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 |
|---|---|---|---|
| UPMC Chautauqua | Jamestown, NY | $3,409.80 | $52.90 – $5,114.70 |
| UPMC Williamsport | Williamsport, PA | $3,434.40 | $52.82 – $284.01 |
| Springfield Medical Center | Springfield, OH | $3,443.40 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $3,483.70 | $1,887.00 – $5,512.00 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $3,483.70 | $1,887.00 – $5,512.00 |
| SSM Health Ripon Community Hospital | Ripon, WI | $3,483.70 | $1,887.00 – $5,512.00 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $3,486.30 | $48.69 – $4,244.99 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $3,602.00 | $4,610.00 – $7,316.00 |
| Houston Methodist West Hospital | Houston, TX | $3,602.00 | $4,610.00 – $7,316.00 |
| Houston Methodist Baytown Hospital | Baytown, TX | $3,602.00 | $4,610.00 – $7,316.00 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $3,602.00 | $4,610.00 – $7,316.00 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $3,602.00 | $4,610.00 – $7,316.00 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $3,602.00 | $4,610.00 – $7,316.00 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $3,602.00 | $4,610.00 – $7,542.00 |
| Houston Methodist Cypress Hospital | Cypress, TX | $3,602.00 | $4,610.00 – $7,316.00 |
| Thomas Hospitals | South Charleston, WV | $3,613.00 | $44.52 – $258.76 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $3,653.67 | $49.73 – $4,869.00 |
| OSF Saint Paul Medical Center | Mendota, IL | $3,708.00 | not published |
| St Francis Medical Center | Midlothian, VA | $3,745.80 | not published |
| Mercy Hospital Aurora | Aurora, MO | $3,803.33 | $353.46 – $3,845.46 |
| OSF St Mary Medical Center | Galesburg, IL | $3,816.00 | $693.00 – $1,586.00 |
| CHI Health St. Mary's | Nebraska City, NE | $3,993.13 | $1,030.52 – $4,618.56 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $4,188.80 | $1,766.00 – $1,766.00 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $4,192.80 | $52.82 – $626.83 |
| Allen Hospital | Oberlin, OH | $4,202.65 | not published |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $4,221.33 | $1,087.00 – $2,624.00 |
| Adventhealth South Overland Park | Overland Park, KS | $4,221.33 | $1,087.00 – $2,624.00 |
| Adventhealth Ottawa | Ottawa, KS | $4,221.33 | $1,087.00 – $2,624.00 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $4,250.88 | $1,109.03 – $5,904.00 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $4,277.37 | $2,699.00 – $21,319.00 |
| Tiffin Hospital | Tiffin, OH | $4,310.40 | $1,842.64 – $1,879.49 |
| UPMC Northwest | Seneca, PA | $4,393.20 | $52.82 – $1,611.51 |
| Mercy Hospital Lincoln | Troy, MO | $4,408.17 | $2,497.05 – $3,684.65 |
| UPMC Presbyterian | Pittsburgh, PA | $4,494.60 | $52.82 – $626.83 |
| Willard Hospital | Willard, OH | $4,550.28 | not published |
| Corewell Health Pennock | Hastings, MI | $4,565.00 | not published |
| Corewell Health Big Rapids | Big Rapids, MI | $4,565.00 | not published |
| Corewell Health Gerber | Fremont, MI | $4,565.00 | not published |
| Corewell Health Reed City | Po Box 75, MI | $4,565.00 | not published |
| Corewell Health Greenville | Greenville, MI | $4,565.00 | not published |
| Corewell Health Zeeland | Zeeland, MI | $4,565.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $4,589.00 | not published |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $4,589.00 | not published |
| MercyOne North Iowa Medical Center | Mason City, IA | $4,834.25 | $166.66 – $4,230.54 |
| St Elizabeth Boardman Hospital | Youngstown, OH | $4,947.96 | $1,847.43 – $1,884.38 |
| HSHS St. Joseph's Hospital | Breese, IL | $5,248.08 | $1,109.03 – $4,859.00 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $5,704.58 | $53.47 – $1,337.01 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $5,721.81 | $5.68 – $5.68 |
| Northwestern Memorial Hospital | Chicago, IL | $5,721.81 | $1.58 – $1.58 |
| Memorial Regional Hospital | Mechanicsville, VA | $5,834.30 | $1,959.11 – $1,998.29 |