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 DEST,NERVE,FACIAL
Raceland, LA
See all hospitals reporting CPT 64612 →Price type
Ochsner Bayou Llc’s median price of $460 is 17% above the median hospital's median price ($393), higher than 56% 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: 12 payers, 14 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 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $265.48 | $270.23 | $170.66 – $379.28 |
| 2 | UnitedHealthcare all payor other · outpatient | $274.11 | $274.11 | $182.74 – $365.47 |
| 3 | Molina all payor fee schedule · outpatient | $274.30 | $274.30 | $219.44 – $329.16 |
| 4 | Humana all payor other · outpatient | $277.75 | $281.40 | $182.74 – $380.06 |
| 5 | Aetna Better Health all payor other · outpatient | $282.33 | $282.33 | $188.22 – $376.43 |
| 6 | Amerihealth Caritas all payor other · outpatient | $282.33 | $282.33 | $188.22 – $376.43 |
| 7 | Bcbs La all payor other · outpatient | $285.05 | $285.05 | $190.03 – $380.06 |
| 8 | Optum all payor other · outpatient | $285.05 | $285.05 | $190.03 – $380.06 |
| 9 | First Health all payor percent of total billed charges · outpatientfrom % of charges | $781.58 | $781.58 | $521.05 – $1,042 |
| 10 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $827.55 | $827.55 | $551.70 – $1,103 |
| 11 | Cigna all payor other · outpatient | $879.96 | $879.96 | $586.64 – $1,173 |
| 12 | Bcbs La all payor fee schedule · outpatient | $905.18 | $895.76 | $659.35 – $1,232 |
| 13 | Aetna all payor case rate · outpatient | $3,374 | $3,374 | $2,699 – $4,049 |
| 14 | UnitedHealthcare all payor case rate · outpatient | $3,648 | $3,648 | $2,918 – $4,377 |
Last updated: Apr 1, 2026
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