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 EXTREM 1-4 EA
Boulder, CO
See all hospitals reporting CPT 64643 →Price type
Boulder Community Health’s median price of $102 is 80% below the median hospital's median price ($500), higher than 19% of the 1,607 hospitals reporting CPT 64643. 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 | $59 | $59 | — | — | — | $59 – $59 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $59 | $59 | — | — | — | $59 – $59 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Humana medicare advantage professional · fee schedule · both | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Anthem managed care facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 6 | Kaiser medicare advantage professional · fee schedule · both | $74 | $74 | — | — | — | $74 – $74 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $81 | $81 | $21 | 26% | — | $59 – $102 |
| 8 | Anthem commercial facility · fee schedule · outpatient | $65 | $82 | $40 | 49% | — | $57 – $171 |
| 9 | Kaiser commercial professional · fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 10 | Anthem commercial professional · fee schedule · both | $86 | $95 | $13 | 14% | — | $86 – $116 |
| 11 | Aetna medicare advantage facility · case rate · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 12 | Anthem medicare advantage facility · case rate · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 13 | Humana medicare advantage facility · case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 14 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Kaiser medicare advantage facility · case rate · outpatient | $105 | $105 | $1 | 0% | — | $104 – $105 |
| 16 | Devoted medicare advantage facility · case rate · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 17 | MultiPlan commercial professional · fee schedule · both | $106 | $106 | — | — | — | $106 – $106 |
| 18 | Phcs commercial professional · fee schedule · both | $106 | $106 | — | — | — | $106 – $106 |
| 19 | Cigna commercial facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Anthem managed care professional · fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 21 | Cigna commercial professional · fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 22 | Aetna commercial professional · fee schedule · both | $140 | $140 | — | — | — | $140 – $140 |
| 23 | Aetna ppo professional · fee schedule · both | $140 | $140 | — | — | — | $140 – $140 |
| 24 | UnitedHealthcare commercial professional · fee schedule · both | $143 | $143 | — | — | — | $143 – $143 |
| 25 | Kaiser commercial facility · case rate · outpatient | $223 | $223 | $27 | 12% | — | $196 – $250 |
Last updated: Sep 16, 2026
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