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Procedure price report · Other non-OR or closed therapeutic nervous system procedures

Neck or upper back facet joint nerve injection, first level

CPT 64490the billing code this page is about

An injection of anesthetic and/or steroid at the nerves supplying one cervical or thoracic spinal joint, using imaging guidance; covers the first level treated on one side.

Hospitals typically charge $1,362 cash for this outpatient procedure — the median across 2,251 hospitals that filed a usable cash price; the average of the middle 60% is $1,389. Most fall between $552 and $2,495 (20th–80th percentile).

Hospitals
2,251
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,251 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$314$678$1,362$2,196$3,503

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($314 vs $3,503).

How the prices are spread

$222 – $301: 101 hospitals$222$301 – $407: 97 hospitals$407 – $551: 138 hospitals$407$551 – $746: 158 hospitals$746 – $1,011: 220 hospitals$746$1,011 – $1,368: 303 hospitals$1,368 – $1,852: 395 hospitals$1,368$1,852 – $2,507: 285 hospitals$2,507 – $3,394: 198 hospitals$2,507$3,394 – $4,595: 139 hospitals$3,394median $1,362price bands are equal on a log scale
Hospitals per price band (2,034 of 2,251 — the bands cover the 5th to 95th percentile)
FromToHospitals
$222$301101
$301$40797
$407$551138
$551$746158
$746$1,011220
$1,011$1,368303
$1,368$1,852395
$1,852$2,507285
$2,507$3,394198
$3,394$4,595139

