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 Orthopedic Hospital Springfield | Ozark, MO | $3,481.32 | $162.83 – $4,244.99 |
| Reynolds Memorial Hospital | Glen Dale, WV | $3,481.50 | $188.31 – $3,261.96 |
| Sanford Fargo Medical Center | Fargo, ND | $3,500.80 | $191.40 – $3,938.40 |
| Weirton Medical Center | Weirton, WV | $3,591.00 | $179.34 – $9,486.54 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $3,653.67 | $167.60 – $4,869.00 |
| Hardin Memorial Hospital | Kenton, OH | $3,654.30 | not published |
| Wetzel County Hospital | New Martinsville, WV | $3,665.00 | $197.27 – $3,493.58 |
| Adventhealth Fish Memorial | Orange City, FL | $3,732.70 | $1,937.23 – $3,880.99 |
| Maryview Hospital | Portsmouth, VA | $3,745.80 | not published |
| Harbour View Medical Center | Suffolk, VA | $3,745.80 | not published |
| St Francis Medical Center | Midlothian, VA | $3,745.80 | not published |
| Grady Memorial Hospital | Delaware, OH | $3,775.20 | $1,882.86 – $1,958.17 |
| Community Medical Center | Toms River, NJ | $3,786.00 | $431.31 – $4,246.94 |
| Mercy Hospital Aurora | Aurora, MO | $3,803.33 | $297.00 – $3,845.46 |
| MultiCare Auburn Medical Center | Auburn, WA | $3,825.20 | $593.50 – $9,373.54 |
| MultiCare Covington Medical Center | Covington, WA | $3,825.20 | $593.50 – $9,373.54 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $3,825.20 | $607.22 – $9,373.54 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $3,825.20 | $604.44 – $14,137.49 |
| MultiCare Allenmore Hospital | Tacoma, WA | $3,825.20 | $607.46 – $9,373.54 |
| Providence St Joseph Hospital Orange | Orange, CA | $3,836.16 | $2,134.80 – $7,602.00 |
| O'Bleness Hospital | Athens, OH | $3,861.00 | $1,864.55 – $1,883.19 |
| AdventHealth Polk | Columbus, NC | $3,878.81 | not published |
| OSF Saint Clare Medical Center | Princeton, IL | $3,918.40 | not published |
| Berger Hospital | Circleville, OH | $3,976.70 | $514.49 – $7,007.00 |
| Clara Maass Medical Center | Belleville, NJ | $3,986.00 | $416.08 – $4,359.79 |
| CHI Health St. Mary's | Nebraska City, NE | $3,993.13 | $1,030.52 – $4,618.56 |
| Mansfield Hospital | Mansfield, OH | $4,074.20 | $1,864.55 – $1,939.13 |
| Shelby Hospital | Shelby, OH | $4,074.20 | not published |
| UPMC Passavant-McCandless | Pittsburgh, PA | $4,192.80 | $618.25 – $2,047.90 |
| Allen Hospital | Oberlin, OH | $4,203.55 | not published |
| SSM Health Monroe Hospital | Monroe, WI | $4,203.65 | $1,896.75 – $8,701.00 |
| OSF Saint Anthony's Health Center | Alton, IL | $4,261.80 | $465.70 – $2,134.43 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $4,277.37 | $2,511.53 – $10,413.00 |
| St Jude Medical Center | Fullerton, CA | $4,317.60 | $2,134.80 – $6,405.00 |
| Wellstar Cobb Hospital | Austell, GA | $4,326.27 | $1,983.41 – $6,179.00 |
| Wellstar Douglas Hospital | Douglasville, GA | $4,326.27 | $1,965.57 – $6,179.00 |
| Wellstar Kennestone Hospital | Marietta, GA | $4,326.27 | $1,983.41 – $6,179.00 |
| Wellstar MCG Health | Augusta, GA | $4,326.27 | $1,711.21 – $5,699.00 |
| Wellstar North Fulton Hospital | Roswell, GA | $4,326.27 | $1,983.41 – $6,179.00 |
| Wellstar Paulding Hospital | Hiram, GA | $4,326.27 | $1,983.41 – $6,179.00 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $4,326.27 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $4,326.27 | $1,958.63 – $6,179.00 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $4,326.27 | $3,391.00 – $6,179.00 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $4,326.27 | $1,921.52 – $6,179.00 |
| Wellstar Windy Hill Hospital | Marietta, GA | $4,326.27 | $1,820.98 – $6,179.00 |
| Tiffin Hospital | Tiffin, OH | $4,337.34 | $1,842.64 – $1,879.49 |
| UPMC Northwest | Seneca, PA | $4,350.00 | $618.25 – $2,010.67 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $4,350.00 | $1,037.67 – $4,246.94 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $4,379.33 | $175.47 – $2,326.52 |
| Inova Alexandria Hospital | Alexandria, VA | $4,403.00 | $1,509.00 – $3,529.00 |