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Procedure price report · Other OR therapeutic nervous system procedures

Facet joint nerve ablation, neck or upper back, extra level

CPT 64634the billing code this page is about

Add-on charge for destroying the nerves to each additional facet joint level in the neck or mid-back during the same session.

Hospitals typically charge $848 cash for this outpatient procedure — the median across 1,713 hospitals that filed a usable cash price; the average of the middle 60% is $930. Most fall between $309 and $1,842 (20th–80th percentile).

Hospitals
1,713
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 1,713 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
$166$387$848$1,659$2,992

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($166 vs $2,992).

How the prices are spread

$108 – $157: 73 hospitals$108$157 – $228: 98 hospitals$228 – $332: 107 hospitals$228$332 – $483: 179 hospitals$483 – $702: 194 hospitals$483$702 – $1,021: 240 hospitals$1,021 – $1,485: 222 hospitals$1,021$1,485 – $2,159: 265 hospitals$2,159 – $3,139: 91 hospitals$2,159$3,139 – $4,565: 79 hospitals$3,139median $848price bands are equal on a log scale
Hospitals per price band (1,548 of 1,713 — the bands cover the 5th to 95th percentile)
FromToHospitals
$108$15773
$157$22898
$228$332107
$332$483179
$483$702194
$702$1,021240
$1,021$1,485222
$1,485$2,159265
$2,159$3,13991
$3,139$4,56579

By state

The median cash price in each state, against the national median of $848.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $524 across 10 hospitalsME$524Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $561 across 13 hospitalsNH$561Washington: median $587 across 33 hospitalsWA$587Idaho: median $815 across 20 hospitalsID$815Montana: median $645 across 11 hospitalsMT$645North Dakota: median $434 across 11 hospitalsND$434Minnesota: median $780 across 73 hospitalsMN$780Illinois: median $926 across 73 hospitalsIL$926Wisconsin: median $450 across 60 hospitalsWI$450Michigan: median $495 across 59 hospitalsMI$495New York: median $584 across 56 hospitalsNY$584Massachusetts: median $606 across 29 hospitalsMA$606Oregon: median $454 across 20 hospitalsOR$454Nevada: median $376 across 10 hospitalsNV$376Wyoming: median $473 across 12 hospitalsWY$473South Dakota: median $734 across 11 hospitalsSD$734Iowa: median $638 across 66 hospitalsIA$638Indiana: median $248 across 37 hospitalsIN$248Ohio: median $1,510 across 109 hospitalsOH$1,510Pennsylvania: median $1,085 across 66 hospitalsPA$1,085New Jersey: median $2,606 across 33 hospitalsNJ$2,606Connecticut: median $757 across 13 hospitalsCT$757Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,736 across 104 hospitalsCA$1,736Utah: median $1,659 across 28 hospitalsUT$1,659Colorado: median $1,149 across 45 hospitalsCO$1,149Nebraska: median $865 across 35 hospitalsNE$865Missouri: median $879 across 51 hospitalsMO$879Kentucky: median $577 across 28 hospitalsKY$577West Virginia: median $737 across 23 hospitalsWV$737Virginia: median $507 across 34 hospitalsVA$507Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $497 across 15 hospitalsAZ$497New Mexico: median $909 across 10 hospitalsNM$909Kansas: median $394 across 54 hospitalsKS$394Arkansas: median $763 across 14 hospitalsAR$763Tennessee: median $507 across 28 hospitalsTN$507North Carolina: median $960 across 45 hospitalsNC$960South Carolina: median $1,764 across 27 hospitalsSC$1,764Oklahoma: median $704 across 31 hospitalsOK$704Louisiana: median $239 across 28 hospitalsLA$239Mississippi: median $762 across 22 hospitalsMS$762Alabama: median $394 across 12 hospitalsAL$394Georgia: median $830 across 48 hospitalsGA$830Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,026 across 107 hospitalsTX$1,026Florida: median $1,160 across 67 hospitalsFL$1,160
Cash price by state, most expensive first. National median $848. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ33$2,606+207%$182 – $5,419
South Carolina SC27$1,764+108%$781 – $1,764
California CA104$1,736+105%$1,066 – $3,273
Utah UT28$1,659+96%$1,374 – $1,952
Ohio OH109$1,510+78%$594 – $2,870
Florida FL67$1,160+37%$700 – $2,158
Colorado CO45$1,149+36%$521 – $2,107
Pennsylvania PA66$1,085+28%$108 – $2,573
Texas TX107$1,026+21%$445 – $1,574
North Carolina NC45$960+13%$323 – $3,189
Illinois IL73$926+9%$371 – $2,018
New Mexico NM10$909+7%$335 – $1,117
Missouri MO51$879+4%$347 – $1,311
Nebraska NE35$865+2%$213 – $1,509
Georgia GA48$830−2%$518 – $1,441
Idaho ID20$815−4%$311 – $1,942
Minnesota MN73$780−8%$185 – $1,467
Arkansas AR14$763−10%$198 – $1,207
Mississippi MS22$762−10%$404 – $1,551
Connecticut CT13$757−11%$462 – $5,172
West Virginia WV23$737−13%$190 – $1,342
South Dakota SD11$734−13%$718 – $1,062
Oklahoma OK31$704−17%$261 – $900
Montana MT11$645−24%$218 – $887
Iowa IA66$638−25%$346 – $1,509
Massachusetts MA29$606−29%$230 – $1,503
Washington WA33$587−31%$309 – $1,304
New York NY56$584−31%$196 – $4,595
Kentucky KY28$577−32%$175 – $1,886
New Hampshire NH13$561−34%$83 – $1,456
Maine ME10$524−38%$117 – $818
Tennessee TN28$507−40%$394 – $613
Virginia VA34$507−40%$338 – $1,256
Arizona AZ15$497−41%$103 – $1,350
Michigan MI59$495−42%$108 – $891
Wyoming WY12$473−44%$216 – $1,130
Oregon OR20$454−46%$250 – $1,267
Wisconsin WI60$450−47%$335 – $1,088
North Dakota ND11$434−49%$118 – $746
Kansas KS54$394−53%$176 – $979
Alabama AL12$394−54%$259 – $2,614
Nevada NV10$376−56%$114 – $1,842
Indiana IN37$248−71%$158 – $1,653
Louisiana LA28$239−72%$130 – $549
Alaska AK7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Delaware DE3not 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 $848.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,265$924$359 – $1,952
Children’s15fewer than 20 hospitals
Critical access426$566$224 – $1,472
Ownership
For-profit155$930$394 – $2,963
Government304$645$269 – $1,441
Non-profit1,247$863$322 – $1,843
System affiliation
Part of a system1,418$884$339 – $1,880
Independent295$606$208 – $1,385

Cash price vs list price

Median list price (chargemaster)$1,472
Median cash price$848
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

1,208 hospitals filed a usable inpatient cash price for this code. The median is $906 and the average of the middle 60% is $995; most fall between $359 and $1,838.

Cash price percentiles, inpatient, across 1,208 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
$206$406$906$1,699$2,717

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($206 vs $2,717).

Of the 1,297 hospitals that filed this code inpatient, 1,208 gave a usable cash price; 30 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 56 a list price only.

How complete is this

1,713 of the 3,956 hospitals with a price file in our corpus (43%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,881 hospitals that filed this code at all gave us
Usable cash price — counted1,713
Cash price carrying a plausibility flag — shown on the compare tool, excluded here60
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded101
Hospitals that filed this code1,881

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 OR therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora.

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 nerve ablation, neck or upper back, extra level (CPT 64634) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64634-facet-joint-nerve-ablation-neck-or-upper-back-extra-level