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

Low back facet joint nerve injection, first level

CPT 64493the billing code this page is about

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

Hospitals typically charge $1,312 cash for this outpatient procedure — the median across 2,425 hospitals that filed a usable cash price; the average of the middle 60% is $1,389. Most fall between $545 and $2,475 (20th–80th percentile).

Hospitals
2,425
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 2,425 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
$300$680$1,312$2,224$3,644

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($300 vs $3,644).

How the prices are spread

$189 – $260: 88 hospitals$189$260 – $358: 88 hospitals$358 – $492: 149 hospitals$358$492 – $677: 159 hospitals$677 – $932: 222 hospitals$677$932 – $1,282: 357 hospitals$1,282 – $1,764: 351 hospitals$1,282$1,764 – $2,427: 391 hospitals$2,427 – $3,340: 211 hospitals$2,427$3,340 – $4,595: 168 hospitals$3,340median $1,312price bands are equal on a log scale
Hospitals per price band (2,184 of 2,425 — the bands cover the 5th to 95th percentile)
FromToHospitals
$189$26088
$260$35888
$358$492149
$492$677159
$677$932222
$932$1,282357
$1,282$1,764351
$1,764$2,427391
$2,427$3,340211
$3,340$4,595168

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,312
Cash as a multiple of Medicare1.45×

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 $1,312.

