CPT 64633
Destruction by Neurolytic Agent - Back
Current code40 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4,988 – $5,300 | $2,494 | $6,235 |
| Deaconess Medical Center | $6,091 – $6,263 | $3,432 | $8,579 |
| EvergreenHealth Medical Center | $301 – $5,959 | $3,596 | $4,495 |
| EvergreenHealth Monroe | $301 – $5,750 | $3,596 | $4,495 |
| Harborview Medical Center | — | $5,148 – $7,723 | $7,355 – $11,032 |
| Island Hospital | $344 – $4,195 | $520 – $3,271 | $520 – $3,271 |
| Legacy Salmon Creek Medical Center | — | $783 | $1,205 |
| Mary Bridge Children's Hospital | $4,178 – $5,111 | $2,556 | $6,389 |
| MultiCare Auburn Medical Center | $4,664 | $2,556 | $6,389 |
| MultiCare Covington Medical Center | $4,664 | $2,556 | $6,389 |
| MultiCare Good Samaritan Hospital | $4,664 | $2,556 | $6,389 |
| MultiCare Valley Hospital | $6,177 | $3,432 | $8,579 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,159 | $5,941 |
| Providence St Mary Medical Center | — | $3,000 | $4,286 |
| Skagit Valley Hospital | $3,124 – $8,744 | $4,044 | $5,055 |
| Swedish Issaquah | — | $5,515 | $11,490 |
| Swedish Medical Center | — | $5,515 | $11,490 |
| Swedish Medical Center / Cherry Hill | — | $5,515 | $11,490 |
| Tacoma General Allenmore Hospital | $4,664 | $2,556 | $6,389 |
| University of Washington Medical Ctr | — | $4,618 – $6,927 | $6,597 – $9,896 |
| Virginia Mason Medical Center | $3,438 – $4,294 | $2,738 | $5,368 |
| Yakima Valley Memorial | $3,134 | $2,239 | $5,597 |
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)
- $540 in an office; $189 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $476 in an office; $175 in a hospital or surgery center
- Hospital outpatient payment (national)
- $1,995 (APC 5431)
- Surgery center payment (national)
- $949