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 L/S FACET JNT ADDL
Mt Shasta, CA
See all hospitals reporting CPT 64636 →Price type
Dignity Health’s median price of $3.0k is 141% above the median hospital's median price ($1.2k), higher than 87% of the 1,926 hospitals reporting CPT 64636. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | Anthem medicaid|all plans fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Anthem commercial|all other plans percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 3 | Aetna medicare|all plans percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 4 | Anthem medicare|all plans percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 5 | Humana medicare|all plans percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 6 | Kaiser medicare|all plans percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
Last updated: Feb 28, 2026
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