What does code 64624 cost?

Across the published hospital price files, the disclosed cash price for 64624 ranges from $261 to $6,225. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

64624 is the billing code hospitals use to identify "Dstrj nulyt agt gnclr nrv" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

64624

HCPCS

Dstrj nulyt agt gnclr nrv

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 64624 (Dstrj nulyt agt gnclr nrv) appears at 30 hospitals with disclosed cash prices from $261 to $6,225. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 64624 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 64624 vary by about 24× across the 20 hospitals with disclosed prices here — from $261 to $6,225. Shopping around can matter.

Hospitals

Prices shown

$261

Lowest cash

$6,225

Highest cash

code 64624 cash price26 disclosed · 20 hospitals

$261median ~$3,258$6,225

Lowest cash price by hospital

Healdsburg Hospital$261
Advocate Lutheran General Hospital$1,135
Providence Little Company of Mary Med Center Torrance$1,308
Aurora BayCare Medical Center$1,470
Aurora Medical Center Burlington$1,470
Aurora Medical Center Fond du Lac$1,470

Cash price by city

Reflects your current filters.

Cash price by city$261 – $1,470

Healdsburg · 1 hospital$261–$544
Park Ridge · 1 hospital$1,135
Torrance · 1 hospital$1,308
Green Bay · 1 hospital$1,470
Burlington · 1 hospital$1,470
Fond Du Lac · 1 hospital$1,470

43 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Dstrj nulyt agt gnclr nrv Outpatient	Endeavor Health Edward Hospital	64624 HCPCS	—	—	$492 – $3,620	—
Hc Destruction By Neurolytic Agent, Genicular Nerve Branches Including Imaging Guidance, When Perfor Inpatient & outpatient	University of Chicago Medical Center	64624 HCPCS	—	—	—	—
Dstrj nulyt agt gnclr nrv Outpatient	University of Chicago Medical Center	64624 HCPCS	—	—	—	—
DESTROY GENICULAR NB W IMG Outpatient	Advocate Illinois Masonic Medical Center	64624 CPT	$6,780	$3,390	$2,671 – $12,362	—
HB DESTR NEUROLYTIC AGENT GENICULR NRV BR W/IMG Inpatient & outpatient	Endeavor Health Swedish Hospital	64624 HCPCS	$3,888	$3,888	—	—
DESTROY GENICULAR NB W IMG Inpatient	Advocate Lutheran General Hospital	64624 CPT	$2,270	$1,135	$992 – $1,816	—
DESTROY GENICULAR NB W IMG Outpatient	Advocate Condell Medical Center	64624 CPT	$5,820	$2,910	$2,293 – $8,003	—
DESTROY GENICULAR NB W IMG Outpatient	Advocate South Suburban Hospital	64624 CPT	$6,250	$3,125	$2,463 – $12,362	—
HC DESTRUCTION NEUROLYTIC AGENT GENICULAR NERVE W/ IMAGE GUIDANCE Outpatient	Froedtert Menomonee Falls Hospital	64624 CPT	$3,108	$1,709	$932 – $5,498	—
DESTROY GENICULAR NB W IMG Inpatient	Aurora BayCare Medical Center	64624 CPT	$2,940	$1,470	$1,764 – $2,499	—
DESTROY GENICULAR NB W IMG Inpatient	Aurora Medical Center Burlington	64624 CPT	$2,940	$1,470	$1,764 – $2,499	—
64624 DSTJ NULT AGT GNCLR NRV IMG Inpatient	Munson Healthcare Charlevoix Hospital	64624 CPT	$4,055	$3,447	$3,244 – $4,055	—
64624 DSTJ NULY A GNCLR N IMG BIL Inpatient	Munson Healthcare Charlevoix Hospital	64624 CPT	$6,082	$5,170	$4,866 – $6,082	—
64624 DSTJ NULT AGT GNCLR NRV IMG Inpatient	Munson Healthcare Manistee Hospital	64624 CPT	$4,055	$3,447	$852 – $3,731	—
64624 DSTJ NULY A GNCLR N IMG BIL Inpatient	Munson Healthcare Manistee Hospital	64624 CPT	$6,082	$5,170	$852 – $5,595	—
DESTROY GENICULAR NB W IMG Inpatient	Aurora Medical Center Fond du Lac	64624 CPT	$2,940	$1,470	$1,764 – $2,499	—
DESTROY GENICULAR NB W IMG Inpatient	Aurora Medical Center Grafton	64624 CPT	$2,940	$1,470	$1,764 – $2,499	—
DESTROY GENICULAR NB W IMG Inpatient	Aurora Medical Center Kenosha	64624 CPT	$2,940	$1,470	$1,764 – $2,499	—
64624 DSTJ NULT AGT GNCLR NRV IMG Inpatient	Kalkaska Memorial Health Center	64624 CPT	$4,882	$4,150	$852 – $4,638	—
64624 DSTJ NULY A GNCLR N IMG BIL Inpatient	Kalkaska Memorial Health Center	64624 CPT	$7,323	$6,225	$852 – $6,957	—
64624 DSTJ NULT AGT GNCLR NRV IMG Inpatient	Munson Healthcare Cadillac	64624 CPT	$4,025	$3,421	$852 – $3,421	—
64624 DSTJ NULY A GNCLR N IMG BIL Inpatient	Munson Healthcare Cadillac	64624 CPT	$6,035	$5,130	$852 – $5,130	—
64624 DSTJ NULT AGT GNCLR NRV IMG Outpatient	Munson Medical Center	64624 CPT	$4,094	$3,480	$1,018 – $4,864	—
64624 DSTJ NULY A GNCLR N IMG BIL Outpatient	Munson Medical Center	64624 CPT	$6,141	$5,220	$1,018 – $6,018	—
HC DSTRJ NULYT AGT GNCLR NRV Inpatient	Deaconess Union County Hospital	64624 CPT	$4,301	$2,021	$2,021 – $4,172	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 64624 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Endeavor Health Swedish Hospital Advocate Lutheran General Hospital Advocate Condell Medical Center Advocate South Suburban Hospital Froedtert Menomonee Falls Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Kalkaska Memorial Health Center Munson Healthcare Cadillac Munson Medical Center Deaconess Union County Hospital Healdsburg Hospital Providence Holy Cross Medical Center Texas Health Center for Diagnostics and Surgery Plano Providence Little Company of Mary Med Center Torrance Jefferson Abington Hospital Jefferson Bucks Hospital Jefferson Cherry Hill Hospital Jefferson Frankford Hospital Jefferson Lansdale Hospital Jefferson Methodist Hospital Atrium Health Union

Code 64624: frequently asked

What does code 64624 cost?: Across the published hospital price files, the disclosed cash price for 64624 ranges from $261 to $6,225. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 64624?: 64624 is the billing code hospitals use to identify "Dstrj nulyt agt gnclr nrv" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 64624 by state

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