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Procedure price report · Other OR therapeutic nervous system procedures

Facet joint nerve ablation, lower back, each extra level

CPT 64636the billing code this page is about

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

Hospitals typically charge $1,114 cash for this outpatient procedure — the median across 1,795 hospitals that filed a usable cash price; the average of the middle 60% is $1,134. Most fall between $354 and $2,190 (20th–80th percentile).

Hospitals
1,795
States
50
Filings dated
Dec 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 1,795 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
$165$448$1,114$1,880$3,131

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($165 vs $3,131).

How the prices are spread

$107 – $156: 81 hospitals$107$156 – $226: 79 hospitals$226 – $329: 87 hospitals$226$329 – $478: 133 hospitals$478 – $694: 168 hospitals$478$694 – $1,009: 207 hospitals$1,009 – $1,466: 266 hospitals$1,009$1,466 – $2,130: 314 hospitals$2,130 – $3,094: 189 hospitals$2,130$3,094 – $4,495: 93 hospitals$3,094median $1,114price bands are equal on a log scale
Hospitals per price band (1,617 of 1,795 — the bands cover the 5th to 95th percentile)
FromToHospitals
$107$15681
$156$22679
$226$32987
$329$478133
$478$694168
$694$1,009207
$1,009$1,466266
$1,466$2,130314
$2,130$3,094189
$3,094$4,49593

