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 DEST LUMB/SAC FACET JT ADD
Rochester, MN
See all hospitals reporting CPT 64636 →Price type
Mayo Clinic’s median price of $2.4k is 93% above the median hospital's median price ($1.2k), higher than 77% 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: 18 payers, 131 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 medica prime solutions part b medicare advantage plan [150] facility · fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 5 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 6 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 7 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 8 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 9 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 10 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 11 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 12 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 13 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 14 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 15 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $293 | $293 | — | — | — | $293 – $293 |
| 16 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $293 | $293 | — | — | — | $293 – $293 |
| 17 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 18 | Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 19 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 20 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 21 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 22 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 23 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 24 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $547 | $547 | — | — | — | $547 – $547 |
| 25 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $912 | $912 | — | — | — | $912 – $912 |
Last updated: Aug 14, 2026
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