Alaska: median $1,975 across 10 hospitalsAK$1,975Maine: median $872 across 18 hospitalsME$872Vermont: median $455 across 10 hospitalsVT$455New Hampshire: median $1,082 across 19 hospitalsNH$1,082Washington: median $1,387 across 52 hospitalsWA$1,387Idaho: median $1,007 across 22 hospitalsID$1,007Montana: median $487 across 21 hospitalsMT$487North Dakota: median $969 across 15 hospitalsND$969Minnesota: median $1,046 across 88 hospitalsMN$1,046Illinois: median $1,274 across 99 hospitalsIL$1,274Wisconsin: median $1,253 across 84 hospitalsWI$1,253Michigan: median $951 across 73 hospitalsMI$951New York: median $1,595 across 90 hospitalsNY$1,595Massachusetts: median $1,879 across 41 hospitalsMA$1,879Oregon: median $607 across 42 hospitalsOR$607Nevada: median $642 across 15 hospitalsNV$642Wyoming: median $727 across 13 hospitalsWY$727South Dakota: median $484 across 15 hospitalsSD$484Iowa: median $919 across 88 hospitalsIA$919Indiana: median $686 across 55 hospitalsIN$686Ohio: median $2,110 across 130 hospitalsOH$2,110Pennsylvania: median $1,279 across 93 hospitalsPA$1,279New Jersey: median $1,188 across 53 hospitalsNJ$1,188Connecticut: median $1,385 across 20 hospitalsCT$1,385Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,059 across 162 hospitalsCA$2,059Utah: median $1,835 across 32 hospitalsUT$1,835Colorado: median $1,445 across 58 hospitalsCO$1,445Nebraska: median $1,203 across 53 hospitalsNE$1,203Missouri: median $1,388 across 62 hospitalsMO$1,388Kentucky: median $1,521 across 33 hospitalsKY$1,521West Virginia: median $1,017 across 29 hospitalsWV$1,017Virginia: median $1,312 across 47 hospitalsVA$1,312Maryland: 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 $1,085 across 37 hospitalsAZ$1,085New Mexico: median $895 across 15 hospitalsNM$895Kansas: median $787 across 69 hospitalsKS$787Arkansas: median $836 across 23 hospitalsAR$836Tennessee: median $562 across 47 hospitalsTN$562North Carolina: median $1,294 across 58 hospitalsNC$1,294South Carolina: median $2,318 across 39 hospitalsSC$2,318Oklahoma: median $993 across 49 hospitalsOK$993Louisiana: median $759 across 38 hospitalsLA$759Mississippi: median $593 across 32 hospitalsMS$593Alabama: median $1,016 across 28 hospitalsAL$1,016Georgia: median $2,156 across 75 hospitalsGA$2,156Hawaii: median $1,666 across 13 hospitalsHI$1,666Texas: median $1,690 across 155 hospitalsTX$1,690Florida: median $2,238 across 87 hospitalsFL$2,238
Cash price by state, most expensive first. National median $1,312. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC39$2,318+77%$1,377 – $3,162
Florida FL87$2,238+71%$1,260 – $3,096
Georgia GA75$2,156+64%$706 – $3,749
Ohio OH130$2,110+61%$1,348 – $3,700
California CA162$2,059+57%$1,005 – $4,026
Alaska AK10$1,975+51%$1,073 – $3,733
Massachusetts MA41$1,879+43%$1,108 – $3,015
Utah UT32$1,835+40%$1,228 – $2,159
Texas TX155$1,690+29%$1,037 – $2,400
Hawaii HI13$1,666+27%$1,227 – $2,126
New York NY90$1,595+22%$565 – $3,765
Kentucky KY33$1,521+16%$573 – $2,242
Colorado CO58$1,445+10%$864 – $2,659
Missouri MO62$1,388+6%$507 – $2,224
Washington WA52$1,387+6%$444 – $3,021
Connecticut CT20$1,385+6%$480 – $3,140
Virginia VA47$1,3120%$888 – $1,776
North Carolina NC58$1,294−1%$589 – $2,227
Pennsylvania PA93$1,279−2%$638 – $2,482
Illinois IL99$1,274−3%$446 – $2,840
Wisconsin WI84$1,253−4%$527 – $2,282
Nebraska NE53$1,203−8%$426 – $2,013
New Jersey NJ53$1,188−9%$985 – $5,110
Arizona AZ37$1,085−17%$474 – $6,628
New Hampshire NH19$1,082−18%$347 – $1,428
Minnesota MN88$1,046−20%$536 – $1,632
West Virginia WV29$1,017−23%$251 – $1,669
Alabama AL28$1,016−23%$634 – $1,800
Idaho ID22$1,007−23%$376 – $2,430
Oklahoma OK49$993−24%$563 – $1,670
North Dakota ND15$969−26%$176 – $1,555
Michigan MI73$951−28%$144 – $1,657
Iowa IA88$919−30%$384 – $1,661
New Mexico NM15$895−32%$439 – $1,713
Maine ME18$872−34%$230 – $1,431
Arkansas AR23$836−36%$327 – $1,641
Kansas KS69$787−40%$278 – $1,320
Louisiana LA38$759−42%$365 – $1,481
Wyoming WY13$727−45%$278 – $2,051
Indiana IN55$686−48%$163 – $1,207
Nevada NV15$642−51%$346 – $1,955
Oregon OR42$607−54%$323 – $2,145
Mississippi MS32$593−55%$408 – $1,074
Tennessee TN47$562−57%$213 – $1,105
Montana MT21$487−63%$268 – $996
South Dakota SD15$484−63%$434 – $1,239
Vermont VT10$455−65%$224 – $1,196
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 $1,312.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,771$1,457$712 – $2,781
Children’s46$1,800$1,006 – $4,480
Critical access600$877$320 – $1,810
Ownership
For-profit246$1,499$815 – $3,047
Government446$1,054$426 – $2,067
Non-profit1,725$1,347$545 – $2,551
System affiliation
Part of a system1,980$1,397$591 – $2,640
Independent445$963$332 – $1,903

Cash price vs list price

Median list price (chargemaster)$2,349
Median cash price$1,312
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

1,689 hospitals filed a usable inpatient cash price for this code. The median is $1,482 and the average of the middle 60% is $1,533; most fall between $623 and $2,667.

Cash price percentiles, inpatient, across 1,689 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
$347$818$1,482$2,334$3,700

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($347 vs $3,700).

Of the 1,812 hospitals that filed this code inpatient, 1,689 gave a usable cash price; 40 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 82 a list price only.

How complete is this

2,425 of the 3,956 hospitals with a price file in our corpus (61%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,604 hospitals that filed this code at all gave us
Usable cash price — counted2,425
Cash price carrying a plausibility flag — shown on the compare tool, excluded here77
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 — excluded93
Hospitals that filed this code2,604

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 Lmbr/Sac 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, “Low back facet joint nerve injection, first level (CPT 64493) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64493-low-back-facet-joint-nerve-injection-first-level