By state

The median cash price in each state, against the national median of $1,114.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $810 across 13 hospitalsME$810Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $561 across 15 hospitalsNH$561Washington: median $1,087 across 36 hospitalsWA$1,087Idaho: median $1,261 across 20 hospitalsID$1,261Montana: median $617 across 13 hospitalsMT$617North Dakota: median $701 across 12 hospitalsND$701Minnesota: median $819 across 76 hospitalsMN$819Illinois: median $1,114 across 80 hospitalsIL$1,114Wisconsin: median $845 across 60 hospitalsWI$845Michigan: median $508 across 62 hospitalsMI$508New York: median $1,136 across 56 hospitalsNY$1,136Massachusetts: median $1,394 across 34 hospitalsMA$1,394Oregon: median $327 across 18 hospitalsOR$327Nevada: median $537 across 10 hospitalsNV$537Wyoming: median $426 across 13 hospitalsWY$426South Dakota: median $694 across 12 hospitalsSD$694Iowa: median $690 across 77 hospitalsIA$690Indiana: median $320 across 41 hospitalsIN$320Ohio: median $1,880 across 114 hospitalsOH$1,880Pennsylvania: median $1,203 across 59 hospitalsPA$1,203New Jersey: median $2,606 across 35 hospitalsNJ$2,606Connecticut: median $1,133 across 13 hospitalsCT$1,133Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,553 across 109 hospitalsCA$2,553Utah: median $1,861 across 28 hospitalsUT$1,861Colorado: median $990 across 47 hospitalsCO$990Nebraska: median $1,044 across 42 hospitalsNE$1,044Missouri: median $936 across 52 hospitalsMO$936Kentucky: median $885 across 29 hospitalsKY$885West Virginia: median $906 across 25 hospitalsWV$906Virginia: median $1,186 across 33 hospitalsVA$1,186Maryland: 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 $493 across 15 hospitalsAZ$493New Mexico: median $1,499 across 10 hospitalsNM$1,499Kansas: median $616 across 57 hospitalsKS$616Arkansas: median $451 across 16 hospitalsAR$451Tennessee: median $405 across 28 hospitalsTN$405North Carolina: median $1,120 across 45 hospitalsNC$1,120South Carolina: median $1,517 across 33 hospitalsSC$1,517Oklahoma: median $731 across 33 hospitalsOK$731Louisiana: median $474 across 28 hospitalsLA$474Mississippi: median $686 across 23 hospitalsMS$686Alabama: median $604 across 15 hospitalsAL$604Georgia: median $1,441 across 51 hospitalsGA$1,441Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,430 across 114 hospitalsTX$1,430Florida: median $1,592 across 63 hospitalsFL$1,592
Cash price by state, most expensive first. National median $1,114. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ35$2,606+134%$298 – $5,339
California CA109$2,553+129%$1,059 – $3,365
Ohio OH114$1,880+69%$848 – $2,850
Utah UT28$1,861+67%$1,113 – $2,190
Florida FL63$1,592+43%$812 – $2,516
South Carolina SC33$1,517+36%$1,125 – $2,237
New Mexico NM10$1,499+35%$197 – $2,109
Georgia GA51$1,441+29%$775 – $1,783
Texas TX114$1,430+28%$1,026 – $1,931
Massachusetts MA34$1,394+25%$233 – $2,037
Idaho ID20$1,261+13%$493 – $5,383
Pennsylvania PA59$1,203+8%$520 – $2,661
Virginia VA33$1,186+6%$420 – $1,905
New York NY56$1,136+2%$247 – $4,595
Connecticut CT13$1,133+2%$403 – $5,374
North Carolina NC45$1,120+1%$620 – $2,869
Illinois IL80$1,1140%$332 – $1,668
Washington WA36$1,087−2%$379 – $1,755
Nebraska NE42$1,044−6%$429 – $2,324
Colorado CO47$990−11%$546 – $2,536
Missouri MO52$936−16%$340 – $1,586
West Virginia WV25$906−19%$168 – $1,493
Kentucky KY29$885−21%$202 – $2,009
Wisconsin WI60$845−24%$354 – $1,741
Minnesota MN76$819−26%$180 – $1,417
Maine ME13$810−27%$148 – $1,619
Oklahoma OK33$731−34%$238 – $1,201
North Dakota ND12$701−37%$211 – $1,613
South Dakota SD12$694−38%$678 – $1,292
Iowa IA77$690−38%$378 – $1,404
Mississippi MS23$686−38%$481 – $873
Montana MT13$617−45%$218 – $887
Kansas KS57$616−45%$160 – $960
Alabama AL15$604−46%$324 – $1,433
New Hampshire NH15$561−50%$74 – $1,456
Nevada NV10$537−52%$118 – $2,174
Michigan MI62$508−54%$71 – $2,533
Arizona AZ15$493−56%$133 – $1,350
Louisiana LA28$474−57%$343 – $1,590
Arkansas AR16$451−60%$311 – $1,326
Wyoming WY13$426−62%$190 – $1,024
Tennessee TN28$405−64%$153 – $600
Oregon OR18$327−71%$220 – $591
Indiana IN41$320−71%$156 – $1,956
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
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not 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 $1,114.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,321$1,292$426 – $2,433
Children’s14fewer than 20 hospitals
Critical access453$635$210 – $1,570
Ownership
For-profit169$1,297$489 – $2,809
Government330$762$291 – $1,677
Non-profit1,289$1,186$354 – $2,197
System affiliation
Part of a system1,479$1,203$407 – $2,251
Independent316$749$206 – $1,653

Cash price vs list price

Median list price (chargemaster)$1,884
Median cash price$1,114
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

1,264 hospitals filed a usable inpatient cash price for this code. The median is $1,209 and the average of the middle 60% is $1,222; most fall between $415 and $2,190.

Cash price percentiles, inpatient, across 1,264 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
$204$523$1,209$1,905$2,900

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($204 vs $2,900).

Of the 1,372 hospitals that filed this code inpatient, 1,264 gave a usable cash price; 46 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 60 a list price only.

How complete is this

1,795 of the 3,956 hospitals with a price file in our corpus (45%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,989 hospitals that filed this code at all gave us
Usable cash price — counted1,795
Cash price carrying a plausibility flag — shown on the compare tool, excluded here82
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded106
Hospitals that filed this code1,989

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 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, each extra level (CPT 64636) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64636-facet-joint-nerve-ablation-lower-back-each-extra-level