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 | $639 – $946 | $2,494 | $6,235 |
| Deaconess Medical Center | $584 – $619 | $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 |
| Highline Medical Center | — | — | — |
| Island Hospital | $603 – $654 | $520 – $3,271 | $520 – $3,271 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $783 | $1,205 |
| Mary Bridge Children's Hospital | $604 – $653 | $2,556 | $6,389 |
| MultiCare Auburn Medical Center | $594 – $641 | $2,556 | $6,389 |
| MultiCare Covington Medical Center | $594 – $641 | $2,556 | $6,389 |
| MultiCare Good Samaritan Hospital | $607 – $656 | $2,556 | $6,389 |
| MultiCare Valley Hospital | $580 – $614 | $3,432 | $8,579 |
| Olympic Medical Center | $747 – $818 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $2,252 | $5,636 – $5,805 | $8,671 – $8,931 |
| PeaceHealth St John Medical Center | $1,811 – $2,438 | $3,610 – $4,174 | $5,553 – $6,422 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,159 | $5,941 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $3,000 | $4,286 |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | $632 – $774 | $4,044 | $5,055 |
| St Anthony Hospital | — | — | — |
| St Clare Hospital | — | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | — | — | — |
| St Joseph Medical Center | — | — | — |
| St Michael Medical Center | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $2,728 – $5,515 | $5,684 – $11,490 |
| Swedish Medical Center | — | $2,728 – $5,515 | $5,684 – $11,490 |
| Swedish Medical Center / Cherry Hill | — | $2,728 – $5,515 | $5,684 – $11,490 |
| Tacoma General Allenmore Hospital | $607 – $656 | $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 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $580 – $674 | $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