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
DEST,NERVE,FACIAL
201 9th St W Ada, MN
See all hospitals reporting CPT 64612 →Price type
Essentia Health Ada’s median price of $178 is 55% below the median hospital's median price ($393), higher than 11% 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: 8 payers, 22 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 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $143.93 | $143.93 | $143.93 – $143.93 |
| 2 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $147.26 | $147.26 | $147.26 – $147.26 |
| 3 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $158.69 | $158.69 | $158.69 – $158.69 |
| 4 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $167.06 | $167.06 | $167.06 – $167.06 |
| 5 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $177.60 | $177.60 | $177.60 – $177.60 |
| 6 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $177.60 | $177.60 | $177.60 – $177.60 |
| 7 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $177.60 | $177.60 | $177.60 – $177.60 |
| 8 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $177.60 | $177.60 | $177.60 – $177.60 |
| 9 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $177.60 | $177.60 | $177.60 – $177.60 |
| 10 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $224.96 | $224.96 | $224.96 – $224.96 |
| 11 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $243.46 | $243.46 | $243.46 – $243.46 |
| 12 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $246.05 | $246.05 | $246.05 – $246.05 |
| 13 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $246.05 | $246.05 | $246.05 – $246.05 |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $260.22 | $260.22 | $197.95 – $322.49 |
| 15 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $307.47 | $307.47 | $307.47 – $307.47 |
| 16 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $307.47 | $307.47 | $307.47 – $307.47 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $314.50 | $314.50 | $314.50 – $314.50 |
| 18 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $320.42 | $320.42 | $307.47 – $333.37 |
| 19 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $322.46 | $322.46 | $322.46 – $322.46 |
| 20 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $322.49 | $322.49 | $322.49 – $322.49 |
| 21 | Medica ifb aco facility · percent of total billed charges · outpatientfrom % of charges | $323.75 | $323.75 | $323.75 – $323.75 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $334.85 | $334.85 | $334.85 – $334.85 |
Last updated: Jan 1, 2026
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