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
PR CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL
JEFFERSON HILLS, PA
See all hospitals reporting CPT 64612 →Price type
Jefferson Regional Medical Center’s median price of $114 is 71% below the median hospital's median price ($393), higher than 4% 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: 7 payers, 55 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 | Highmark highmark community blue medicare fee schedule · inpatient | $102.96 | $102.96 | $102.96 – $102.96 |
| 2 | Highmark highmark community blue medicare fee schedule · outpatient | $102.96 | $102.96 | $102.96 – $102.96 |
| 3 | UnitedHealthcare united healthcare medicaid fee schedule · inpatient | $106.58 | $106.58 | $106.58 – $106.58 |
| 4 | Highmark highmark security blue fee schedule · inpatient | $114.03 | $114.03 | $114.03 – $114.03 |
| 5 | Highmark highmark together blue fee schedule · outpatient | $135.41 | $135.41 | $132.56 – $138.25 |
| 6 | Highmark highmark together blue fee schedule · inpatient | $138.25 | $138.25 | $138.25 – $138.25 |
| 7 | Highmark highmark blue high performance fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 8 | Highmark highmark community blue fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 9 | Highmark highmark connect blue fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 10 | Highmark highmark indemnity fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 11 | Highmark highmark managed care fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 12 | Highmark highmark my blue access fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 13 | Highmark highmark my direct blue fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 14 | Highmark highmark performance blue fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 15 | Highmark highmark social mission indemnity fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 16 | Highmark highmark social mission managed care fee schedule · inpatient | $146.25 | $146.25 | $146.25 – $146.25 |
| 17 | Cigna cigna commercial fee schedule · inpatient | $188.82 | $188.82 | $188.82 – $188.82 |
| 18 | Highmark highmark my direct blue fee schedule · outpatient | $189.74 | $189.74 | $146.25 – $233.23 |
| 19 | Highmark highmark security blue fee schedule · outpatient | $204.69 | $204.69 | $114.03 – $295.34 |
| 20 | UnitedHealthcare united healthcare navigate nexus commercial fee schedule · inpatient | $210.66 | $210.66 | $210.66 – $210.66 |
| 21 | UnitedHealthcare united healthcare navigate nexus commercial fee schedule · outpatient | $210.66 | $210.66 | $210.66 – $210.66 |
| 22 | UnitedHealthcare united healthcare commercial fee schedule · inpatient | $222.10 | $222.10 | $222.10 – $222.10 |
| 23 | UnitedHealthcare united healthcare of oh medicaid fee schedule · inpatient | $222.10 | $222.10 | $222.10 – $222.10 |
| 24 | UnitedHealthcare united healthcare of oh medicaid fee schedule · outpatient | $222.10 | $222.10 | $222.10 – $222.10 |
| 25 | Highmark highmark social mission indemnity fee schedule · outpatient | $227.03 | $227.03 | $146.25 – $307.80 |
Last updated: Apr 14, 2026
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