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 |
|---|---|---|---|
| Inova Fairfax Hospital | Falls Church, VA | $4,403.00 | $1,509.00 – $3,529.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $4,403.00 | $1,509.00 – $3,529.00 |
| Inova Loudoun Hospital | Leesburg, VA | $4,403.00 | $1,509.00 – $3,529.00 |
| Inova Mount Vernon Hospital | Alexandria, VA | $4,403.00 | $1,509.00 – $3,529.00 |
| Mercy Hospital Lincoln | Troy, MO | $4,408.17 | $2,330.58 – $2,497.05 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $4,481.40 | $1,094.00 – $4,100.00 |
| UPMC Presbyterian | Pittsburgh, PA | $4,494.60 | $626.83 – $2,047.90 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $4,627.00 | $489.66 – $4,246.94 |
| Atrium Health Pineville | Charlotte, NC | $4,666.75 | $131.25 – $8,586.82 |
| Atrium Health Anson | Wadesboro, NC | $4,666.75 | $131.25 – $8,866.83 |
| Atrium Health Mercy | Charlotte, NC | $4,666.75 | $131.25 – $8,586.82 |
| Atrium Health Stanly | Albermarle, NC | $4,666.75 | $131.25 – $8,960.16 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $4,666.75 | $132.56 – $8,213.48 |
| Atrium Health Cleveland | Shelby, NC | $4,666.75 | $131.25 – $8,866.83 |
| Atrium Health Cabarrus | Concord, NC | $4,666.75 | $131.25 – $8,866.83 |
| Atrium Health Lincoln | Lincolnton, NC | $4,666.75 | $131.25 – $8,866.83 |
| Atrium Health Union | Monroe, NC | $4,666.75 | $131.25 – $8,866.83 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $4,666.75 | $132.56 – $8,586.82 |
| Atrium Health University City | Charlotte, NC | $4,666.75 | $131.25 – $8,586.82 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $4,666.75 | $131.25 – $8,400.15 |
| Willard Hospital | Willard, OH | $4,703.82 | not published |
| OSF St Joseph Medical Center | Bloomington, IL | $4,812.60 | $2,092.58 – $5,543.00 |
| Adventhealth Murray | Po Box 1406, GA | $4,851.16 | $1,818.10 – $3,603.48 |
| Adventhealth Gordon | Calhoun, GA | $4,851.16 | $964.00 – $3,931.12 |
| Newark Beth Israel Medical Center | Newark, NJ | $4,881.00 | $235.85 – $4,381.70 |
| Houston Methodist Hospital | Houston, TX | $4,883.50 | $1,961.62 – $7,846.49 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $4,888.80 | $1,109.03 – $6,790.00 |
| St Elizabeth Boardman Hospital | Youngstown, OH | $4,955.94 | $1,847.43 – $1,884.38 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $5,022.50 | $1,747.00 – $10,989.00 |
| AdventHealth Parker | Parker, CO | $5,071.14 | $342.38 – $3,810.81 |
| AdventHealth Littleton | Littleton, CO | $5,071.14 | $342.38 – $3,810.81 |
| AdventHealth Porter | Denver, CO | $5,071.14 | $342.38 – $3,810.81 |
| AdventHealth Avista | Louisville, CO | $5,071.14 | $342.38 – $3,853.11 |
| AdventHealth Castle Rock | Castle Rock, CO | $5,071.14 | $342.38 – $3,810.81 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $5,104.75 | $1,747.00 – $6,035.00 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | $5,110.00 | $400.86 – $4,246.94 |
| OSF Saint Paul Medical Center | Mendota, IL | $5,114.40 | not published |
| Boca Raton Regional Hospital | BOCA RATON, FL | $5,283.20 | $2,002.56 – $5,307.58 |
| Jersey City Medical Center | Jersey City, NJ | $5,339.00 | $296.50 – $4,576.40 |
| HSHS St. Mary's Hospital | DECATUR, IL | $5,392.08 | $1,164.48 – $7,489.00 |
| Monmouth Medical Center | Long Branch, NJ | $5,419.00 | $832.17 – $4,301.27 |
| Redwood City Medical Center | Redwood City, CA | $5,426.40 | not published |
| Oakland Medical Center | Oakland, CA | $5,426.40 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $5,426.40 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $5,426.40 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $5,426.40 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $5,426.40 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $5,426.40 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $5,426.40 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $5,426.40 | not published |