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
64642 CHEMODENERV 1 EXTREMITY
Wayne, IN
See all hospitals reporting CPT 64642 →Price type
St. Joseph Health System, LLC’s median price of $290 is 63% below the median hospital's median price ($794), higher than 14% of the 1,954 hospitals reporting CPT 64642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 33 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $127 | $127 | $44 | 35% | — | $83 – $171 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $127 | $127 | $44 | 35% | — | $83 – $171 |
| 3 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $142 | $142 | $49 | 35% | — | $93 – $192 |
| 4 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $142 | $142 | $49 | 35% | — | $93 – $192 |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $142 | $142 | $49 | 35% | — | $93 – $192 |
| 6 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $180 | $180 | $63 | 35% | — | $118 – $243 |
| 7 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $180 | $180 | $63 | 35% | — | $118 – $243 |
| 8 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $267 | $267 | $92 | 35% | — | $174 – $359 |
| 9 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $267 | $267 | $92 | 35% | — | $174 – $359 |
| 10 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $270 | $270 | $94 | 35% | — | $177 – $364 |
| 11 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $270 | $270 | $94 | 35% | — | $177 – $364 |
| 12 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $294 | $294 | $102 | 35% | — | $192 – $396 |
| 13 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $294 | $294 | $102 | 35% | — | $192 – $396 |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $306 | $306 | $106 | 35% | — | $200 – $412 |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $306 | $306 | $106 | 35% | — | $200 – $412 |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $314 | $314 | $109 | 35% | — | $205 – $422 |
| 17 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $314 | $314 | $109 | 35% | — | $205 – $422 |
| 18 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $392 | $392 | $136 | 35% | — | $256 – $528 |
| 19 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $392 | $392 | $136 | 35% | — | $256 – $528 |
| 20 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $392 | $392 | $136 | 35% | — | $256 – $528 |
| 21 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $392 | $392 | $136 | 35% | — | $256 – $528 |
| 22 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $661 | $661 | — | — | — | $661 – $661 |
| 23 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $735 | $735 | — | — | — | $735 – $735 |
| 24 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $735 | $735 | — | — | — | $735 – $735 |
| 25 | Humana node humana mcr adv facility · fee schedule · outpatient | $735 | $735 | — | — | — | $735 – $735 |
Last updated: Apr 1, 2026
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