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

Facet joint injection in neck or mid-back, third level

CPT 64492the billing code this page is about

Injection of numbing medicine and/or steroid into or near a small spinal joint in the neck or mid-back, with imaging guidance; this add-on code covers the third level treated in one session.

Hospitals typically charge $597 cash for this outpatient procedure — the median across 1,904 hospitals that filed a usable cash price; the average of the middle 60% is $654. Most fall between $238 and $1,373 (20th–80th percentile).

Hospitals
1,904
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 1,904 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
$130$286$597$1,160$2,023

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($130 vs $2,023).

How the prices are spread

$89 – $125: 82 hospitals$89$125 – $176: 100 hospitals$176 – $248: 124 hospitals$176$248 – $348: 185 hospitals$348 – $489: 199 hospitals$348$489 – $687: 295 hospitals$687 – $965: 224 hospitals$687$965 – $1,356: 214 hospitals$1,356 – $1,906: 174 hospitals$1,356$1,906 – $2,678: 117 hospitals$1,906median $597price bands are equal on a log scale
Hospitals per price band (1,714 of 1,904 — the bands cover the 5th to 95th percentile)
FromToHospitals
$89$12582
$125$176100
$176$248124
$248$348185
$348$489199
$489$687295
$687$965224
$965$1,356214
$1,356$1,906174
$1,906$2,678117

By state

The median cash price in each state, against the national median of $597.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $341 across 16 hospitalsME$341Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $515 across 16 hospitalsNH$515Washington: median $675 across 41 hospitalsWA$675Idaho: median $398 across 18 hospitalsID$398Montana: median $216 across 17 hospitalsMT$216North Dakota: median $318 across 12 hospitalsND$318Minnesota: median $370 across 75 hospitalsMN$370Illinois: median $510 across 82 hospitalsIL$510Wisconsin: median $417 across 72 hospitalsWI$417Michigan: median $348 across 65 hospitalsMI$348New York: median $609 across 58 hospitalsNY$609Massachusetts: median $385 across 32 hospitalsMA$385Oregon: median $321 across 30 hospitalsOR$321Nevada: median $295 across 10 hospitalsNV$295Wyoming: median $281 across 12 hospitalsWY$281South Dakota: median $266 across 11 hospitalsSD$266Iowa: median $332 across 70 hospitalsIA$332Indiana: median $132 across 40 hospitalsIN$132Ohio: median $1,001 across 121 hospitalsOH$1,001Pennsylvania: median $595 across 66 hospitalsPA$595New Jersey: median $2,510 across 26 hospitalsNJ$2,510Connecticut: median $697 across 15 hospitalsCT$697Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,227 across 134 hospitalsCA$1,227Utah: median $891 across 30 hospitalsUT$891Colorado: median $1,350 across 50 hospitalsCO$1,350Nebraska: median $549 across 44 hospitalsNE$549Missouri: median $351 across 52 hospitalsMO$351Kentucky: median $556 across 29 hospitalsKY$556West Virginia: median $439 across 22 hospitalsWV$439Virginia: median $498 across 48 hospitalsVA$498Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $261 across 22 hospitalsAZ$261New Mexico: median $536 across 10 hospitalsNM$536Kansas: median $533 across 52 hospitalsKS$533Arkansas: median $277 across 14 hospitalsAR$277Tennessee: median $406 across 30 hospitalsTN$406North Carolina: median $719 across 41 hospitalsNC$719South Carolina: median $1,323 across 30 hospitalsSC$1,323Oklahoma: median $301 across 28 hospitalsOK$301Louisiana: median $242 across 28 hospitalsLA$242Mississippi: median $611 across 21 hospitalsMS$611Alabama: median $625 across 20 hospitalsAL$625Georgia: median $608 across 62 hospitalsGA$608Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $741 across 136 hospitalsTX$741Florida: median $1,077 across 58 hospitalsFL$1,077
Cash price by state, most expensive first. National median $597. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ26$2,510+320%$1,035 – $5,419
Colorado CO50$1,350+126%$367 – $2,166
South Carolina SC30$1,323+122%$459 – $1,323
California CA134$1,227+106%$432 – $2,167
Florida FL58$1,077+80%$582 – $2,158
Ohio OH121$1,001+68%$426 – $1,711
Utah UT30$891+49%$628 – $1,048
Texas TX136$741+24%$549 – $1,211
North Carolina NC41$719+20%$309 – $1,611
Connecticut CT15$697+17%$413 – $2,106
Washington WA41$675+13%$231 – $1,028
Alabama AL20$625+5%$278 – $644
Mississippi MS21$611+2%$245 – $1,748
New York NY58$609+2%$166 – $4,595
Georgia GA62$608+2%$520 – $1,102
Pennsylvania PA66$5950%$141 – $1,657
Kentucky KY29$556−7%$266 – $1,100
Nebraska NE44$549−8%$182 – $830
New Mexico NM10$536−10%$395 – $802
Kansas KS52$533−11%$131 – $1,001
New Hampshire NH16$515−14%$167 – $599
Illinois IL82$510−15%$184 – $1,060
Virginia VA48$498−17%$307 – $1,436
West Virginia WV22$439−27%$63 – $1,293
Wisconsin WI72$417−30%$301 – $1,442
Tennessee TN30$406−32%$297 – $498
Idaho ID18$398−33%$206 – $1,200
Massachusetts MA32$385−35%$191 – $1,225
Minnesota MN75$370−38%$144 – $1,087
Missouri MO52$351−41%$192 – $698
Michigan MI65$348−42%$108 – $833
Maine ME16$341−43%$161 – $725
Iowa IA70$332−44%$204 – $702
Oregon OR30$321−46%$177 – $816
North Dakota ND12$318−47%$108 – $843
Oklahoma OK28$301−50%$159 – $635
Nevada NV10$295−51%$206 – $980
Wyoming WY12$281−53%$175 – $1,044
Arkansas AR14$277−54%$177 – $1,175
South Dakota SD11$266−55%$266 – $924
Arizona AZ22$261−56%$207 – $1,071
Louisiana LA28$242−59%$109 – $650
Montana MT17$216−64%$151 – $422
Indiana IN40$132−78%$88 – $676
Hawaii HI9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Rhode Island RI5not 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 $597.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,393$649$270 – $1,446
Children’s36$1,326$341 – $4,065
Critical access469$396$159 – $967
Ownership
For-profit171$741$243 – $1,882
Government346$465$211 – $927
Non-profit1,381$610$242 – $1,436
System affiliation
Part of a system1,571$627$271 – $1,446
Independent333$403$170 – $1,002

Cash price vs list price

Median list price (chargemaster)$1,060
Median cash price$597
Cash as a share of list, median hospital63%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

1,374 hospitals filed a usable inpatient cash price for this code. The median is $625 and the average of the middle 60% is $694; most fall between $272 and $1,412.

Cash price percentiles, inpatient, across 1,374 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
$151$328$625$1,211$1,937

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($151 vs $1,937).

Of the 1,481 hospitals that filed this code inpatient, 1,374 gave a usable cash price; 33 carried a plausibility flag, 4 filed a number their own filing marks as not a price, 0 gave an estimate, and 70 a list price only.

How complete is this

1,904 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,092 hospitals that filed this code at all gave us
Usable cash price — counted1,904
Cash price carrying a plausibility flag — shown on the compare tool, excluded here66
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded4
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded117
Hospitals that filed this code2,092

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 3+ 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, “Facet joint injection in neck or mid-back, third level (CPT 64492) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64492-facet-joint-injection-in-neck-or-mid-back-third-level