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 CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL
Las Vegas, NV
See all hospitals reporting CPT 64612 →Price type
University Medical Center of Southern Nevada’s median price of $173 is 56% below the median hospital's median price ($393), higher than 11% 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: 8 payers, 53 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 | Aetna medicare managed care fee schedule · both | $114.98 | $116.39 | $101.43 – $132.77 |
| 2 | Bcbs Nv anthem medicaid other · outpatient | $117.67 | $117.67 | $117.67 – $117.67 |
| 3 | Molina medicaid fee schedule · outpatient | $117.67 | $117.67 | $117.67 – $117.67 |
| 4 | UnitedHealthcare medicare advantage ppo fee schedule · both | $123.88 | $123.88 | $114.98 – $132.77 |
| 5 | UnitedHealthcare medicare solutions hmo fee schedule · both | $123.88 | $123.88 | $114.98 – $132.77 |
| 6 | Bcbs Nv medicare advantage hmo fee schedule · both | $124.20 | $123.98 | $114.98 – $132.77 |
| 7 | Bcbs Nv medicare advantage ppo fee schedule · both | $124.20 | $123.98 | $114.98 – $132.77 |
| 8 | Molina medicare advantage fee schedule · both | $124.20 | $123.98 | $114.98 – $132.77 |
| 9 | Bcbs Nv anthem federal fee schedule · both | $143.83 | $143.83 | $133.30 – $154.36 |
| 10 | Bcbs Nv anthem hmo fee schedule · both | $143.83 | $143.83 | $133.30 – $154.36 |
| 11 | Bcbs Nv anthem ppo fee schedule · both | $143.83 | $143.83 | $133.30 – $154.36 |
| 12 | Bcbs Nv generic fee schedule · both | $143.83 | $143.83 | $133.30 – $154.36 |
| 13 | Aetna generic fee schedule · both | $159.92 | $161.66 | $127.63 – $199.16 |
| 14 | Aetna hmo fee schedule · both | $159.92 | $161.66 | $127.63 – $199.16 |
| 15 | Aetna meritain fee schedule · both | $159.92 | $161.66 | $127.63 – $199.16 |
| 16 | Aetna ppo fee schedule · both | $159.92 | $161.66 | $127.63 – $199.16 |
| 17 | Aetna qhp gatekeeper fee schedule · both | $159.92 | $161.66 | $127.63 – $199.16 |
| 18 | Aetna src student fee schedule · both | $159.92 | $161.66 | $127.63 – $199.16 |
| 19 | First Health all plans fee schedule · both | $160.59 | $162.28 | $128.78 – $199.16 |
| 20 | Ambetter commercial exchange plan fee schedule · both | $183.34 | $183.34 | $170.17 – $196.50 |
| 21 | Molina marketplace fee schedule · both | $201.22 | $202.44 | $172.47 – $232.35 |
| 22 | Cigna all plans fee schedule · both | $273.86 | $273.86 | $254.35 – $293.37 |
| 23 | Cigna generic fee schedule · both | $273.86 | $273.86 | $254.35 – $293.37 |
| 24 | Cigna healthpartners fee schedule · both | $273.86 | $273.86 | $254.35 – $293.37 |
| 25 | Kaiser hawaii fee schedule · both | $273.86 | $273.86 | $254.35 – $293.37 |
Last updated: Jul 1, 2026
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