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
HC CHEMODENERVATION, FACE NERVE MUSCLE
St. Paul, MN
See all hospitals reporting CPT 64612 →Price type
Fairview Bethesda Hospital’s median price of $504 is 28% above the median hospital's median price ($393), higher than 61% 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, 61 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 | Ucare pmap fee schedule · both | $82.32 | $82.32 | $82.32 – $82.32 |
| 2 | Medica minnesota care/accessability/choice care government fee schedule · both | $86.55 | $86.55 | $86.55 – $86.55 |
| 3 | Bcbs Mn managed medicaid fee schedule · both | $92.61 | $92.61 | $92.61 – $92.61 |
| 4 | Sanford Health Plan medicare advantage fee schedule · both | $109.64 | $109.64 | $109.64 – $109.64 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $109.64 | $109.64 | $109.64 – $109.64 |
| 6 | WellCare medicare advantage fee schedule · both | $109.64 | $109.64 | $109.64 – $109.64 |
| 7 | Bcbs Mn medicare advantage fee schedule · both | $114.03 | $114.03 | $114.03 – $114.03 |
| 8 | Medica medicare advantage fee schedule · both | $117.91 | $117.91 | $117.91 – $117.91 |
| 9 | Ucare medicare advantage/msho fee schedule · both | $118.41 | $118.41 | $118.41 – $118.41 |
| 10 | Medica msho fee schedule · both | $120.14 | $120.14 | $120.14 – $120.14 |
| 11 | Bcbs Mn managed medicaid percent of total billed charges · inpatientfrom % of charges | $233.33 | $273.74 | $232.91 – $354.97 |
| 12 | Bcbs Mn managed medicaid percent of total billed charges · outpatientfrom % of charges | $240.40 | $282.03 | $239.96 – $365.73 |
| 13 | Ucare individual and family with m health fairview fee schedule · both | $289.34 | $289.34 | $289.34 – $289.34 |
| 14 | Sanford Health Plan medicare advantage fee schedule · outpatient | $293.83 | $293.83 | $293.83 – $293.83 |
| 15 | UnitedHealthcare medicare advantage fee schedule · outpatient | $293.83 | $293.83 | $293.83 – $293.83 |
| 16 | WellCare medicare advantage fee schedule · outpatient | $293.83 | $293.83 | $293.83 – $293.83 |
| 17 | Ucare medicare advantage/msho fee schedule · outpatient | $298.24 | $298.24 | $298.24 – $298.24 |
| 18 | Ucare pmap fee schedule · outpatient | $298.67 | $298.67 | $298.67 – $298.67 |
| 19 | Ucare individual and family fee schedule · both | $304.80 | $304.80 | $304.80 – $304.80 |
| 20 | Bcbs Mn medicare advantage fee schedule · outpatient | $305.58 | $305.58 | $305.58 – $305.58 |
| 21 | Medica medicare advantage fee schedule · outpatient | $311.46 | $311.46 | $311.46 – $311.46 |
| 22 | Medica bold fee schedule · both | $347.28 | $347.28 | $347.28 – $347.28 |
| 23 | UnitedHealthcare commercial fee schedule · both | $348.68 | $348.68 | $348.68 – $348.68 |
| 24 | UnitedHealthcare core fee schedule · both | $348.68 | $348.68 | $348.68 – $348.68 |
| 25 | Medica minnesota care/accessability/choice care government percent of total billed charges · outpatientfrom % of charges | $308.90 | $362.39 | $308.33 – $469.94 |
Last updated: Jan 29, 2026
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