Price Checker / CPT 64646
How much does Chemodenerv Trunk Musc 1-5 cost?
CPT 64646 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 76x the fair price — among the most extreme markups. Dispute this.
Fair price
$260–$510
What this should cost
With insurance
~$2,350
Typical out-of-pocket
Overcharged if over
$640
Push back above this
The average hospital charge of $29,759 is $29,369 over the fair price (about 76x the fair rate).
What hospitals charge for Chemodenerv Trunk Musc 1-5
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Huntington Hospital PASADENA, NY | — | $4,595 | 19151% |
| Long Island Jewish Forest Hills , NY | — | $4,595 | 19151% |
| Long Island Jewish Valley Stream , NY | — | $4,595 | 19151% |
| Syosset Hospital , NY | — | $4,595 | 19151% |
| Phelps Hospital SLEEPY HOLLOW, NY | — | $4,595 | 15897% |
| Lenox Hill Hospital NEW YORK, NY | — | $4,595 | 14544% |
| Staten Island University Hospital STATEN ISLAND, NY | — | $4,595 | 14544% |
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 Trunk Musc 1-5
CPT code 64646 refers to chemodenerv trunk musc 1-5 (billing description: "Chemodenerv trunk musc 1-5"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $104 in a facility (hospital or surgery center) and $170 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.