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 1 EXTREMITY 1-4
Boulder, CO
See all hospitals reporting CPT 64642 →Price type
Boulder Community Health’s median price of $210 is 74% below the median hospital's median price ($794), higher than 11% of the 1,954 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: 9 payers, 27 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 medicare advantage professional · case rate · both | $96 | $96 | — | — | — | $96 – $96 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Humana medicare advantage professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $119 | $119 | — | — | — | $119 – $119 |
| 6 | Anthem commercial professional · fee schedule · both | $130 | $143 | $20 | 14% | — | $130 – $175 |
| 7 | Kaiser commercial professional · fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
| 8 | MultiPlan commercial professional · fee schedule · both | $164 | $164 | — | — | — | $164 – $164 |
| 9 | Phcs commercial professional · fee schedule · both | $164 | $164 | — | — | — | $164 – $164 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 11 | Anthem managed care professional · fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 12 | Cigna commercial professional · fee schedule · both | $179 | $179 | — | — | — | $179 – $179 |
| 13 | Aetna commercial professional · fee schedule · both | $210 | $210 | — | — | — | $210 – $210 |
| 14 | Aetna ppo professional · fee schedule · both | $210 | $210 | — | — | — | $210 – $210 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $424 | $424 | $329 | 77% | — | $96 – $753 |
| 17 | Aetna medicare advantage facility · case rate · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 18 | Anthem medicare advantage facility · case rate · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 19 | Humana medicare advantage facility · case rate · outpatient | $768 | $768 | — | — | — | $768 – $768 |
| 20 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $768 | $768 | — | — | — | $768 – $768 |
| 21 | Kaiser medicare advantage facility · case rate · outpatient | $772 | $772 | $4 | 0% | — | $768 – $775 |
| 22 | Devoted medicare advantage facility · case rate · outpatient | $775 | $775 | — | — | — | $775 – $775 |
| 23 | Kaiser commercial facility · case rate · outpatient | $1.6k | $1.6k | $199 | 12% | — | $1.4k – $1.8k |
| 24 | Kaiser managed care facility · case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Anthem commercial facility · case rate · outpatient | $1.7k | $1.9k | $464 | 24% | — | $1.5k – $2.7k |
Last updated: Sep 16, 2026
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