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

Facet joint nerve ablation, lower back, first level

CPT 64635the billing code this page is about

Destruction of the small nerves supplying a facet joint in the lower back or sacral spine using heat or a chemical agent, billed for the first joint level treated on one side.

Hospitals typically charge $2,318 cash for this outpatient procedure — the median across 1,936 hospitals that filed a usable cash price; the average of the middle 60% is $2,380. Most fall between $1,040 and $4,115 (20th–80th percentile).

Hospitals
1,936
States
50
Filings dated
Mar 2023 – 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 1,936 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
$543$1,242$2,318$3,524$5,426

The most expensive tenth of hospitals charges at least 10.0× what the cheapest tenth charges ($543 vs $5,426).

How the prices are spread

$369 – $494: 79 hospitals$369$494 – $661: 67 hospitals$661 – $886: 80 hospitals$661$886 – $1,186: 135 hospitals$1,186 – $1,588: 178 hospitals$1,186$1,588 – $2,127: 220 hospitals$2,127 – $2,848: 348 hospitals$2,127$2,848 – $3,814: 301 hospitals$3,814 – $5,107: 197 hospitals$3,814$5,107 – $6,839: 139 hospitals$5,107median $2,318price bands are equal on a log scale
Hospitals per price band (1,744 of 1,936 — the bands cover the 5th to 95th percentile)
FromToHospitals
$369$49479
$494$66167
$661$88680
$886$1,186135
$1,186$1,588178
$1,588$2,127220
$2,127$2,848348
$2,848$3,814301
$3,814$5,107197
$5,107$6,839139

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,995
Median cash price$2,318
Cash as a multiple of Medicare1.16×

