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
Duluth, MN
See all hospitals reporting CPT 64642 →Price type
Essentia Health Duluth’s median price of $680 is 14% below the median hospital's median price ($794), higher than 33% 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: 8 payers, 33 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 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $339 | $339 | — | — | — | $339 – $339 |
| 2 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $407 | $407 | — | — | — | $407 – $407 |
| 3 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $423 | $423 | — | — | — | $423 – $423 |
| 4 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $423 | $423 | — | — | — | $423 – $423 |
| 5 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $423 | $423 | — | — | — | $423 – $423 |
| 6 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $439 | $439 | — | — | — | $439 – $439 |
| 7 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $439 | $439 | — | — | — | $439 – $439 |
| 8 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 9 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 10 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 11 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 12 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $581 | $581 | — | — | — | $581 – $581 |
| 13 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $595 | $595 | $30 | 5% | — | $566 – $625 |
| 14 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $614 | $614 | — | — | — | $614 – $614 |
| 15 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $673 | $673 | — | — | — | $673 – $673 |
| 16 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $673 | $673 | — | — | — | $673 – $673 |
| 17 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $680 | $680 | — | — | — | $680 – $680 |
| 18 | Healthpartners medicare facility · fee schedule · outpatient | $680 | $680 | — | — | — | $680 – $680 |
| 19 | Medica medicare facility · fee schedule · outpatient | $680 | $680 | — | — | — | $680 – $680 |
| 20 | Ucare medicare facility · fee schedule · outpatient | $680 | $680 | — | — | — | $680 – $680 |
| 21 | UnitedHealthcare medicare facility · fee schedule · outpatient | $680 | $680 | — | — | — | $680 – $680 |
| 22 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $683 | $683 | — | — | — | $683 – $683 |
| 23 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $731 | $731 | — | — | — | $731 – $731 |
| 24 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $731 | $731 | — | — | — | $731 – $731 |
| 25 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $731 | $731 | — | — | — | $731 – $731 |
Last updated: Jan 1, 2026
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