Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR DESTRUCT BY NEURO AGENT; PUDENDAL
Cedar Rapids, IA
See all hospitals reporting CPT 64630 →Price type
St Luke's Methodist Hospital’s median price of $590 is 48% below the median hospital's median price ($1.1k), higher than 14% of the 1,595 hospitals reporting CPT 64630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 2 | Molina medicare advantage fee schedule · both | $177 | $177 | — | — | — | $177 – $177 |
| 3 | Wellmark medicare advantage fee schedule · both | $177 | $177 | — | — | — | $177 – $177 |
| 4 | Humana medicare advantage fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 6 | Wellmark commercial fee schedule · both | $374 | $374 | — | — | — | $374 – $374 |
| 7 | Wellmark hmo fee schedule · both | $374 | $374 | — | — | — | $374 – $374 |
| 8 | Aetna hmo fee schedule · both | $429 | $429 | — | — | — | $429 – $429 |
| 9 | Wellmark ppo fee schedule · both | $439 | $439 | — | — | — | $439 – $439 |
| 10 | Cigna commercial fee schedule · both | $458 | $458 | — | — | — | $458 – $458 |
| 11 | Aetna ppo fee schedule · both | $523 | $523 | — | — | — | $523 – $523 |
| 12 | UnitedHealthcare hmo fee schedule · both | $590 | $590 | — | — | — | $590 – $590 |
| 13 | UnitedHealthcare ppo fee schedule · both | $590 | $590 | — | — | — | $590 – $590 |
| 14 | Aetna medicare advantage case rate · outpatient | $842 | $842 | — | — | — | $842 – $842 |
| 15 | Molina medicare advantage case rate · outpatient | $842 | $842 | — | — | — | $842 – $842 |
| 16 | Wellmark medicare advantage case rate · outpatient | $842 | $842 | — | — | — | $842 – $842 |
| 17 | Humana medicare advantage case rate · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 19 | Aetna hmo fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Aetna ppo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Jan 28, 2026
See Pudendal nerve destruction with neurolytic agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.