Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) cost at US hospitals
HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl · CPT 64635
$190.00
lowest cash price
$3,296.80
national median
$31,824.53
highest cash price
542
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $190.00–$31,824.53 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($2,232.80) → Sep 1, 2026 ($3,375.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 3 | $3,395.34 | $3,395.34 | $3,395.34 |
| Arizona | 14 | $320.55 | $1,778.70 | $2,372.17 |
| Arkansas | 5 | $830.11 | $2,082.00 | $2,598.70 |
| California | 82 | $190.00 | $3,296.80 | $5,426.40 |
| Colorado | 15 | $1,955.18 | $5,071.14 | $5,071.14 |
| Florida | 67 | $3,732.70 | $17,531.80 | $22,464.50 |
| Georgia | 24 | $4,326.27 | $4,326.27 | $24,351.18 |
| Hawaii | 1 | $1,525.50 | $1,525.50 | $1,525.50 |
| Illinois | 38 | $784.20 | $4,481.40 | $9,861.52 |
| Indiana | 25 | $6,622.80 | $6,622.80 | $6,622.80 |
| Iowa | 25 | $1,332.00 | $5,693.27 | $26,986.06 |
| Kansas | 8 | $1,700.00 | $9,428.20 | $9,428.20 |
| Kentucky | 6 | $778.05 | $1,485.84 | $3,112.80 |
| Louisiana | 3 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $5,515.95 | $6,597.10 | $6,597.10 |
| Michigan | 26 | $2,430.40 | $3,375.00 | $7,982.00 |
| Minnesota | 19 | $1,520.51 | $1,521.07 | $3,480.00 |
| Mississippi | 8 | $676.06 | $1,051.65 | $1,786.88 |
| Missouri | 19 | $325.10 | $6,600.00 | $31,824.53 |
| Montana | 2 | not published by hospital | not published by hospital | not published by hospital |
| Nebraska | 13 | $1,227.20 | $1,509.48 | $3,993.13 |
| Nevada | 4 | $645.96 | $645.96 | $1,033.92 |
| New Hampshire | 1 | $1,676.50 | $1,676.50 | $1,676.50 |
| New Jersey | 21 | $2,134.14 | $3,986.00 | $6,839.00 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 20 | $2,310.83 | $2,310.83 | $5,885.82 |
| North Carolina | 15 | $2,606.00 | $4,666.75 | $7,833.00 |
| North Dakota | 2 | $3,221.60 | $3,221.60 | $3,500.80 |
| Ohio | 63 | $210.50 | $4,074.20 | $10,981.80 |
| Oklahoma | 11 | $1,705.00 | $2,998.30 | $6,460.90 |
| Oregon | 8 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 24 | $411.00 | $2,908.20 | $7,348.20 |
| South Carolina | 9 | $1,592.00 | $2,162.00 | $3,091.50 |
| South Dakota | 2 | $2,458.40 | $2,458.40 | $3,059.20 |
| Tennessee | 24 | $421.20 | $421.20 | $742.90 |
| Texas | 106 | $994.70 | $3,101.88 | $6,491.02 |
| Virginia | 24 | $421.20 | $2,747.50 | $6,037.20 |
| Washington | 29 | $1,529.60 | $3,825.20 | $5,515.20 |
| West Virginia | 16 | $194.50 | $3,295.50 | $11,656.00 |
| Wisconsin | 19 | $507.21 | $3,148.11 | $8,968.95 |
| Wyoming | 4 | $1,940.40 | $2,045.68 | $2,465.78 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $190.00 | $20.00 – $2,511.53 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $190.00 | $6.37 – $4,144.02 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $190.00 | $175.65 – $1,125.58 |
| Potomac Valley Hospital | Keyser, WV | $194.50 | not published |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $200.00 | $66.41 – $708.21 |
| Barnesville Hospital | Barnesville, OH | $210.50 | not published |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $270.00 | $176.58 – $1,277.14 |
| WILLITS HOSPITAL INC | Willits, CA | $300.00 | $175.65 – $1,302.44 |
| Grant Memorial Hospital | Petersburg, WV | $311.20 | not published |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $320.55 | $202.05 – $457.92 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $325.10 | $1,945.12 – $3,520.58 |
| UPMC Cole | Coudersport, PA | $411.00 | $189.88 – $771.51 |
| Bristol Regional Medical Center | BRISTOL, TN | $421.20 | $783.77 – $4,038.35 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $421.20 | $949.72 – $3,865.08 |
| Greeneville Community Hospital | GREENEVILLE, TN | $421.20 | $529.21 – $3,972.33 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $421.20 | $735.02 – $3,862.21 |
| Holston Valley Medical Center | KINGSPORT, TN | $421.20 | $783.77 – $4,038.35 |
| Indian Path Community Hospital | KINGSPORT, TN | $421.20 | $949.72 – $3,862.21 |
| Johnson City Medical Center | JOHNSON CITY, TN | $421.20 | $998.22 – $3,972.33 |
| Johnston Memorial Hospital | ABINGDON, VA | $421.20 | $949.72 – $4,153.43 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $421.20 | $735.02 – $4,153.43 |
| Russell County Hospital | LEBANON, VA | $421.20 | $949.72 – $4,153.43 |
| Smyth County Community Hospital | MARION, VA | $421.20 | $949.72 – $4,153.43 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $421.20 | $949.72 – $3,862.21 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $507.21 | $308.33 – $1,654.43 |
| ADVENTIST HEALTH DELANO | Delano, CA | $620.20 | $195.46 – $5,650.94 |
| San Martin Hospital | Las Vegas, NV | $645.96 | $209.24 – $2,201.32 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $660.00 | $15.00 – $708.21 |
| 64-0362400 Anderson Regional Main Campus | Meridian, MS | $676.06 | $1,768.30 – $4,018.86 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $742.90 | $1,551.31 – $3,566.22 |
| Healdsburg Hospital | Healdsburg, CA | $761.43 | $2,630.99 – $3,982.87 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $778.05 | $473.41 – $1,762.67 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $784.20 | $1,202.44 – $1,443.96 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $807.50 | $1,489.00 – $5,001.25 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $830.11 | $250.00 – $3,598.80 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $958.19 | $477.79 – $1,850.94 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $994.70 | $2,061.02 – $6,309.24 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $994.70 | $1,250.48 – $5,684.00 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $994.70 | $724.15 – $5,684.00 |
| St. Joseph Health College Station Hospital | College Station, TX | $994.70 | $3,126.20 – $5,684.00 |
| Banner Churchill Community Hospital | Fallon, NV | $1,033.92 | $554.84 – $2,048.64 |
| 64-0844470 MBMC Yazoo | Yazoo City, MS | $1,051.65 | $1,708.83 – $1,743.01 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $1,054.20 | $2,670.57 – $6,325.02 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $1,054.20 | $1,546.12 – $6,325.02 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $1,054.20 | $1,265.01 – $7,308.92 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $1,125.00 | $857.00 – $3,389.97 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $1,125.00 | $926.00 – $3,389.97 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $1,125.00 | $926.00 – $3,389.97 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $1,125.00 | $926.00 – $3,389.97 |
| 45-2896080 MBMC Leake | Carthage, MS | $1,154.25 | $700.00 – $1,743.01 |