CPT 64490

Nerve Block Injection - Back

Current code44 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 64490 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27	—	$2,124	$5,309
Cascade Valley HospitalArlington	—	$2,292 – $4,584	$2,865 – $5,730
Coulee Medical CenterGrand Coulee	—	$2,074	$2,305
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$1,446	$3,616
EvergreenHealth Medical CenterKirkland	—	$2,682	$3,352
EvergreenHealth MonroeMonroe	—	$2,682	$3,352
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$3,719 – $5,579	$5,313 – $7,969
Island HospitalAnacortes	—	$231 – $2,370	$231 – $2,370
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$122 – $350Doctor’s fee: $228 – $350	$188 – $539Doctor’s fee: $350 – $539
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27	—	$2,038	$5,095
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27	—	$2,038	$5,095
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27	—	$2,038	$5,095
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27	—	$2,038	$5,095
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$1,446	$3,616
Olympic Medical CenterPort AngelesFile dated 2026-06-24	—	$1,440	$1,800
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$2,097	$2,995
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$4,909	$7,013
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$964	$1,377
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$2,506	$4,820
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$1,907	$2,724
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$1,855	$3,568
Skagit Valley HospitalMount Vernon	—	$2,505 – $5,010	$3,131 – $6,262
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01	—	$588	$1,224
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$2,542 – $3,813	$5,296 – $7,944
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$2,542 – $3,813	$5,296 – $7,944
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$2,542 – $3,813	$5,296 – $7,944
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27	—	$2,038	$5,095
Three Rivers HospitalBrewster	Doctor’s fee: $269	Doctor’s fee: $384	Doctor’s fee: $384
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,593 – $3,890	$3,705 – $5,557
Virginia Mason Medical CenterSeattle	—	$1,487	$2,916
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$1,050	$2,626

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $239 in an office; $103 in a hospital or surgery center
Doctor's fee, rest of Washington: $212 in an office; $95.16 in a hospital or surgery center
Hospital outpatient payment (national): $904 (APC 5443)
Surgery center payment (national): $486

How hospitals also write this code

Some price files write it differently. These are counted as CPT 64490:

64490P (with a letter after it, P; 4 price lines)
64490T (with a letter after it, T; 2 price lines)