CPT 64633
Destruction by Neurolytic Agent - Back
Current code40 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,216 – $2,438 | $2,494 | $6,235 |
| Deaconess Medical Center | $2,132 – $2,346 | $3,432 | $8,579 |
| EvergreenHealth Medical Center | $2,154 – $2,196 | $3,596 | $4,495 |
| EvergreenHealth Monroe | $2,112 – $2,153 | $3,596 | $4,495 |
| Harborview Medical Center | $2,261 – $2,487 | $5,148 – $7,723 | $7,355 – $11,032 |
| Highline Medical Center | $2,174 – $2,500 | — | — |
| Island Hospital | $2,331 – $2,470 | $520 – $3,271 | $520 – $3,271 |
| Kadlec Regional Medical Center | $2,176 – $2,611 | — | — |
| Legacy Salmon Creek Medical Center | $2,241 – $2,437 | $783 | $1,205 |
| Mary Bridge Children's Hospital | $2,233 – $2,457 | $2,556 | $6,389 |
| MultiCare Auburn Medical Center | $2,222 – $2,444 | $2,556 | $6,389 |
| MultiCare Covington Medical Center | $2,222 – $2,444 | $2,556 | $6,389 |
| MultiCare Good Samaritan Hospital | $2,233 – $2,457 | $2,556 | $6,389 |
| MultiCare Valley Hospital | $2,196 – $2,346 | $3,432 | $8,579 |
| Olympic Medical Center | $2,447 – $3,146 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,268 – $2,358 | — | — |
| PeaceHealth Southwest Medical Cente | $2,165 – $2,490 | $5,636 – $5,805 | $8,671 – $8,931 |
| PeaceHealth St John Medical Center | $1,811 – $2,554 | $3,610 – $4,174 | $5,553 – $6,422 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,176 – $2,611 | $4,159 | $5,941 |
| Providence Centralia Hospital | $2,261 – $3,618 | — | — |
| Providence Holy Family Hospital | $2,176 – $2,394 | — | — |
| Providence Regional Medical Center Everett | $2,224 – $2,446 | — | — |
| Providence St Mary Medical Center | $2,176 – $2,394 | $3,000 | $4,286 |
| Providence St Peter Hospital | $2,246 – $3,593 | — | — |
| Skagit Valley Hospital | $1,953 – $2,050 | $4,044 | $5,055 |
| St Anthony Hospital | $2,213 – $2,545 | — | — |
| St Clare Hospital | $2,213 – $2,545 | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | $2,174 – $2,500 | — | — |
| St Joseph Medical Center | $2,213 – $2,545 | — | — |
| St Michael Medical Center | $2,276 – $2,458 | — | — |
| Swedish Edmonds Hospital | $2,224 – $2,669 | — | — |
| Swedish Issaquah | $2,268 – $2,721 | $2,728 – $5,515 | $5,684 – $11,490 |
| Swedish Medical Center | $2,261 – $2,713 | $2,728 – $5,515 | $5,684 – $11,490 |
| Swedish Medical Center / Cherry Hill | $2,261 – $2,713 | $2,728 – $5,515 | $5,684 – $11,490 |
| Tacoma General Allenmore Hospital | $2,233 – $2,457 | $2,556 | $6,389 |
| University of Washington Medical Ctr | $2,261 – $2,487 | $4,618 – $6,927 | $6,597 – $9,896 |
| Virginia Mason Medical Center | $155 – $2,233 | $2,738 | $5,368 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,284 – $2,558 | $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