CPT 64636 at Lincoln Hospital

Destruction by Neurolytic Agent - Back

Lincoln Hospital, Davenport

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Lincoln Hospital publishes for this code: as an outpatient

Lincoln Hospital’s prices for CPT 64636, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$623 – $76010 plans	$81.41 – $318
Medicare AdvantageInsurer rates	$4392 plans	$50.88
Medicaid managed careInsurer rates	$367 – $3894 plans	$33.64 – $35.66
Other government programInsurer rates	$104 – $4394 plans	$45.79 – $104
UnknownInsurer rates	$598 – $7214 plans	$50.88
Cash pricePaying yourself, without insurance	$705	$232 – $322
List priceBefore any discount; few people pay it	$784	$258 – $358

Lowest and highest amounts Lincoln Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-09-14. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 64636 at Lincoln Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 64636 at every Washington hospital, with Medicare’s reference amounts.