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 $2,318.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,646 across 13 hospitalsME$1,646Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,460 across 15 hospitalsNH$1,460Washington: median $2,728 across 37 hospitalsWA$2,728Idaho: median $2,412 across 21 hospitalsID$2,412Montana: median $1,306 across 14 hospitalsMT$1,306North Dakota: median $1,283 across 12 hospitalsND$1,283Minnesota: median $2,102 across 76 hospitalsMN$2,102Illinois: median $2,276 across 81 hospitalsIL$2,276Wisconsin: median $1,841 across 63 hospitalsWI$1,841Michigan: median $1,851 across 64 hospitalsMI$1,851New York: median $3,305 across 70 hospitalsNY$3,305Massachusetts: median $2,651 across 36 hospitalsMA$2,651Oregon: median $815 across 18 hospitalsOR$815Nevada: median $921 across 10 hospitalsNV$921Wyoming: median $1,328 across 13 hospitalsWY$1,328South Dakota: median $1,242 across 11 hospitalsSD$1,242Iowa: median $1,441 across 77 hospitalsIA$1,441Indiana: median $1,187 across 46 hospitalsIN$1,187Ohio: median $3,159 across 116 hospitalsOH$3,159Pennsylvania: median $2,441 across 81 hospitalsPA$2,441New Jersey: median $2,576 across 50 hospitalsNJ$2,576Connecticut: median $3,322 across 14 hospitalsCT$3,322Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,277 across 117 hospitalsCA$4,277Utah: median $2,412 across 29 hospitalsUT$2,412Colorado: median $2,196 across 47 hospitalsCO$2,196Nebraska: median $1,609 across 44 hospitalsNE$1,609Missouri: median $1,946 across 55 hospitalsMO$1,946Kentucky: median $2,433 across 27 hospitalsKY$2,433West Virginia: median $1,958 across 26 hospitalsWV$1,958Virginia: median $2,422 across 37 hospitalsVA$2,422Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,186 across 19 hospitalsAZ$1,186New Mexico: median $2,068 across 10 hospitalsNM$2,068Kansas: median $1,498 across 58 hospitalsKS$1,498Arkansas: median $1,595 across 17 hospitalsAR$1,595Tennessee: median $1,541 across 31 hospitalsTN$1,541North Carolina: median $2,666 across 48 hospitalsNC$2,666South Carolina: median $3,524 across 36 hospitalsSC$3,524Oklahoma: median $1,682 across 40 hospitalsOK$1,682Louisiana: median $1,172 across 30 hospitalsLA$1,172Mississippi: median $1,229 across 24 hospitalsMS$1,229Alabama: median $1,271 across 17 hospitalsAL$1,271Georgia: median $2,942 across 57 hospitalsGA$2,942Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,990 across 120 hospitalsTX$2,990Florida: median $3,381 across 78 hospitalsFL$3,381
Cash price by state, most expensive first. National median $2,318. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA117$4,277+85%$1,888 – $5,619
South Carolina SC36$3,524+52%$2,341 – $4,687
Florida FL78$3,381+46%$2,295 – $5,892
Connecticut CT14$3,322+43%$2,027 – $8,424
New York NY70$3,305+43%$1,544 – $4,595
Ohio OH116$3,159+36%$1,888 – $5,292
Texas TX120$2,990+29%$1,574 – $3,340
Georgia GA57$2,942+27%$1,642 – $4,326
Washington WA37$2,728+18%$790 – $3,825
North Carolina NC48$2,666+15%$1,240 – $4,667
Massachusetts MA36$2,651+14%$1,808 – $4,925
New Jersey NJ50$2,576+11%$2,161 – $5,339
Pennsylvania PA81$2,441+5%$1,454 – $3,994
Kentucky KY27$2,433+5%$778 – $3,433
Virginia VA37$2,422+5%$1,121 – $2,844
Idaho ID21$2,412+4%$1,068 – $5,383
Utah UT29$2,412+4%$2,412 – $2,837
Illinois IL81$2,276−2%$993 – $3,766
Colorado CO47$2,196−5%$1,303 – $3,974
Minnesota MN76$2,102−9%$1,090 – $2,893
New Mexico NM10$2,068−11%$637 – $2,747
West Virginia WV26$1,958−16%$609 – $3,316
Missouri MO55$1,946−16%$753 – $3,782
Michigan MI64$1,851−20%$274 – $3,375
Wisconsin WI63$1,841−21%$1,151 – $2,848
Oklahoma OK40$1,682−27%$578 – $2,156
Maine ME13$1,646−29%$406 – $3,442
Nebraska NE44$1,609−31%$902 – $3,993
Arkansas AR17$1,595−31%$640 – $2,082
Tennessee TN31$1,541−33%$383 – $1,844
Kansas KS58$1,498−35%$449 – $2,260
New Hampshire NH15$1,460−37%$238 – $2,410
Iowa IA77$1,441−38%$832 – $3,011
Wyoming WY13$1,328−43%$954 – $2,667
Montana MT14$1,306−44%$326 – $1,774
North Dakota ND12$1,283−45%$722 – $3,222
Alabama AL17$1,271−45%$796 – $2,774
South Dakota SD11$1,242−46%$1,242 – $2,458
Mississippi MS24$1,229−47%$873 – $2,507
Indiana IN46$1,187−49%$433 – $3,311
Arizona AZ19$1,186−49%$220 – $2,692
Louisiana LA30$1,172−49%$644 – $2,695
Nevada NV10$921−60%$646 – $3,496
Oregon OR18$815−65%$790 – $2,674
Alaska AK7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Rhode Island RI4not 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 $2,318.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,453$2,526$1,271 – $4,326
Children’s15fewer than 20 hospitals
Critical access460$1,504$637 – $2,946
Ownership
For-profit192$2,419$1,226 – $4,646
Government351$1,960$815 – $3,381
Non-profit1,385$2,381$1,125 – $4,138
System affiliation
Part of a system1,596$2,410$1,151 – $4,201
Independent340$1,819$604 – $3,330

Cash price vs list price

Median list price (chargemaster)$3,938
Median cash price$2,318
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

1,326 hospitals filed a usable inpatient cash price for this code. The median is $2,527 and the average of the middle 60% is $2,594; most fall between $1,157 and $4,326.

Cash price percentiles, inpatient, across 1,326 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
$668$1,445$2,527$3,910$5,555

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($668 vs $5,555).

Of the 1,414 hospitals that filed this code inpatient, 1,326 gave a usable cash price; 33 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 54 a list price only.

How complete is this

1,936 of the 3,956 hospitals with a price file in our corpus (49%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,066 hospitals that filed this code at all gave us
Usable cash price — counted1,936
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded60
Hospitals that filed this code2,066

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 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral.

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, lower back, first level (CPT 64635) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64635-facet-joint-nerve-ablation-lower-back-first-level