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 |
|---|---|---|---|
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $2,325.75 | $1,847.43 – $3,694.86 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $2,325.75 | $1,847.43 – $3,325.37 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $2,325.75 | $685.32 – $3,325.37 |
| CHI Health Plainview | Plainview, NE | $2,331.00 | $1,692.75 – $3,757.91 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $2,343.75 | $1,893.75 – $3,408.76 |
| CHI Health Schuyler | Schuyler, NE | $2,358.75 | $594.41 – $3,141.86 |
| Banner University Medical Center South | Tucson, AZ | $2,372.17 | $591.00 – $7,674.00 |
| Platte County Hospital | Wheatland, WY | $2,392.72 | $1,168.80 – $2,361.95 |
| Canton-Potsdam Hospital | Potsdam, NY | $2,407.40 | $150.64 – $175.75 |
| Henry Ford St John Hospital | Detroit, MI | $2,430.40 | $732.49 – $3,124.80 |
| Providence St Mary Medical Center | Walla Walla, WA | $2,454.20 | $1,710.86 – $4,025.62 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $2,458.40 | $1,362.88 – $2,765.70 |
| Community Hospital | Torrington, WY | $2,465.78 | $1,071.40 – $2,361.95 |
| Marion General Hospital | Marion, OH | $2,528.50 | $1,864.55 – $1,939.13 |
| Hazard ARH Regional Medical Center | Hazard, KY | $2,589.60 | $166.90 – $1,586.99 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $2,598.70 | $158.28 – $3,319.71 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $2,606.00 | $1,866.46 – $1,903.79 |
| UPMC St. Margaret | Pittsburgh, PA | $2,615.40 | $618.25 – $2,047.90 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $2,664.20 | $1,475.17 – $6,798.00 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $2,685.07 | $110.33 – $3,363.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $2,685.07 | $110.33 – $4,475.11 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $2,685.07 | $110.33 – $2,600.17 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $2,685.07 | $110.33 – $4,475.11 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $2,729.10 | $293.66 – $5,316.00 |
| MultiCare Capital Medical Center | Olympia, WA | $2,733.60 | $638.70 – $10,102.89 |
| Sentara Leigh Hospital | Norfolk, VA | $2,747.50 | $1,943.35 – $7,337.00 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $2,747.50 | $1,943.35 – $7,337.00 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $2,747.50 | $1,943.35 – $7,337.00 |
| Sentara Obici Hospital | Suffolk, VA | $2,747.50 | $1,943.35 – $7,337.00 |
| Sentara CarePlex Hospital | Hampton, VA | $2,747.50 | $1,943.35 – $2,000.51 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $2,747.50 | $1,943.35 – $5,607.00 |
| Sentara Norfolk General Hospital | Norfolk, VA | $2,747.50 | $1,943.35 – $7,337.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $2,812.90 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $2,812.90 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $2,812.90 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $2,812.90 | $71.00 – $5,645.00 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $2,840.00 | $84.00 – $3,908.36 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $2,840.00 | $84.00 – $3,908.36 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $2,840.00 | $84.00 – $4,480.40 |
| Advocate Christ Medical Center | Oak Lawn, IL | $2,840.00 | $84.00 – $3,908.36 |
| Advocate Condell Medical Center | Libertyville, IL | $2,840.00 | $116.00 – $3,908.36 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $2,840.00 | $84.00 – $4,544.00 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $2,844.00 | $1,943.35 – $5,978.00 |
| Sentara RMH Medical Center | Harrisonburg, VA | $2,844.00 | $1,943.35 – $2,000.51 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $2,887.92 | $2,581.14 – $2,929.00 |
| Mercy Hospital of Folsom | Folsom, CA | $2,891.83 | $197.06 – $5,079.90 |
| UPMC Community Osteopathic | Harrisburg, PA | $2,908.20 | $647.01 – $4,602.81 |
| UPMC Hanover | Hanover, PA | $2,908.20 | $647.01 – $4,602.81 |
| UPMC Lititz | Lititz, PA | $2,908.20 | $647.01 – $4,602.81 |
| UPMC Memorial | York, PA | $2,908.20 | $506.07 – $4,602.81 |