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
64636 Lumbar RF Ablation, Second + additional leve
Peru, IN
See all hospitals reporting CPT 64636 →Price type
Dukes Health System LLC’s median price of $200 is 84% below the median hospital's median price ($1.2k), higher than 16% 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: 10 payers, 25 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 node anthem in mcr select facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Humana node humana mcr adv facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 3 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Anthem anthem in hip facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 5 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Optum node united optum va ccn facility · per diem · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 7 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 8 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 9 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 10 | Anthem anthem in work comp facility · other · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 11 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 12 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 13 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 15 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 16 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 17 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 18 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 19 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $350 | $350 | — | — | — | $350 – $350 |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 22 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 24 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $438 | $438 | — | — | — | $438 – $438 |
| 25 | Tricare node tricare facility · fee schedule · outpatient | $438 | $438 | — | — | — | $438 – $438 |
Last updated: Apr 1, 2026
See Lumbar facet nerve destruction, additional joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.