CPT 64628
Destruction by Neurolytic Agent - Back
Current code29 hospitals with prices
What Washington hospitals publish for this code
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | $38,616 | $34,326 | $42,907 |
| Harborview Medical Center | — | $936 | $1,338 |
| Island Hospital | $8,181 – $16,089 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $37,250 | $53,214 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $32,573 | $46,533 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | $713 | $1,018 |
| Virginia Mason Medical Center | — | $7,162 | $14,043 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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)
- $396 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $368 in a hospital or surgery center
- Hospital outpatient payment (national)
- $13,117 (APC 5115)
- Surgery center payment (national)
- $9,891