmo/preferred payment plan/trueblue exchange ppo/trueblue non-exchange ppo facility · fee schedule · outpatient | $276.53 | $276.53 | $276.53 – $276.53 |
| 8 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · fee schedule · outpatient | $276.53 | $276.53 | $276.53 – $276.53 |
| 9 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $279.78 | $279.78 | $275.72 – $283.83 |
| 10 | Aetna medicare facility · fee schedule · outpatient | $283.83 | $283.83 | $283.83 – $283.83 |
| 11 | Blue Cross Blue Shield dsnp facility · fee schedule · outpatient | $283.83 | $283.83 | $283.83 – $283.83 |
| 12 | Humana medicare facility · fee schedule · outpatient | $283.83 | $283.83 | $283.83 – $283.83 |
| 13 | Blue Cross Blue Shield lppo facility · percent of total billed charges · inpatientfrom % of charges | $325.20 | $325.20 | $325.20 – $325.20 |
| 14 | Blue Cross Blue Shield medicare facility · percent of total billed charges · inpatientfrom % of charges | $325.20 | $325.20 | $325.20 – $325.20 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $325.20 | $325.20 | $325.20 – $325.20 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $325.20 | $325.20 | $325.20 – $325.20 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $352.30 | $352.30 | $352.30 – $352.30 |
| 18 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $406.50 | $406.50 | $406.50 – $406.50 |
| 19 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $406.50 | $406.50 | $406.50 – $406.50 |
| 20 | Molina chip facility · fee schedule · outpatient | $473.04 | $473.04 | $473.04 – $473.04 |
| 21 | Molina exchange facility · fee schedule · outpatient | $500.07 | $500.07 | $500.07 – $500.07 |
| 22 | Blue Cross Blue Shield tenncare facility · case rate · outpatient | $751.37 | $751.37 | $751.37 – $751.37 |
| 23 | Blue Cross Blue Shield coverkids facility · case rate · outpatient | $814.19 | $814.19 | $814.19 – $814.19 |
| 24 | Blue Cross Blue Shield bluecare facility · case rate · outpatient | $891.36 | $891.36 | $891.36 – $891.36 |
| 25 | Blue Cross Blue Shield network e facility · case rate · outpatient | $908.00 | $908.00 | $908.00 – $908.00 |
Last updated: Feb 27, 2026
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