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
DESTROY L/S FACET JNT ADDL
Longview, TX
See all hospitals reporting CPT 64636 →Price type
Longview Medical Center LP’s median price of $1.3k is 7% above the median hospital's median price ($1.2k), higher than 52% of the 1,926 hospitals reporting CPT 64636. 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, 23 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 bcbs tx blue adv facility · other · outpatient | $626 | $626 | — | — | — | $626 – $626 |
| 2 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $658 | $658 | — | — | — | $658 – $658 |
| 3 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $658 | $658 | — | — | — | $658 – $658 |
| 4 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 5 | UnitedHealthcare node uhc chip medicaid tx facility · other · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 6 | UnitedHealthcare node uhc star medicaid tx facility · other · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 7 | Medicaid node tx medicaid facility · fee schedule · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 8 | Molina node molina chip medicaid tx facility · per diem · outpatient | $796 | $796 | — | — | — | $796 – $796 |
| 9 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $796 | $796 | — | — | — | $796 – $796 |
| 10 | UnitedHealthcare node uhc star plus medicaid tx facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 13 | Aetna node aetna mcr adv facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Cigna cigna all facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 16 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 17 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 18 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 19 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 20 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 21 | MultiPlan multiplan primary facility · case rate · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 22 | Aetna aetna auto facility · percent of total billed charges · outpatientfrom % of charges | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 23 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
Last updated: Apr 1, 2026
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