CPT 64633
Destruction by Neurolytic Agent - Back
Current code40 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) |
|---|---|---|---|
| Capital Medical Center | — | $2,494 | $6,235 |
| Deaconess Medical Center | — | $3,432 | $8,579 |
| EvergreenHealth Medical Center | — | $3,596 | $4,495 |
| EvergreenHealth Monroe | $2,112 | $3,596 | $4,495 |
| Harborview Medical Center | — | $5,148 – $7,723 | $7,355 – $11,032 |
| Island Hospital | $603 – $654 | $520 – $3,271 | $520 – $3,271 |
| Legacy Salmon Creek Medical Center | — | $783 | $1,205 |
| Mary Bridge Children's Hospital | — | $2,556 | $6,389 |
| MultiCare Auburn Medical Center | — | $2,556 | $6,389 |
| MultiCare Covington Medical Center | — | $2,556 | $6,389 |
| MultiCare Good Samaritan Hospital | — | $2,556 | $6,389 |
| MultiCare Valley Hospital | — | $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 | $632 – $774 | $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 | — | $2,556 | $6,389 |
| University of Washington Medical Ctr | — | $4,618 – $6,927 | $6,597 – $9,896 |
| Virginia Mason Medical Center | — | $2,738 | $5,368 |
| Yakima Valley Memorial | — | $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