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,362
Cash as a multiple of Medicare1.51×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,362.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $972 across 19 hospitalsME$972Vermont: median $630 across 10 hospitalsVT$630New Hampshire: median $689 across 16 hospitalsNH$689Washington: median $1,446 across 49 hospitalsWA$1,446Idaho: median $1,435 across 21 hospitalsID$1,435Montana: median $551 across 19 hospitalsMT$551North Dakota: median $1,145 across 17 hospitalsND$1,145Minnesota: median $1,157 across 84 hospitalsMN$1,157Illinois: median $1,245 across 94 hospitalsIL$1,245Wisconsin: median $1,423 across 82 hospitalsWI$1,423Michigan: median $951 across 67 hospitalsMI$951New York: median $1,178 across 76 hospitalsNY$1,178Massachusetts: median $1,994 across 39 hospitalsMA$1,994Oregon: median $640 across 33 hospitalsOR$640Nevada: median $699 across 14 hospitalsNV$699Wyoming: median $758 across 13 hospitalsWY$758South Dakota: median $526 across 12 hospitalsSD$526Iowa: median $812 across 78 hospitalsIA$812Indiana: median $720 across 51 hospitalsIN$720Ohio: median $2,084 across 128 hospitalsOH$2,084Pennsylvania: median $1,456 across 82 hospitalsPA$1,456New Jersey: median $1,188 across 51 hospitalsNJ$1,188Connecticut: median $1,824 across 18 hospitalsCT$1,824Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,018 across 146 hospitalsCA$2,018Utah: median $1,435 across 31 hospitalsUT$1,435Colorado: median $1,450 across 55 hospitalsCO$1,450Nebraska: median $1,165 across 50 hospitalsNE$1,165Missouri: median $975 across 60 hospitalsMO$975Kentucky: median $1,509 across 27 hospitalsKY$1,509West Virginia: median $1,187 across 27 hospitalsWV$1,187Virginia: median $1,302 across 47 hospitalsVA$1,302Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $965 across 33 hospitalsAZ$965New Mexico: median $1,563 across 13 hospitalsNM$1,563Kansas: median $719 across 64 hospitalsKS$719Arkansas: median $587 across 15 hospitalsAR$587Tennessee: median $552 across 38 hospitalsTN$552North Carolina: median $1,303 across 50 hospitalsNC$1,303South Carolina: median $1,857 across 38 hospitalsSC$1,857Oklahoma: median $980 across 41 hospitalsOK$980Louisiana: median $714 across 35 hospitalsLA$714Mississippi: median $489 across 36 hospitalsMS$489Alabama: median $1,091 across 29 hospitalsAL$1,091Georgia: median $2,396 across 70 hospitalsGA$2,396Hawaii: median $1,466 across 12 hospitalsHI$1,466Texas: median $1,595 across 154 hospitalsTX$1,595Florida: median $1,798 across 81 hospitalsFL$1,798
Cash price by state, most expensive first. National median $1,362. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA70$2,396+76%$1,455 – $3,576
Ohio OH128$2,084+53%$1,171 – $3,273
California CA146$2,018+48%$1,029 – $4,508
Massachusetts MA39$1,994+46%$1,108 – $2,932
South Carolina SC38$1,857+36%$1,377 – $2,642
Connecticut CT18$1,824+34%$1,106 – $3,451
Florida FL81$1,798+32%$1,072 – $2,838
Texas TX154$1,595+17%$936 – $2,619
New Mexico NM13$1,563+15%$778 – $1,720
Kentucky KY27$1,509+11%$583 – $2,024
Hawaii HI12$1,466+8%$956 – $2,126
Pennsylvania PA82$1,456+7%$844 – $2,482
Colorado CO55$1,450+6%$871 – $3,080
Washington WA49$1,446+6%$406 – $2,506
Idaho ID21$1,435+5%$432 – $2,430
Utah UT31$1,435+5%$1,256 – $1,688
Wisconsin WI82$1,423+5%$652 – $2,247
North Carolina NC50$1,303−4%$666 – $2,547
Virginia VA47$1,302−4%$552 – $1,776
Illinois IL94$1,245−9%$446 – $2,521
New Jersey NJ51$1,188−13%$985 – $4,881
West Virginia WV27$1,187−13%$614 – $1,819
New York NY76$1,178−14%$529 – $3,765
Nebraska NE50$1,165−14%$508 – $1,802
Minnesota MN84$1,157−15%$669 – $1,728
North Dakota ND17$1,145−16%$377 – $1,593
Alabama AL29$1,091−20%$630 – $3,490
Oklahoma OK41$980−28%$563 – $1,340
Missouri MO60$975−28%$463 – $1,742
Maine ME19$972−29%$266 – $2,111
Arizona AZ33$965−29%$237 – $8,522
Michigan MI67$951−30%$199 – $1,682
Iowa IA78$812−40%$383 – $1,834
Wyoming WY13$758−44%$326 – $1,718
Indiana IN51$720−47%$219 – $1,419
Kansas KS64$719−47%$325 – $1,360
Louisiana LA35$714−48%$365 – $1,344
Nevada NV14$699−49%$499 – $3,430
New Hampshire NH16$689−49%$367 – $1,487
Oregon OR33$640−53%$350 – $2,114
Vermont VT10$630−54%$262 – $1,630
Arkansas AR15$587−57%$306 – $947
Tennessee TN38$552−59%$408 – $1,106
Montana MT19$551−60%$298 – $1,366
South Dakota SD12$526−61%$526 – $1,981
Mississippi MS36$489−64%$332 – $1,611
Alaska AK8not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,362.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,657$1,482$718 – $2,631
Children’s36$2,038$844 – $4,341
Critical access550$851$349 – $1,841
Ownership
For-profit222$1,612$808 – $2,838
Government417$1,054$418 – $2,126
Non-profit1,604$1,423$577 – $2,542
System affiliation
Part of a system1,848$1,456$640 – $2,619
Independent403$954$350 – $1,847

Cash price vs list price

Median list price (chargemaster)$2,370
Median cash price$1,362
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,575 hospitals filed a usable inpatient cash price for this code. The median is $1,502 and the average of the middle 60% is $1,544; most fall between $652 and $2,619.

Cash price percentiles, inpatient, across 1,575 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$360$812$1,502$2,340$3,575

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($360 vs $3,575).

Of the 1,695 hospitals that filed this code inpatient, 1,575 gave a usable cash price; 39 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 80 a list price only.

How complete is this

2,251 of the 3,956 hospitals with a price file in our corpus (57%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,421 hospitals that filed this code at all gave us
Usable cash price — counted2,251
Cash price carrying a plausibility flag — shown on the compare tool, excluded here70
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded91
Hospitals that filed this code2,421

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR or closed therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 1 Level.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Neck or upper back facet joint nerve injection, first level (CPT 64490) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64490-neck-or-upper-back-facet-joint-nerve-injection-first-level