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
543
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 | 25 | $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 |
|---|---|---|---|
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $2,971.00 – $3,096.10 |
| HCA HealthONE AURORA | Aurora, CO | not published | $2,971.00 – $3,096.10 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $646.74 – $3,398.69 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $646.74 – $3,398.69 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $692.94 – $3,398.69 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $692.94 – $3,398.69 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $692.94 – $3,524.67 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $646.74 – $3,398.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $646.74 – $3,398.69 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $692.94 – $3,524.67 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $646.74 – $3,398.69 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $795.91 – $1,560.13 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $795.91 – $1,630.33 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $659.94 – $4,092.05 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $650.04 – $3,748.18 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $659.94 – $3,541.86 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $659.94 – $3,748.18 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $650.04 – $3,937.31 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $659.94 – $3,713.80 |
| Kettering Health Troy | Troy, OH | not published | $1,913.74 – $23,007.00 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $1,936.01 – $23,007.00 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $1,913.74 – $23,007.00 |
| Soin Medical Center | Beaver Creek, OH | not published | $1,924.04 – $23,007.00 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $1,924.04 – $23,007.00 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $1,936.01 – $23,007.00 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $1,924.04 – $23,007.00 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $489.60 – $8,282.00 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $585.23 – $9,733.00 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $585.23 – $14,067.00 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | not published | $814.80 – $7,078.80 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | not published | $970.00 – $8,980.98 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | not published | $224.17 – $1,101.92 |
| St. Clare Hospital | Lakewood, WA | not published | $4,890.87 – $4,890.87 |
| St. Francis Hospital | Federal Way, WA | not published | $4,890.87 – $4,890.87 |
| St. Elizabeth Hospital | Enumclaw, WA | not published | $4,890.87 – $4,890.87 |
| St. Michael Medical Center | Silverdale, WA | not published | $8,471.71 – $8,471.71 |
| St. Joseph Medical Center | Tacoma, WA | not published | $4,890.87 – $4,890.87 |
| St. Anthony Hospital | Gig Harbor, WA | not published | $4,890.87 – $4,890.87 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $143.95 – $250.86 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $692.94 – $692.94 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $58.96 – $878.95 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $1,964.86 – $4,781.00 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | not published | $818.29 – $2,888.39 |
| NewYork-Presbyterian Queens | Flushing, NY | not published | $818.29 – $2,426.25 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | not published | $659.94 – $725.93 |
| 64-0881013 MBMC Jackson | Jackson, MS | not published | $1,772.80 – $4,963.84 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $659.94 – $5,037.70 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $2,066.00 – $3,099.00 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $2,066.00 – $3,099.00 |
| Parkview Noble Hospital | Kendallville, IN | not published | $2,066.00 – $3,099.00 |