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 |
|---|---|---|---|
| Fremont Medical Center | FREMONT, CA | $2,867.20 | not published |
| Fresno Medical Center | FRESNO, CA | $2,867.20 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $2,867.20 | not published |
| San Jose Medical Center | SAN JOSE, CA | $2,867.20 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $2,867.20 | not published |
| Atrium Health Pineville | Charlotte, NC | $2,868.55 | $34.96 – $5,278.13 |
| Atrium Health Anson | Wadesboro, NC | $2,868.55 | $34.96 – $5,450.25 |
| Atrium Health Mercy | Charlotte, NC | $2,868.55 | $34.96 – $5,278.13 |
| Atrium Health Stanly | Albermarle, NC | $2,868.55 | $34.96 – $5,507.62 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $2,868.55 | $35.31 – $5,048.65 |
| Atrium Health Cleveland | Shelby, NC | $2,868.55 | $34.96 – $5,450.25 |
| Atrium Health Cabarrus | Concord, NC | $2,868.55 | $34.96 – $5,450.25 |
| Atrium Health Lincoln | Lincolnton, NC | $2,868.55 | $34.96 – $5,450.25 |
| Atrium Health Union | Monroe, NC | $2,868.55 | $34.96 – $5,450.25 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $2,868.55 | $35.31 – $5,278.13 |
| Atrium Health University City | Charlotte, NC | $2,868.55 | $34.96 – $5,278.13 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $2,868.55 | $34.96 – $5,163.39 |
| Riverside Methodist Hospital | Columbus, OH | $2,889.25 | not published |
| Dublin Methodist Hospital | Dublin, OH | $2,889.25 | not published |
| Grant Medical Center | Columbus, OH | $2,889.25 | not published |
| Doctors Hospital | Columbus, OH | $2,889.25 | not published |
| Camden Clark Medical Center | Parkersburg, WV | $2,911.00 | $44.52 – $89.48 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $2,936.40 | $53.47 – $3,255.72 |
| Adventhealth Tampa | Tampa, FL | $2,955.21 | not published |
| Adventhealth Riverview | Riverview, FL | $2,955.21 | not published |
| Adventhealth Carrollwood | Tampa, FL | $2,955.21 | not published |
| Reynolds Memorial Hospital | Glen Dale, WV | $2,986.00 | $33.23 – $89.48 |
| Lourdes Hospital | Paducah, KY | $2,991.60 | not published |
| Adventhealth Redmond | Rome, GA | $2,996.39 | $1,277.00 – $2,434.00 |
| OSF St Joseph Medical Center | Bloomington, IL | $3,004.80 | $693.00 – $1,383.00 |
| UPMC McKeesport | Mckeesport, PA | $3,012.60 | $52.82 – $626.83 |
| OSF Saint Anthony's Health Center | Alton, IL | $3,025.80 | $140.29 – $146.00 |
| Adventhealth Hendersonville | Hendersonville, NC | $3,126.00 | not published |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $3,172.40 | $64.19 – $3,886.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $3,172.40 | $64.19 – $3,886.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $3,172.40 | $64.19 – $3,886.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $3,172.40 | $64.19 – $3,886.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $3,172.40 | $64.19 – $3,886.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $3,172.40 | $64.19 – $3,886.00 |
| Baptist Hospital | MIAMI, FL | $3,182.40 | $173.17 – $2,204.10 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $3,182.40 | $690.62 – $2,449.00 |
| Doctors Hospital | CORAL GABLES, FL | $3,182.40 | $366.00 – $2,204.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $3,182.40 | $366.00 – $2,204.10 |
| Homestead Hospital | HOMESTEAD, FL | $3,182.40 | $167.89 – $2,204.10 |
| West Kendall Baptist Hospital | MIAMI, FL | $3,182.40 | $366.00 – $2,204.10 |
| UPMC East | Monroeville, PA | $3,205.20 | $52.82 – $4,273.60 |
| Summersville Regional Medical Center | Summersville, WV | $3,233.00 | not published |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $3,302.69 | $53.47 – $1,087.82 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $3,302.69 | $53.47 – $990.81 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $3,338.52 | $53.47 – $1,669.26 |