Price Checker / CPT 64643
How much does Chemodenerv 1 Extrem 1-4 Ea cost?
CPT 64643 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 48x the fair price — among the most extreme markups. Dispute this.
Fair price
$150–$300
What this should cost
With insurance
~$2,200
Typical out-of-pocket
Overcharged if over
$380
Push back above this
The average hospital charge of $11,069 is $10,839 over the fair price (about 48x the fair rate).
What hospitals charge for Chemodenerv 1 Extrem 1-4 Ea
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Parkland Health Center - Bonne Terre BONNE TERRE, MO | $16,864 | $10,119 | 16786% |
| Missouri Baptist Sullivan Hospital SULLIVAN, MO | $15,634 | $9,380 | 15554% |
| Centrastate Medical Center FREEHOLD, NJ | $9,696 | $5,277 | 9608% |
| Highland District Hospital HILLSBORO, OH | $2,081 | $1,665 | 1984% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Chemodenerv 1 Extrem 1-4 Ea
CPT code 64643 refers to chemodenerv 1 extrem 1-4 ea (billing description: "Chemodenerv 1 extrem 1-4 ea"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $60 in a facility (hospital or surgery center) and $100 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.