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 CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL
JOHNSON CITY, TN
See all hospitals reporting CPT 64612 →Price type
Franklin Woods Community Hospital’s median price of $293 is 26% below the median hospital's median price ($393), higher than 25% 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: 11 payers, 30 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 | Blue Cross Blue Shield blue cross ballad health employee fee schedule · both | $141.61 | $141.61 | $141.61 – $141.61 |
| 2 | UnitedHealthcare tenncare united healthcare fee schedule · both | $190.09 | $190.09 | $190.09 – $190.09 |
| 3 | Aetna aetna healthcare medicare fee schedule · both | $278.70 | $278.70 | $278.70 – $278.70 |
| 4 | Blue Cross Blue Shield anthem medicare virginia fee schedule · both | $278.70 | $278.70 | $278.70 – $278.70 |
| 5 | First Health first health coventry fee schedule · both | $278.70 | $278.70 | $278.70 – $278.70 |
| 6 | Humana humana medicare fee schedule · both | $278.70 | $278.70 | $278.70 – $278.70 |
| 7 | UnitedHealthcare united healthcare medicare fee schedule · both | $278.70 | $278.70 | $278.70 – $278.70 |
| 8 | Aetna aetna better health of virginia medicare fee schedule · both | $287.06 | $287.06 | $287.06 – $287.06 |
| 9 | Blue Cross Blue Shield blue cross medicare fee schedule · both | $289.84 | $289.84 | $289.84 – $289.84 |
| 10 | Molina molina healthcare medicare fee schedule · both | $289.84 | $289.84 | $289.84 – $289.84 |
| 11 | Cigna cigna medicare fee schedule · both | $292.63 | $292.63 | $292.63 – $292.63 |
| 12 | Devoted devoted health plan medicare fee schedule · both | $292.63 | $292.63 | $292.63 – $292.63 |
| 13 | WellCare wellcare medicare fee schedule · both | $295.42 | $295.42 | $295.42 – $295.42 |
| 14 | UnitedHealthcare united healthcare other · both | $301.32 | $301.32 | $301.32 – $301.32 |
| 15 | Cigna cigna hmo percent of total billed charges · bothfrom % of charges | $314.28 | $314.28 | $314.28 – $314.28 |
| 16 | Cigna cigna open access plus percent of total billed charges · bothfrom % of charges | $314.28 | $314.28 | $314.28 – $314.28 |
| 17 | UnitedHealthcare uhc heritage river valley other · both | $316.71 | $316.71 | $316.71 – $316.71 |
| 18 | UnitedHealthcare uhc heritage select other · both | $316.71 | $316.71 | $316.71 – $316.71 |
| 19 | Cigna cigna individual family plan percent of total billed charges · bothfrom % of charges | $375.84 | $375.84 | $375.84 – $375.84 |
| 20 | Cigna cigna ppo percent of total billed charges · bothfrom % of charges | $385.56 | $385.56 | $385.56 – $385.56 |
| 21 | Aetna aetna percent of total billed charges · bothfrom % of charges | $516.78 | $516.78 | $516.78 – $516.78 |
| 22 | Blue Cross Blue Shield anthem hlthkeep mediciad fee schedule · both | $551.99 | $551.99 | $551.99 – $551.99 |
| 23 | Aetna aetna better health of virginia fee schedule · both | $574.07 | $574.07 | $574.07 – $574.07 |
| 24 | Molina molina healthcare medicaid fee schedule · both | $574.07 | $574.07 | $574.07 – $574.07 |
| 25 | Blue Cross Blue Shield blue cross e network percent of total billed charges · bothfrom % of charges | $583.20 | $583.20 | $583.20 – $583.20 |
Last updated: Mar 23, 2026
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