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 |
|---|---|---|---|
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $3,138.15 | $659.94 – $725.93 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $3,138.15 | $659.94 – $712.74 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $3,138.15 | $659.94 – $725.93 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $3,138.15 | $659.94 – $712.74 |
| Texas Health Hospital Rockwall | Rockwall, TX | $3,138.15 | $659.94 – $712.74 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $3,138.15 | $659.94 – $725.93 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $3,138.15 | $659.94 – $725.93 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $3,148.11 | $203.01 – $1,513.20 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $3,148.11 | $203.01 – $1,513.20 |
| Jewish Hospital | Cincinnati, OH | $3,153.00 | not published |
| Kings Mills Hospital | Mason, OH | $3,153.00 | not published |
| Mercy West Hospital | Cincinnati, OH | $3,153.00 | not published |
| Virginia Mason Medical Center | Seattle, WA | $3,182.91 | $12.42 – $1,007.90 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $3,202.98 | $565.72 – $4,296.76 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $3,202.98 | $1,995.02 – $2,202.19 |
| UPMC East | Monroeville, PA | $3,205.20 | $618.25 – $4,273.60 |
| Sanford Medical Center Bismarck | Bismarck, ND | $3,221.60 | $191.40 – $3,624.30 |
| Princeton Community Hospital | Princeton, WV | $3,295.50 | $179.34 – $11,627.82 |
| Downey Medical Center | Downey, CA | $3,296.80 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $3,296.80 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $3,296.80 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $3,296.80 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $3,296.80 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $3,296.80 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $3,296.80 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $3,296.80 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $3,296.80 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $3,296.80 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $3,296.80 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $3,296.80 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $3,296.80 | not published |
| Mark Twain Medical Center | San Andreas, CA | $3,300.70 | $152.90 – $579.18 |
| Ascension Providence | Waco, TX | $3,326.49 | $659.94 – $3,249.57 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $3,375.00 | $390.81 – $2,627.83 |
| Corewell Health Taylor | Taylor, MI | $3,375.00 | $392.59 – $2,627.83 |
| Corewell Health Trenton | Trenton, MI | $3,375.00 | $390.41 – $2,627.83 |
| Corewell Health Troy | Troy, MI | $3,375.00 | $440.71 – $2,626.70 |
| Corewell Health Wayne | Wayne, MI | $3,375.00 | $388.94 – $2,627.83 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $3,395.34 | not published |
| UPMC Chautauqua | Jamestown, NY | $3,409.80 | $365.20 – $5,114.70 |
| OSF Saint Anthony Medical Center | Rockford, IL | $3,412.80 | $431.90 – $7,324.02 |
| UPMC Williamsport | Williamsport, PA | $3,434.40 | $618.25 – $2,010.67 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $3,437.91 | $2,717.15 – $6,732.00 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $3,439.95 | $203.01 – $1,513.20 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $3,442.80 | $1,869.23 – $2,486.25 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $3,442.80 | $928.00 – $1,300.50 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $3,442.80 | $683.00 – $2,115.57 |
| Springfield Medical Center | Springfield, OH | $3,443.40 | not published |
| Jackson General Hospital | Ripley, WV | $3,451.00 | not published |
| Sanford Bemidji Medical Center | Bemidji, MN | $3,480.00 | $1,392.92 – $3,915.00 |