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
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil|LEFT SIDE
Saint Louis, MO
See all hospitals reporting CPT 64612 →Price type
St Louis Childrens Hospital’s median price of $393 is about the same as the median hospital's median price ($393), higher than 50% 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: 6 payers, 11 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 bjc hb cigna local plus slc percent of total billed charges · bothfrom % of charges | $317.34 | $317.34 | $317.34 – $317.34 |
| 2 | Cigna bjc hb cigna special slc percent of total billed charges · bothfrom % of charges | $332.18 | $332.18 | $332.18 – $332.18 |
| 3 | Cigna bjc hb cigna hmo/ppo slc percent of total billed charges · bothfrom % of charges | $350.24 | $350.24 | $350.24 – $350.24 |
| 4 | Blue Cross Blue Shield bjc hb wash u student health percent of total billed charges · bothfrom % of charges | $354.75 | $354.75 | $354.75 – $354.75 |
| 5 | Blue Cross Blue Shield bjc hb anthem choice slc percent of total billed charges · bothfrom % of charges | $392.81 | $392.81 | $392.81 – $392.81 |
| 6 | Blue Cross Blue Shield bjc hb anthem access slc percent of total billed charges · bothfrom % of charges | $423.12 | $423.12 | $423.12 – $423.12 |
| 7 | Humana bjc hb humana choicecare slc percent of total billed charges · bothfrom % of charges | $480.53 | $480.53 | $480.53 – $480.53 |
| 8 | Medica bjc hb wellfirst first health slc percent of total billed charges · bothfrom % of charges | $516.00 | $516.00 | $516.00 – $516.00 |
| 9 | Phcs bjc hb wellfirst first health slc percent of total billed charges · bothfrom % of charges | $516.00 | $516.00 | $516.00 – $516.00 |
| 10 | Blue Cross Blue Shield bjc hb anthem access slc percent of total billed charges · outpatientfrom % of charges | $11,577 | $11,300 | $10,747 – $11,577 |
| 11 | UnitedHealthcare bjc hb united health care slc percent of total billed charges · outpatientfrom % of charges | $12,583 | $12,583 | $12,583 – $12,583 |
Last updated: Dec 15, 2025
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