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
Olivia, MN
See all hospitals reporting CPT 64636 →Price type
Olivia Hospital’s median price of $299 is 76% below the median hospital's median price ($1.2k), higher than 22% 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: 6 payers, 16 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 medicare advantage [50299] facility · fee schedule · both | $65 | $65 | — | — | — | $65 – $65 |
| 2 | UnitedHealthcare uhc medicare advantage ppo [50275] facility · fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 3 | Medica medica government advantage [50316] facility · fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 4 | Ucare ucare pmap [50283] facility · fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 5 | Blue Cross Blue Shield bcbs pmap [95296] facility · percent of total billed charges · bothfrom % of charges | $144 | $144 | $3 | 2% | — | $140 – $147 |
| 6 | Blue Cross Blue Shield bcbs medicare advantage [50299] facility · percent of total billed charges · bothfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 7 | UnitedHealthcare uhc medicare advantage ppo [50275] facility · percent of total billed charges · bothfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 8 | Medica medica government advantage [50316] facility · percent of total billed charges · bothfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 9 | Ucare ucare pmap [50283] facility · percent of total billed charges · bothfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 10 | Medica medica choice care pmap [50314] facility · fee schedule · both | $299 | $299 | — | — | — | $299 – $299 |
| 11 | Medica medica choice care pmap [50314] facility · percent of total billed charges · bothfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
| 12 | Healthpartners hp self insured [91021] facility · percent of total billed charges · bothfrom % of charges | $720 | $720 | $17 | 2% | — | $703 – $736 |
| 13 | Medica medica choice [90156] facility · percent of total billed charges · bothfrom % of charges | $790 | $790 | $18 | 2% | — | $771 – $808 |
| 14 | UnitedHealthcare uhc [50131] facility · percent of total billed charges · bothfrom % of charges | $798 | $798 | — | — | — | $798 – $798 |
| 15 | First Health first health network [95334] facility · percent of total billed charges · bothfrom % of charges | $800 | $800 | $18 | 2% | — | $782 – $819 |
| 16 | Blue Cross Blue Shield bcbs mn [90043] facility · percent of total billed charges · bothfrom % of charges | $801 | $801 | $18 | 2% | — | $782 – $819 |
Last updated: Mar 31, 2026
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