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 |
|---|---|---|---|
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $735.02 – $2,298.50 |
| Sentara Halifax Regional Hospital | South Boston, VA | not published | $1,958.73 – $2,016.34 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $732.49 – $732.49 |
| 64-0663760 BMH Booneville | Booneville, MS | not published | $1,669.83 – $4,870.35 |
| Henry Ford River District Hospital | China Township, MI | not published | $732.49 – $732.49 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $735.02 – $2,298.50 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $58.96 – $878.95 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $1,764.05 – $4,334.00 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $292.76 – $1,543.77 |
| Covenant Medical Center | Lubbock, TX | not published | $1,553.00 – $7,379.00 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $1,764.32 – $1,893.05 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $1,945.70 – $3,050.99 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $58.96 – $878.95 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | not published | $1,966.77 – $2,950.16 |
| Providence Willamette Falls Medical Center | Oregon City, OR | not published | $2,135.77 – $27,346.00 |
| CHI St. Vincent Morrilton | Morrilton, AR | not published | $1,828.15 – $1,828.15 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $1,422.56 – $6,687.00 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | not published | $2,092.58 – $2,197.21 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $659.94 – $2,736.00 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $2,149.19 – $4,231.41 |
| Adventhealth Daytona Beach | Daytona Beach, FL | not published | $1,937.23 – $3,403.41 |
| St. John's Camarillo Hospital | Camarillo, CA | not published | $275.72 – $4,511.78 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $1,820.36 – $4,695.41 |
| Mercy Gilbert Medical Center | Gilbert, AZ | not published | $202.05 – $2,081.30 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $1,739.41 – $3,598.50 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $4,272.98 – $4,272.98 |
| Central Medical Center | Seattle, WA | not published | not published |
| Westside Medical Center | HILLSBORO, OR | not published | not published |
| Sunnyside Medical Center | CLACKAMAS, OR | not published | not published |
| Providence St Peter Hospital | Olympia, WA | not published | $1,908.92 – $8,319.00 |
| Providence Holy Family Hospital | Spokane, WA | not published | $2,176.01 – $7,132.00 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $232.82 – $6,335.00 |
| Adventhealth Ocala | Ocala, FL | not published | $2,039.19 – $4,527.00 |
| Adventhealth Manchester | Manchester, KY | not published | $1,832.23 – $1,832.23 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $221.23 – $2,011.64 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $1,985.00 – $12,868.00 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $2,646.31 – $2,702.02 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $221.23 – $2,011.64 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $221.23 – $2,011.64 |
| Providence St Vincent Medical Center | Portland, OR | not published | $2,135.77 – $27,346.00 |
| Providence Centralia Hospital | Centralia, WA | not published | $2,261.24 – $10,058.20 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $58.96 – $878.95 |
| St. Mary Medical Center | Long Beach, CA | not published | $195.34 – $3,969.90 |
| California Hospital Medical Center | Los Angeles, CA | not published | $221.84 – $2,764.05 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $58.96 – $878.95 |
| Providence Portland Medical Center | Portland, OR | not published | $2,135.77 – $27,346.00 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $498.59 – $1,493.96 |
| Sequoia Hospital | Redwood City, CA | not published | $224.16 – $8,963.51 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $58.96 – $878.95 |