CPT 64629
Destruction by Neurolytic Agent - Back
Current code17 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| EvergreenHealth Medical Center | — | $11,442 | $14,303 |
| Harborview Medical Center | — | $518 | $740 |
| Island Hospital | $7,227 – $7,841 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Olympic Medical Center | $8,953 – $9,806 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $595 | $850 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $520 | $743 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| University of Washington Medical Ctr | — | $356 | $509 |
| Virginia Mason Medical Center | — | — | — |
| 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)
- $178 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $167 in a hospital or surgery center