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
Chemodenervation Extremity&/Trunk Muscle
Ozark, MO
See all hospitals reporting CPT 64614 →Price type
Mercy Hospital Springfield’s median price of $694 is 79% below the median hospital's median price ($3.3k), higher than 22% of the 315 hospitals reporting CPT 64614. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 31 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 hb sprg medicare facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 2 | UnitedHealthcare hb sprg medicare facility · fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 3 | Humana hb sprg humana facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 4 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 5 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $590 | $590 | — | — | — | $590 – $590 |
| 6 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $590 | $590 | — | — | — | $590 – $590 |
| 7 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $590 | $590 | — | — | — | $590 – $590 |
| 8 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 9 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 10 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 11 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 12 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 13 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 14 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $651 | $651 | — | — | — | $651 – $651 |
| 15 | Aetna hb sprg medicare facility · other · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 16 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 17 | Cigna hb sprg medicare facility · other · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 18 | Humana hb sprg humana medicare 100% facility · other · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 19 | Medica hb sprg medicare facility · other · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 20 | Medicare hb sprg medicare facility · other · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 21 | Tricare hb sprg tricare facility · other · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 22 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 23 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $715 | $715 | — | — | — | $715 – $715 |
| 24 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 25 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Jun 4, 2026
See Unscheduled nerve destruction in an extremity muscle pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.