Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) cost at US hospitals
HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Additional Bl · CPT 64636
$91.27
lowest cash price
$1,652.35
national median
$14,469.05
highest cash price
480
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $91.27–$14,469.05 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($1,690.20) → Sep 1, 2026 ($2,562.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 3 | $1,485.12 | $1,485.12 | $1,485.12 |
| Arizona | 13 | $91.27 | $654.25 | $1,188.38 |
| Arkansas | 3 | $451.06 | $1,343.00 | $2,601.99 |
| California | 75 | $95.60 | $1,601.60 | $4,277.37 |
| Colorado | 8 | $754.54 | $2,535.56 | $2,535.56 |
| Florida | 56 | $2,515.82 | $2,955.21 | $6,863.00 |
| Georgia | 24 | $1,441.44 | $1,441.44 | $11,148.00 |
| Hawaii | 1 | $747.75 | $747.75 | $747.75 |
| Illinois | 38 | $324.00 | $2,237.76 | $9,795.45 |
| Indiana | 16 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 23 | $849.60 | $2,936.40 | $14,469.05 |
| Kansas | 8 | $1,072.00 | $4,221.33 | $4,221.33 |
| Kentucky | 8 | $146.66 | $202.45 | $2,991.60 |
| Louisiana | 2 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $1,690.20 | $2,410.15 | $2,410.15 |
| Michigan | 21 | $1,414.00 | $4,565.00 | $4,589.00 |
| Minnesota | 11 | $140.17 | $141.62 | $1,734.40 |
| Mississippi | 6 | $338.14 | $403.75 | $614.80 |
| Missouri | 18 | $177.16 | $3,172.40 | $7,255.19 |
| Nebraska | 13 | $428.93 | $1,509.48 | $3,993.13 |
| Nevada | 4 | $177.00 | $177.00 | $376.18 |
| New Hampshire | 1 | $1,618.65 | $1,618.65 | $1,618.65 |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 1 | not published by hospital | not published by hospital | not published by hospital |
| New York | 18 | $571.28 | $1,739.66 | $3,409.80 |
| North Carolina | 15 | $1,806.00 | $2,868.55 | $3,126.00 |
| North Dakota | 2 | $1,612.80 | $1,612.80 | $1,659.20 |
| Ohio | 62 | $935.40 | $1,879.50 | $11,007.90 |
| Oklahoma | 11 | $692.45 | $808.36 | $6,463.05 |
| Oregon | 4 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 22 | $133.20 | $2,224.80 | $7,348.20 |
| South Carolina | 9 | $927.50 | $1,259.00 | $1,800.00 |
| South Dakota | 2 | $1,292.00 | $1,292.00 | $1,648.00 |
| Tennessee | 16 | $168.60 | $168.60 | $371.45 |
| Texas | 83 | $298.55 | $1,429.57 | $3,602.00 |
| Virginia | 23 | $168.60 | $1,904.50 | $5,834.30 |
| Washington | 22 | $738.40 | $1,754.80 | $2,135.04 |
| West Virginia | 15 | $93.60 | $1,349.50 | $9,699.00 |
| Wisconsin | 19 | $298.92 | $1,318.98 | $6,119.97 |
| Wyoming | 4 | $559.44 | $654.34 | $708.96 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $1,569.15 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $1,569.15 | not published |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $1,569.15 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $1,569.15 | not published |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $1,569.15 | not published |
| Texas Health Hospital Frisco | Frisco, TX | $1,569.15 | not published |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $1,569.15 | not published |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $1,569.15 | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $1,569.15 | not published |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $1,569.15 | not published |
| Texas Health Hospital Rockwall | Rockwall, TX | $1,569.15 | not published |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $1,569.15 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $1,569.15 | not published |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $1,574.34 | $61.37 – $624.15 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $1,574.34 | $61.37 – $624.15 |
| Jewish Hospital | Cincinnati, OH | $1,577.40 | not published |
| Kings Mills Hospital | Mason, OH | $1,577.40 | not published |
| Mercy West Hospital | Cincinnati, OH | $1,577.40 | not published |
| Grady Memorial Hospital | Delaware, OH | $1,590.55 | not published |
| Downey Medical Center | Downey, CA | $1,601.60 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $1,601.60 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $1,601.60 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $1,601.60 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $1,601.60 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $1,601.60 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $1,601.60 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $1,601.60 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $1,601.60 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $1,601.60 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $1,601.60 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $1,601.60 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $1,601.60 | not published |
| Sanford Medical Center Bismarck | Bismarck, ND | $1,612.80 | $57.92 – $1,814.40 |
| Weirton Medical Center | Weirton, WV | $1,616.50 | $44.52 – $260.22 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $1,616.72 | $67.08 – $110.88 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $1,616.72 | $67.08 – $127.14 |
| MaineHealth - Memorial Hospital | North Conway, NH | $1,618.65 | $55.78 – $462.58 |
| O'Bleness Hospital | Athens, OH | $1,626.95 | not published |
| Sanford USD Medical Center | Sioux Falls, SD | $1,648.00 | $1.00 – $1,854.00 |
| Mark Twain Medical Center | San Andreas, CA | $1,652.35 | $58.88 – $368.48 |
| Sanford Fargo Medical Center | Fargo, ND | $1,659.20 | $1.00 – $1,866.60 |
| Mansfield Hospital | Mansfield, OH | $1,673.10 | not published |
| Shelby Hospital | Shelby, OH | $1,673.10 | not published |
| Berger Hospital | Circleville, OH | $1,684.80 | $139.57 – $1,752.00 |
| Franklin Memorial Hospital | Farmington, ME | $1,690.20 | $57.27 – $462.58 |
| Sanford Bemidji Medical Center | Bemidji, MN | $1,734.40 | $1.02 – $1,951.20 |
| Rochester General Hospital | Rochester, NY | $1,739.66 | not published |
| Newark Wayne Community Hospital | Newark, NY | $1,739.66 | $49.21 – $102.54 |
| MultiCare Auburn Medical Center | Auburn, WA | $1,754.80 | $593.50 – $640.98 |
| MultiCare Covington Medical Center | Covington, WA | $1,754.80 | $593.50 – $640.98 |