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

Low back facet joint nerve injection, second level

CPT 64494the billing code this page is about

Add-on charge for injecting the nerves of a second lumbar or sacral spinal joint during the same visit; billed with the first-level injection.

Hospitals typically charge $647 cash for this outpatient procedure — the median across 2,245 hospitals that filed a usable cash price; the average of the middle 60% is $685. Most fall between $236 and $1,338 (20th–80th percentile).

Hospitals
2,245
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 2,245 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
$126$287$647$1,189$2,045

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($126 vs $2,045).

How the prices are spread

$87 – $123: 98 hospitals$87$123 – $174: 116 hospitals$174 – $247: 152 hospitals$174$247 – $351: 209 hospitals$351 – $498: 212 hospitals$351$498 – $706: 322 hospitals$706 – $1,001: 318 hospitals$706$1,001 – $1,420: 304 hospitals$1,420 – $2,015: 167 hospitals$1,420$2,015 – $2,858: 127 hospitals$2,015median $647price bands are equal on a log scale
Hospitals per price band (2,025 of 2,245 — the bands cover the 5th to 95th percentile)
FromToHospitals
$87$12398
$123$174116
$174$247152
$247$351209
$351$498212
$498$706322
$706$1,001318
$1,001$1,420304
$1,420$2,015167
$2,015$2,858127

By state

The median cash price in each state, against the national median of $647.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $254 across 16 hospitalsME$254Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $539 across 19 hospitalsNH$539Washington: median $700 across 46 hospitalsWA$700Idaho: median $477 across 21 hospitalsID$477Montana: median $219 across 21 hospitalsMT$219North Dakota: median $336 across 11 hospitalsND$336Minnesota: median $534 across 84 hospitalsMN$534Illinois: median $572 across 97 hospitalsIL$572Wisconsin: median $455 across 82 hospitalsWI$455Michigan: median $337 across 69 hospitalsMI$337New York: median $565 across 69 hospitalsNY$565Massachusetts: median $400 across 40 hospitalsMA$400Oregon: median $303 across 34 hospitalsOR$303Nevada: median $295 across 12 hospitalsNV$295Wyoming: median $418 across 13 hospitalsWY$418South Dakota: median $250 across 15 hospitalsSD$250Iowa: median $380 across 86 hospitalsIA$380Indiana: median $246 across 52 hospitalsIN$246Ohio: median $1,129 across 130 hospitalsOH$1,129Pennsylvania: median $625 across 79 hospitalsPA$625New Jersey: median $2,188 across 39 hospitalsNJ$2,188Connecticut: median $576 across 19 hospitalsCT$576Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,408 across 153 hospitalsCA$1,408Utah: median $572 across 32 hospitalsUT$572Colorado: median $864 across 59 hospitalsCO$864Nebraska: median $504 across 51 hospitalsNE$504Missouri: median $688 across 58 hospitalsMO$688Kentucky: median $585 across 34 hospitalsKY$585West Virginia: median $439 across 26 hospitalsWV$439Virginia: median $640 across 51 hospitalsVA$640Maryland: 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 $605 across 32 hospitalsAZ$605New Mexico: median $496 across 12 hospitalsNM$496Kansas: median $533 across 65 hospitalsKS$533Arkansas: median $303 across 18 hospitalsAR$303Tennessee: median $363 across 38 hospitalsTN$363North Carolina: median $779 across 56 hospitalsNC$779South Carolina: median $825 across 36 hospitalsSC$825Oklahoma: median $380 across 44 hospitalsOK$380Louisiana: median $251 across 32 hospitalsLA$251Mississippi: median $345 across 28 hospitalsMS$345Alabama: median $625 across 30 hospitalsAL$625Georgia: median $1,224 across 71 hospitalsGA$1,224Hawaii: median $485 across 10 hospitalsHI$485Texas: median $741 across 149 hospitalsTX$741Florida: median $868 across 73 hospitalsFL$868
Cash price by state, most expensive first. National median $647. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ39$2,188+238%$184 – $5,741
California CA153$1,408+117%$488 – $2,045
Georgia GA71$1,224+89%$763 – $1,346
Ohio OH130$1,129+74%$549 – $1,913
Florida FL73$868+34%$627 – $1,505
Colorado CO59$864+33%$394 – $1,598
South Carolina SC36$825+27%$702 – $1,327
North Carolina NC56$779+20%$239 – $1,144
Texas TX149$741+15%$481 – $1,107
Washington WA46$700+8%$241 – $1,680
Missouri MO58$688+6%$281 – $1,111
Virginia VA51$640−1%$447 – $1,338
Alabama AL30$625−3%$225 – $2,244
Pennsylvania PA79$625−3%$177 – $1,700
Arizona AZ32$605−7%$412 – $2,254
Kentucky KY34$585−10%$351 – $1,261
Connecticut CT19$576−11%$333 – $2,003
Illinois IL97$572−12%$248 – $1,333
Utah UT32$572−12%$531 – $625
New York NY69$565−13%$132 – $2,087
New Hampshire NH19$539−17%$145 – $832
Minnesota MN84$534−18%$154 – $810
Kansas KS65$533−18%$167 – $837
Nebraska NE51$504−22%$218 – $1,404
New Mexico NM12$496−23%$404 – $699
Hawaii HI10$485−25%$191 – $528
Idaho ID21$477−26%$213 – $1,365
Wisconsin WI82$455−30%$255 – $834
West Virginia WV26$439−32%$147 – $779
Wyoming WY13$418−35%$174 – $1,209
Massachusetts MA40$400−38%$202 – $1,049
Iowa IA86$380−41%$197 – $871
Oklahoma OK44$380−41%$149 – $809
Tennessee TN38$363−44%$87 – $730
Mississippi MS28$345−47%$204 – $1,074
Michigan MI69$337−48%$65 – $805
North Dakota ND11$336−48%$226 – $778
Oregon OR34$303−53%$151 – $1,082
Arkansas AR18$303−53%$120 – $601
Nevada NV12$295−54%$169 – $1,050
Maine ME16$254−61%$122 – $551
Louisiana LA32$251−61%$130 – $826
South Dakota SD15$250−61%$110 – $691
Indiana IN52$246−62%$104 – $757
Montana MT21$219−66%$140 – $562
Alaska AK9not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Rhode Island RI4not 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 $647.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,621$716$275 – $1,448
Children’s41$1,347$384 – $4,065
Critical access575$390$167 – $890
Ownership
For-profit206$957$348 – $2,045
Government411$476$208 – $1,074
Non-profit1,620$668$238 – $1,357
System affiliation
Part of a system1,831$685$255 – $1,408
Independent414$464$164 – $1,050

Cash price vs list price

Median list price (chargemaster)$1,091
Median cash price$647
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

1,599 hospitals filed a usable inpatient cash price for this code. The median is $691 and the average of the middle 60% is $728; most fall between $258 and $1,346.

Cash price percentiles, inpatient, across 1,599 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
$144$333$691$1,224$1,973

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($144 vs $1,973).

Of the 1,725 hospitals that filed this code inpatient, 1,599 gave a usable cash price; 42 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 81 a list price only.

How complete is this

2,245 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 2,464 hospitals that filed this code at all gave us
Usable cash price — counted2,245
Cash price carrying a plausibility flag — shown on the compare tool, excluded here80
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded130
Hospitals that filed this code2,464

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 Lmbr/Sac 2nd 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, second level (CPT 64494) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64494-low-back-facet-joint-nerve-injection-second-level