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 |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison, WI | $8,968.95 | $177.36 – $1,748.94 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $9,266.95 | $20.00 – $20.00 |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $9,423.40 | $218.00 – $218.00 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $9,428.20 | $1,848.75 – $5,562.00 |
| Adventhealth South Overland Park | Overland Park, KS | $9,428.20 | $1,848.75 – $5,562.00 |
| Adventhealth Ottawa | Ottawa, KS | $9,428.20 | $1,836.30 – $5,562.00 |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $9,795.45 | not published |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $9,861.52 | $175.47 – $2,416.07 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $9,861.52 | $175.47 – $2,718.08 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $9,861.52 | $175.47 – $2,527.01 |
| Anderson Hospital | Cincinnati, OH | $10,384.27 | $1,902.97 – $1,941.03 |
| cleveland clinic florida weston hospital | Weston, FL | $10,947.95 | $92.39 – $14,316.55 |
| martin north hospital | Stuart, FL | $10,947.95 | $176.77 – $8,421.50 |
| indian river hospital | Vero Beach, FL | $10,947.95 | $92.39 – $13,474.40 |
| St Ritas Medical Center | Lima, OH | $10,981.80 | $1,936.01 – $1,974.73 |
| Emory Decatur Hospital | Decatur, GA | $11,148.00 | $1,958.63 – $4,840.09 |
| Emory Hillandale Hospital | Lithonia, GA | $11,148.00 | $1,958.63 – $4,840.09 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $11,148.00 | $4,557.00 – $4,557.00 |
| Emory Johns Creek Hospital | Johns Creek, GA | $11,148.00 | $1,983.41 – $4,840.09 |
| Emory Rehabilitation Hospital | Atlanta, GA | $11,148.00 | $1,820.98 – $7,750.00 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $11,148.00 | $1,983.41 – $4,840.09 |
| Emory University Hospital | Ne, GA | $11,148.00 | $1,958.63 – $4,840.09 |
| Emory University Hospital Midtown | Atlanta, GA | $11,148.00 | $1,983.41 – $4,840.09 |
| Thomas Hospitals | South Charleston, WV | $11,656.00 | $205.80 – $9,433.42 |
| MercyOne Newton Medical Center | Newton, IA | $12,057.90 | $0.96 – $5,028.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $12,505.10 | $1,342.09 – $5,711.00 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $12,573.08 | $0.96 – $730.00 |
| MercyOne Centerville Medical Center | Centerville, IA | $13,535.90 | $0.96 – $730.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $14,886.05 | $0.96 – $4,054.81 |
| Baptist Hospital | MIAMI, FL | $17,531.80 | $173.17 – $8,157.60 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $17,531.80 | $930.34 – $8,157.60 |
| Doctors Hospital | CORAL GABLES, FL | $17,531.80 | $901.87 – $8,157.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $17,531.80 | $901.87 – $8,157.60 |
| Homestead Hospital | HOMESTEAD, FL | $17,531.80 | $167.89 – $8,157.60 |
| West Kendall Baptist Hospital | MIAMI, FL | $17,531.80 | $901.87 – $8,157.60 |
| Adventhealth Tampa | Tampa, FL | $22,464.50 | $2,039.19 – $4,527.00 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $22,464.50 | $2,039.19 – $3,723.56 |
| Adventhealth Riverview | Riverview, FL | $22,464.50 | not published |
| Adventhealth Carrollwood | Tampa, FL | $22,464.50 | $2,039.19 – $4,527.00 |
| Adventhealth Redmond | Rome, GA | $24,351.18 | $2,029.49 – $10,887.00 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $26,986.06 | $1,512.53 – $7,525.00 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $31,824.53 | $162.02 – $12,548.69 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $622.17 – $3,188.57 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $609.97 – $3,188.57 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $609.97 – $3,188.57 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $609.97 – $3,188.57 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $609.97 – $3,188.57 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $609.97 – $3,188.57 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $609.97 – $3,188.57 |
| Emory Hospital Warner Robins | Warner Robins, GA | not published | $1,749.27 – $4,840.09 |