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

Low back facet joint injection, third and added levels

CPT 64495the billing code this page is about

Add-on charge covering the third and any further lumbar or sacral spinal joint levels injected during the same visit, regardless of how many extra levels are treated.

Hospitals typically charge $643 cash for this outpatient procedure — the median across 2,027 hospitals that filed a usable cash price; the average of the middle 60% is $671. Most fall between $213 and $1,333 (20th–80th percentile).

Hospitals
2,027
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 2,027 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
$111$270$643$1,178$2,023

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($111 vs $2,023).

How the prices are spread

$80 – $115: 111 hospitals$80$115 – $164: 115 hospitals$164 – $234: 115 hospitals$164$234 – $334: 163 hospitals$334 – $477: 214 hospitals$334$477 – $681: 252 hospitals$681 – $973: 306 hospitals$681$973 – $1,389: 287 hospitals$1,389 – $1,984: 157 hospitals$1,389$1,984 – $2,833: 105 hospitals$1,984median $643price bands are equal on a log scale
Hospitals per price band (1,825 of 2,027 — the bands cover the 5th to 95th percentile)
FromToHospitals
$80$115111
$115$164115
$164$234115
$234$334163
$334$477214
$477$681252
$681$973306
$973$1,389287
$1,389$1,984157
$1,984$2,833105

By state

The median cash price in each state, against the national median of $643.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $329 across 17 hospitalsME$329Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $486 across 17 hospitalsNH$486Washington: median $575 across 43 hospitalsWA$575Idaho: median $347 across 20 hospitalsID$347Montana: median $237 across 19 hospitalsMT$237North Dakota: median $336 across 10 hospitalsND$336Minnesota: median $622 across 77 hospitalsMN$622Illinois: median $535 across 90 hospitalsIL$535Wisconsin: median $434 across 76 hospitalsWI$434Michigan: median $215 across 52 hospitalsMI$215New York: median $609 across 60 hospitalsNY$609Massachusetts: median $442 across 34 hospitalsMA$442Oregon: median $234 across 28 hospitalsOR$234Nevada: median $313 across 10 hospitalsNV$313Wyoming: median $418 across 13 hospitalsWY$418South Dakota: median $247 across 15 hospitalsSD$247Iowa: median $344 across 74 hospitalsIA$344Indiana: median $196 across 45 hospitalsIN$196Ohio: median $1,002 across 125 hospitalsOH$1,002Pennsylvania: median $630 across 68 hospitalsPA$630New Jersey: median $2,134 across 36 hospitalsNJ$2,134Connecticut: median $718 across 18 hospitalsCT$718Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,267 across 143 hospitalsCA$1,267Utah: median $343 across 30 hospitalsUT$343Colorado: median $926 across 57 hospitalsCO$926Nebraska: median $430 across 43 hospitalsNE$430Missouri: median $544 across 54 hospitalsMO$544Kentucky: median $588 across 39 hospitalsKY$588West Virginia: median $317 across 24 hospitalsWV$317Virginia: median $930 across 50 hospitalsVA$930Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $507 across 23 hospitalsAZ$507New Mexico: median $420 across 11 hospitalsNM$420Kansas: median $530 across 58 hospitalsKS$530Arkansas: median $226 across 16 hospitalsAR$226Tennessee: median $319 across 32 hospitalsTN$319North Carolina: median $838 across 47 hospitalsNC$838South Carolina: median $852 across 36 hospitalsSC$852Oklahoma: median $366 across 36 hospitalsOK$366Louisiana: median $270 across 29 hospitalsLA$270Mississippi: median $397 across 25 hospitalsMS$397Alabama: median $630 across 27 hospitalsAL$630Georgia: median $1,308 across 66 hospitalsGA$1,308Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $764 across 135 hospitalsTX$764Florida: median $786 across 58 hospitalsFL$786
Cash price by state, most expensive first. National median $643. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ36$2,134+232%$127 – $5,419
Georgia GA66$1,308+103%$1,025 – $1,424
California CA143$1,267+97%$488 – $1,930
Ohio OH125$1,002+56%$497 – $1,524
Virginia VA50$930+44%$397 – $1,338
Colorado CO57$926+44%$401 – $1,540
South Carolina SC36$852+32%$702 – $1,325
North Carolina NC47$838+30%$277 – $1,611
Florida FL58$786+22%$679 – $1,240
Texas TX135$764+19%$637 – $1,026
Connecticut CT18$718+12%$365 – $2,193
Pennsylvania PA68$630−2%$121 – $1,657
Alabama AL27$630−2%$384 – $2,244
Minnesota MN77$622−3%$154 – $971
New York NY60$609−5%$125 – $2,087
Kentucky KY39$588−9%$75 – $2,256
Washington WA43$575−11%$214 – $1,050
Missouri MO54$544−15%$196 – $800
Illinois IL90$535−17%$238 – $1,161
Kansas KS58$530−18%$120 – $893
Arizona AZ23$507−21%$329 – $968
New Hampshire NH17$486−24%$286 – $870
Massachusetts MA34$442−31%$205 – $1,340
Wisconsin WI76$434−33%$259 – $853
Nebraska NE43$430−33%$214 – $690
New Mexico NM11$420−35%$156 – $677
Wyoming WY13$418−35%$151 – $1,080
Mississippi MS25$397−38%$204 – $1,612
Oklahoma OK36$366−43%$137 – $770
Idaho ID20$347−46%$190 – $1,225
Iowa IA74$344−46%$190 – $872
Utah UT30$343−47%$318 – $346
North Dakota ND10$336−48%$108 – $778
Maine ME17$329−49%$123 – $722
Tennessee TN32$319−50%$95 – $665
West Virginia WV24$317−51%$57 – $995
Nevada NV10$313−51%$240 – $1,400
Louisiana LA29$270−58%$128 – $966
South Dakota SD15$247−62%$116 – $945
Montana MT19$237−63%$140 – $438
Oregon OR28$234−64%$153 – $950
Arkansas AR16$226−65%$130 – $612
Michigan MI52$215−67%$66 – $604
Indiana IN45$196−70%$101 – $826
Hawaii HI9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Delaware DE5not 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 $643.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,476$728$256 – $1,392
Children’s37$1,365$333 – $4,341
Critical access507$359$140 – $926
Ownership
For-profit188$843$327 – $1,646
Government370$462$197 – $1,026
Non-profit1,462$654$211 – $1,333
System affiliation
Part of a system1,653$698$244 – $1,382
Independent374$403$137 – $960

Cash price vs list price

Median list price (chargemaster)$1,066
Median cash price$643
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

1,451 hospitals filed a usable inpatient cash price for this code. The median is $688 and the average of the middle 60% is $702; most fall between $237 and $1,333.

Cash price percentiles, inpatient, across 1,451 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
$121$310$688$1,178$1,930

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($121 vs $1,930).

Of the 1,562 hospitals that filed this code inpatient, 1,451 gave a usable cash price; 37 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 72 a list price only.

How complete is this

2,027 of the 3,956 hospitals with a price file in our corpus (51%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,233 hospitals that filed this code at all gave us
Usable cash price — counted2,027
Cash price carrying a plausibility flag — shown on the compare tool, excluded here74
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded126
Hospitals that filed this code2,233

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 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, “Low back facet joint injection, third and added levels (CPT 64495) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64495-low-back-facet-joint-injection-third-and-added-levels