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 |
|---|---|---|---|
| MultiCare Good Samaritan Hospital | Puyallup, WA | $1,754.80 | $607.22 – $655.80 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $1,754.80 | $604.44 – $2,145.75 |
| MultiCare Allenmore Hospital | Tacoma, WA | $1,754.80 | $607.46 – $656.06 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $1,800.00 | $1,038.11 – $1,544.00 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $1,806.00 | not published |
| Wetzel County Hospital | New Martinsville, WV | $1,821.67 | $44.52 – $89.48 |
| St Jude Medical Center | Fullerton, CA | $1,836.00 | $1,266.00 – $13,012.00 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $1,879.50 | $110.10 – $2,255.40 |
| University Hospitals Elyria Medical Center | Elyria, OH | $1,879.50 | $233.26 – $419.87 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $1,879.50 | $233.26 – $419.87 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $1,879.50 | $132.96 – $419.87 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $1,879.50 | $233.26 – $419.87 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $1,879.50 | $233.26 – $419.87 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $1,879.50 | $233.26 – $466.52 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $1,879.50 | $233.26 – $419.87 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $1,879.50 | $233.26 – $2,255.40 |
| SSM Health Monroe Hospital | Monroe, WI | $1,896.95 | $2,181.00 – $9,837.00 |
| Sentara Leigh Hospital | Norfolk, VA | $1,904.50 | $2,350.00 – $3,408.00 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $1,904.50 | $2,364.00 – $3,408.00 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $1,904.50 | $2,350.00 – $3,408.00 |
| Sentara Obici Hospital | Suffolk, VA | $1,904.50 | $2,350.00 – $3,408.00 |
| Sentara CarePlex Hospital | Hampton, VA | $1,904.50 | $2,350.00 – $2,350.00 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $1,904.50 | $484.00 – $2,603.00 |
| Sentara Norfolk General Hospital | Norfolk, VA | $1,904.50 | $2,375.00 – $3,408.00 |
| Mercy Hospital of Folsom | Folsom, CA | $1,927.89 | $58.88 – $4,063.92 |
| cleveland clinic main campus | Cleveland, OH | $2,123.55 | $0.01 – $2,940.30 |
| akron general | Akron, OH | $2,123.55 | $0.01 – $2,940.30 |
| avon hospital | Avon, OH | $2,123.55 | $0.01 – $2,940.30 |
| euclid hospital | Euclid, OH | $2,123.55 | $0.01 – $2,940.30 |
| fairview hospital | Cleveland, OH | $2,123.55 | $0.01 – $2,940.30 |
| lutheran hospital | Cleveland, OH | $2,123.55 | $0.01 – $2,940.30 |
| hillcrest hospital | Mayfield Heights, OH | $2,123.55 | $0.01 – $2,940.30 |
| marymount hospital | Garfield Heights, OH | $2,123.55 | $0.01 – $2,940.30 |
| medina hospital | Medina, OH | $2,123.55 | $0.01 – $2,940.30 |
| mercy hospital | Canton, OH | $2,123.55 | $0.01 – $2,940.30 |
| south pointe hospital | Warrensville Heights, OH | $2,123.55 | $0.01 – $2,940.30 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $2,135.04 | not published |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $2,135.04 | not published |
| Swedish Issaquah | Issaquah, WA | $2,135.04 | $9,339.00 – $9,339.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $2,139.00 | $308.00 – $1,094.00 |
| UPMC St. Margaret | Pittsburgh, PA | $2,148.00 | $52.82 – $626.83 |
| AdventHealth Polk | Columbus, NC | $2,211.93 | not published |
| UPMC Community Osteopathic | Harrisburg, PA | $2,224.80 | $62.91 – $4,989.94 |
| UPMC Hanover | Hanover, PA | $2,224.80 | $60.99 – $269.06 |
| UPMC Lititz | Lititz, PA | $2,224.80 | $50.87 – $269.06 |
| UPMC Memorial | York, PA | $2,224.80 | $50.87 – $506.07 |
| UPMC Somerset | Somerset, PA | $2,224.80 | $52.82 – $614.63 |
| UPMC Carlisle | Carlisle, PA | $2,224.80 | $60.99 – $9,539.00 |
| HSHS St. Mary's Hospital | DECATUR, IL | $2,237.76 | $1,164.48 – $1,554.00 |
| UPMC Horizon-Greenville | Greenville, PA | $2,267.40 | $50.42 – $1,207.96 |