64636 (HCPCS) by state — Price Transparency

HCPCS · across United States

64636 — Destroy L/s Facet Jnt Addl

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$1,199 National median

$422 – $2,131 IQR (p25 – p75)

2,624 hospitals filing

51 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $1,134.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 64636 (HCPCS), with interquartile range
State	Median	p25	p75
WV	$55	$53	$90
OR	$267	$169	$1,881
VT	$371	$184	$2,425
DE	$403	$223	$414
RI	$407	$234	$1,312
CT	$447	$204	$2,733
HI	$460	$58	$924
ME	$537	$248	$1,111
KS	$541	$198	$1,471
AZ	$546	$518	$1,090
KY	$552	$143	$1,136
NH	$554	$207	$1,204
TN	$559	$229	$1,165
IN	$587	$123	$1,905
WY	$639	$299	$962
NY	$754	$155	$1,518
NM	$755	$499	$5,739
MS	$764	$391	$1,329
MT	$785	$324	$982
AR	$786	$303	$1,786
MI	$796	$520	$1,078
IA	$878	$186	$1,995
ND	$927	$310	$1,493
MA	$986	$422	$1,792
PA	$999	$70	$2,850
SD	$1,027	$811	$1,299
DC	$1,087	$627	$1,556
LA	$1,121	$838	$2,438
CO	$1,150	$236	$1,967
CA	$1,200	$77	$3,259
AL	$1,253	$364	$3,101
NE	$1,302	$293	$2,664
WA	$1,315	$225	$1,368
OH	$1,363	$566	$1,990
AK	$1,452	$406	$2,261
NC	$1,454	$704	$3,500
OK	$1,468	$715	$3,046
IL	$1,477	$459	$2,302
WI	$1,485	$751	$1,962
TX	$1,554	$803	$2,301
MD	$1,581	$1,282	$1,772
NV	$1,588	$142	$2,400
SC	$1,620	$1,038	$1,937
MO	$1,657	$799	$3,227
GA	$1,668	$340	$2,350
ID	$1,746	$77	$4,570
FL	$1,767	$1,019	$2,925
VA	$1,919	$1,084	$2,550
MN	$1,925	$940	$2,009
UT	$2,073	$345	$2,938
NJ	$2,506	$2,121	$4,134

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

WV	$55	$53	$90	$17	$4,290	21	76	1,710
OR	$267	$169	$1,881	$41	$7,246	18	295	1,197
VT	$371	$184	$2,425	$38	$4,859	6	34	349
DE	$403	$223	$414	$96	$622	4	12	38
RI	$407	$234	$1,312	$101	$8,626	6	16	48
CT	$447	$204	$2,733	$36	$10,999	21	40	409
HI	$460	$58	$924	<$1	$6,070	11	29	379
ME	$537	$248	$1,111	$48	$2,489	18	21	258
KS	$541	$198	$1,471	<$1	$11,847	74	354	2,936
AZ	$546	$518	$1,090	$50	$5,681	44	393	2,635
KY	$552	$143	$1,136	$35	$11,643	58	150	1,554
NH	$554	$207	$1,204	$23	$19,301	11	40	351
TN	$559	$229	$1,165	<$1	$8,589	57	96	2,580
IN	$587	$123	$1,905	$16	$20,528	48	235	2,261
WY	$639	$299	$962	$5	$3,214	20	91	708
NY	$754	$155	$1,518	$9	$50,000	120	328	9,220
NM	$755	$499	$5,739	$48	$6,376	14	89	208
MS	$764	$391	$1,329	$44	$22,390	35	176	1,038
MT	$785	$324	$982	$51	$3,113	19	193	759
AR	$786	$303	$1,786	$5	$14,525	30	242	1,709
MI	$796	$520	$1,078	<$1	$88,708	69	521	6,805
IA	$878	$186	$1,995	<$1	$12,795	83	288	5,429
ND	$927	$310	$1,493	$1	$2,499	11	30	191
MA	$986	$422	$1,792	$1	$13,614	38	364	2,514
PA	$999	$70	$2,850	<$1	$24,358	94	225	3,441
SD	$1,027	$811	$1,299	$1	$3,439	15	93	738
DC	$1,087	$627	$1,556	$39	$11,169	5	23	125
LA	$1,121	$838	$2,438	$2	$17,881	41	158	1,630
CO	$1,150	$236	$1,967	$4	$17,204	64	213	2,946
CA	$1,200	$77	$3,259	<$1	$50,000	179	691	8,057
AL	$1,253	$364	$3,101	$18	$43,385	33	171	1,097
NE	$1,302	$293	$2,664	$16	$21,626	50	143	1,524
WA	$1,315	$225	$1,368	$10	$13,212	45	166	2,605
OH	$1,363	$566	$1,990	<$1	$11,143	99	537	7,320
AK	$1,452	$406	$2,261	$69	$6,642	8	31	139
NC	$1,454	$704	$3,500	$40	$14,600	65	137	3,427
OK	$1,468	$715	$3,046	$24	$21,380	54	101	931
IL	$1,477	$459	$2,302	$3	$19,658	102	380	6,278
WI	$1,485	$751	$1,962	$25	$24,406	89	448	7,930
TX	$1,554	$803	$2,301	<$1	$48,083	257	377	7,814
MD	$1,581	$1,282	$1,772	$98	$2,157	2 ⚠ thin data	12	28
NV	$1,588	$142	$2,400	$21	$6,461	14	219	621
SC	$1,620	$1,038	$1,937	$1	$14,554	49	106	1,422
MO	$1,657	$799	$3,227	<$1	$50,000	66	327	7,656
GA	$1,668	$340	$2,350	$25	$50,000	72	112	1,842
ID	$1,746	$77	$4,570	$13	$10,156	26	208	1,952
FL	$1,767	$1,019	$2,925	<$1	$50,000	136	748	7,797
VA	$1,919	$1,084	$2,550	$59	$13,659	46	59	1,681
MN	$1,925	$940	$2,009	$1	$50,000	81	395	6,689
UT	$2,073	$345	$2,938	$29	$8,159	35	135	3,646
NJ	$2,506	$2,121	$4,134	$7	$16,802	55	308	4,563