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 |
|---|---|---|---|
| UPMC Somerset | Somerset, PA | $2,908.20 | $614.63 – $2,010.48 |
| UPMC Carlisle | Carlisle, PA | $2,908.20 | $647.01 – $4,119.95 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $2,936.40 | $175.47 – $3,255.72 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $2,952.00 | $224.17 – $609.76 |
| Parkview Bryan Hospital | Bryan, OH | $2,955.00 | $1,942.71 – $5,828.13 |
| Parkview Montpelier Hospital | Montpelier, OH | $2,955.00 | not published |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $2,963.07 | $221.23 – $2,011.64 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $2,963.07 | $221.23 – $2,011.64 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $2,980.20 | $1,869.23 – $2,152.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $2,989.87 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $2,989.87 | $85.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $2,989.87 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $2,989.87 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $2,989.87 | $71.00 – $5,645.00 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $2,998.30 | $247.60 – $474.24 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $2,998.30 | $247.60 – $408.83 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $2,998.30 | $247.60 – $468.79 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $2,998.30 | $247.60 – $468.79 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $2,998.30 | $247.60 – $408.82 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | $2,998.30 | $247.60 – $247.60 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $3,003.84 | $2,134.80 – $7,908.00 |
| UPMC McKeesport | Mckeesport, PA | $3,012.60 | $180.94 – $2,010.67 |
| Abbott Northwestern Hospital | MN 55407, MN | $3,052.51 | $628.58 – $4,888.86 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $3,052.51 | $628.58 – $4,845.00 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $3,052.51 | $628.58 – $4,845.00 |
| Sanford USD Medical Center | Sioux Falls, SD | $3,059.20 | $191.40 – $3,441.60 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $3,091.50 | $585.23 – $16,088.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $3,101.88 | $659.94 – $3,877.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $3,101.88 | $659.94 – $4,783.04 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $3,101.88 | $659.94 – $4,783.04 |
| Lourdes Hospital | Paducah, KY | $3,112.80 | not published |
| Mercy Medical Center Merced | Merced, CA | $3,122.45 | $224.16 – $6,002.37 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $3,138.15 | $659.94 – $725.93 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $3,138.15 | $659.94 – $712.74 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $3,138.15 | $659.94 – $712.74 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $3,138.15 | $659.94 – $725.93 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $3,138.15 | $659.94 – $725.93 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $3,138.15 | $659.94 – $725.93 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $3,138.15 | $659.94 – $712.74 |
| Texas Health Hospital Frisco | Frisco, TX | $3,138.15 | $659.94 – $712.74 |