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 |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $2,031.97 | $224.16 – $4,381.60 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $2,035.07 | $195.34 – $4,370.52 |
| Woodland Memorial Hospital | Woodland, CA | $2,036.92 | $224.16 – $6,195.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $2,036.92 | $197.06 – $5,141.85 |
| Banner Desert Medical Center | Mesa, AZ | $2,044.35 | $770.00 – $2,887.50 |
| Washakie Medical Center | Worland, WY | $2,045.68 | $485.76 – $981.64 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $2,048.00 | $175.47 – $1,942.94 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $2,048.00 | $175.47 – $1,881.40 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $2,048.00 | $175.47 – $1,729.42 |
| Arroyo Grande Hospital | Santa Maria, CA | $2,073.66 | $224.16 – $4,748.10 |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $2,082.00 | $1,665.60 – $1,828.15 |
| Ocean University Medical Center | Brick, NJ | $2,134.14 | $395.61 – $3,377.16 |
| Southern Ocean Medical Center | Manahawkin, NJ | $2,134.14 | $395.61 – $2,560.97 |
| Methodist Hospital of Sacramento | Sacramento, CA | $2,141.00 | $197.06 – $5,141.85 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $2,146.59 | $224.16 – $4,620.71 |
| Bayshore Medical Center | Holmdel, NJ | $2,161.44 | $2,161.44 – $2,593.73 |
| Jersey Shore University Medical Center | Neptune City, NJ | $2,161.44 | $395.61 – $2,593.73 |
| Riverview Medical Center | Red Bank, NJ | $2,161.44 | $395.61 – $2,593.73 |
| MercyOne North Iowa Medical Center | Mason City, IA | $2,161.90 | $567.55 – $4,230.54 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $2,162.00 | $486.48 – $1,997.81 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $2,162.00 | $1,816.19 – $1,997.81 |
| Raritan Bay Medical Center | Perth Amboy, NJ | $2,163.32 | $408.53 – $2,595.98 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | $2,163.32 | $408.53 – $3,377.16 |
| Berkeley Medical Center | Martinsburg, WV | $2,163.50 | $939.67 – $1,644.42 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $2,173.60 | $2,329.57 – $6,009.28 |
| Banner Estrella Medical Center | Phoenix, AZ | $2,234.93 | $770.00 – $8,369.00 |
| United Hospital Center | Bridgeport, WV | $2,244.50 | $205.80 – $3,522.84 |
| UPMC Horizon-Greenville | Greenville, PA | $2,267.40 | $618.25 – $2,010.67 |
| UPMC Jameson | New Castle, PA | $2,267.40 | $618.25 – $2,513.34 |
| St. Joseph's Hospital | Buckhannon, WV | $2,281.50 | not published |
| Hackensack University Medical Center | Hackensack, NJ | $2,299.70 | $408.53 – $2,414.68 |
| Palisades Medical Center | North Bergen, NJ | $2,299.70 | $408.53 – $2,506.67 |
| Advocate Trinity Hospital | Chicago, IL | $2,300.00 | $84.00 – $3,908.36 |
| Bellevue Hospital Center | NY 10016, NY | $2,310.83 | $0.01 – $3,656.33 |
| Kings County Hospital Center | Brooklyn, NY | $2,310.83 | $0.01 – $3,656.33 |
| Lincoln Medical Center | Bronx, NY | $2,310.83 | $0.01 – $2,754.44 |
| Metropolitan Hospital Center | New York, NY | $2,310.83 | $0.01 – $2,754.44 |
| Harlem Hospital Center | New York, NY | $2,310.83 | $0.01 – $2,754.44 |
| Woodhull Medical Center | Brooklyn, NY | $2,310.83 | $0.01 – $3,656.33 |
| Queens Hospital Center | Jamaica, NY | $2,310.83 | $0.01 – $3,656.33 |
| Elmhurst Hospital Center | NY 11373, NY | $2,310.83 | $0.01 – $2,754.44 |
| Jacobi Medical Center | Bronx, NY | $2,310.83 | $0.01 – $3,656.33 |
| South Brooklyn Health | Brooklyn, NY | $2,310.83 | $0.01 – $2,754.44 |
| North Central Bronx | Bronx, NY | $2,310.83 | $0.01 – $3,656.33 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $2,325.75 | $900.00 – $4,679.02 |
| University Hospitals Elyria Medical Center | Elyria, OH | $2,325.75 | $1,847.43 – $3,325.37 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $2,325.75 | $1,995.02 – $3,591.04 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $2,325.75 | $1,847.43 – $3,325.37 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $2,325.75 | $1,847.43 – $3,325.37 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $2,325.75 | $1,995.02 – $3,591.04 |