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
$118.58
lowest cash price
$3,296.80
national median
$31,824.53
highest cash price
545
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $118.58–$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 | 21 | $118.58 | $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 | 26 | $140.14 | $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 |
|---|---|---|---|
| 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 |
| Emory Hospital Perry | Perry, GA | not published | $1,723.66 – $4,840.09 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $2,865.81 – $2,926.14 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $2,865.81 – $2,926.14 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $2,486.40 – $2,617.26 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $2,926.14 – $2,926.14 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $2,610.97 – $2,665.94 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $2,635.22 – $2,773.92 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $2,716.21 – $2,773.39 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $2,453.13 – $2,582.24 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $2,610.97 – $2,748.39 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $2,737.10 – $2,794.73 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $2,665.94 – $2,665.94 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $2,610.97 – $2,748.39 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $2,606.85 – $2,661.73 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $2,865.81 – $2,926.14 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $2,753.87 – $2,898.81 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $2,842.33 – $2,902.17 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $2,606.85 – $2,661.73 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $2,716.21 – $3,096.10 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $2,610.97 – $2,748.39 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $2,453.13 – $2,582.24 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $2,842.33 – $2,902.17 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $2,737.10 – $2,794.73 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $2,442.35 – $2,442.35 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $2,428.62 – $2,556.44 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $2,635.22 – $2,773.92 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $2,564.29 – $2,618.27 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $2,462.41 – $2,514.25 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $2,425.26 – $2,552.91 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $2,646.31 – $2,702.02 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $2,842.33 – $2,902.17 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $2,971.00 – $3,096.10 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $2,971.00 – $3,096.10 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $2,971.00 – $3,096.10 |