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  4. /CPT 64628
CPT 64628

PR Therm Dest Intraosseous Basivert Nrv Incl Img Gud 1st 2 Vert Bod Lum/S at Mercy Health Saint Marys

Grand Rapids, MI

Pricing by billing methodology

Price type

All methodologies

$176

4–40 samples

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$176

3–30 samples

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$668

Reflects a negotiated percentage of total billed charges.

Other

$12.5k

1–10 samples

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Mar 31, 2026

Compare to other hospitals

See PR Therm Dest Intraosseous Basivert Nrv Incl Img Gud 1st 2 Vert Bod Lum/S pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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