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
DESTROY NERVE, FACE MUSCLE
Jervis, NY
See all hospitals reporting CPT 64612 →Price type
Bon Secours Community Hospital’s median price of $2.5k is 536% above the median hospital's median price ($393), higher than 93% 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: 7 payers, 13 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 | Medicare medicare facility · fee schedule · outpatient | $383.16 | $383.16 | $383.16 – $383.16 |
| 2 | Molina affinity by molina mcr facility · fee schedule · outpatient | $400.35 | $400.35 | $400.35 – $400.35 |
| 3 | UnitedHealthcare uhc exchange facility · case rate · outpatient | $2,500 | $2,500 | $2,500 – $2,500 |
| 4 | UnitedHealthcare uhc commercial facility · case rate · outpatient | $2,941 | $2,941 | $2,941 – $2,941 |
| 5 | UnitedHealthcare uhc empire facility · case rate · outpatient | $2,941 | $2,941 | $2,941 – $2,941 |
| 6 | Aetna aetna hp network facility · case rate · outpatient | $3,947 | $3,947 | $3,947 – $3,947 |
| 7 | Blue Cross Blue Shield blue cross connection/exchange facility · case rate · outpatient | $3,966 | $3,966 | $3,966 – $3,966 |
| 8 | Aetna aetna facility · case rate · outpatient | $4,386 | $4,386 | $4,386 – $4,386 |
| 9 | Aetna aetna employee facility · case rate · outpatient | $4,386 | $4,386 | $4,386 – $4,386 |
| 10 | Blue Cross Blue Shield blue cross small group facility · case rate · outpatient | $4,759 | $4,759 | $4,759 – $4,759 |
| 11 | Blue Cross Blue Shield blue cross hmo facility · case rate · outpatient | $4,886 | $4,886 | $4,886 – $4,886 |
| 12 | Cigna cigna ppo facility · case rate · outpatient | $5,853 | $5,853 | $5,853 – $5,853 |
| 13 | Tricare tricare facility · fee schedule · outpatient | $6,123 | $6,123 | $6,123 – $6,123 |
Last updated: Jun 29, 2026
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