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 |
|---|---|---|---|
| Vacaville Medical Center | VACAVILLE, CA | $5,426.40 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $5,426.40 | not published |
| Vallejo Medical Center | VALLEJO, CA | $5,426.40 | not published |
| Antioch Medical Center | ANTIOCH, CA | $5,426.40 | not published |
| Fremont Medical Center | FREMONT, CA | $5,426.40 | not published |
| Fresno Medical Center | FRESNO, CA | $5,426.40 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $5,426.40 | not published |
| San Jose Medical Center | SAN JOSE, CA | $5,426.40 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $5,426.40 | not published |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $5,453.60 | $197.27 – $233.14 |
| Rochester General Hospital | Rochester, NY | $5,482.43 | not published |
| Newark Wayne Community Hospital | Newark, NY | $5,482.43 | $167.38 – $348.77 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $5,515.20 | $2,261.24 – $8,063.75 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $5,515.20 | $2,261.24 – $8,373.23 |
| Swedish Issaquah | Issaquah, WA | $5,515.20 | $2,267.58 – $8,373.23 |
| Franklin Memorial Hospital | Farmington, ME | $5,515.95 | $185.32 – $851.92 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $5,525.40 | $2,092.58 – $2,134.43 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $5,693.27 | $175.47 – $1,875.22 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $5,693.27 | $175.47 – $1,900.24 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $5,696.75 | $175.47 – $2,848.37 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $5,696.90 | $1,448.59 – $7,791.00 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $5,696.90 | $3,388.00 – $7,791.00 |
| SSM Health Ripon Community Hospital | Ripon, WI | $5,696.90 | $3,388.00 – $7,791.00 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $5,714.07 | $8.00 – $8.00 |
| Northwestern Memorial Hospital | Chicago, IL | $5,714.07 | $8.00 – $8.00 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $5,741.00 | $171.08 – $4,758.26 |
| OSF Saint Francis Medical Center | Peoria, IL | $5,773.20 | $431.90 – $7,113.97 |
| Defiance Hospital | Defiance, OH | $5,851.50 | $1,942.71 – $1,981.56 |
| Trinitas Regional Medical Center | Elizabeth, NJ | $5,855.00 | $229.11 – $4,268.28 |
| Uniontown Hospital | Uniontown, PA | $5,863.00 | $197.27 – $3,931.12 |
| The Unity Hospital of Rochester | Rochester, NY | $5,885.82 | not published |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $5,983.20 | $1,164.48 – $6,371.00 |
| Memorial Regional Hospital | Mechanicsville, VA | $6,037.20 | $1,959.11 – $1,998.29 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $6,118.00 | $1,961.62 – $3,825.17 |
| Houston Methodist West Hospital | Houston, TX | $6,118.00 | $1,961.62 – $7,846.49 |
| Houston Methodist Baytown Hospital | Baytown, TX | $6,118.00 | $1,961.62 – $3,825.17 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $6,118.00 | $1,961.62 – $3,825.17 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $6,118.00 | $997.22 – $3,825.17 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $6,118.00 | $1,961.62 – $3,923.25 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $6,118.00 | $5,860.00 – $7,542.00 |
| Houston Methodist Cypress Hospital | Cypress, TX | $6,118.00 | $1,961.62 – $3,825.17 |
| Adventhealth Dade City | Dade City, FL | $6,291.07 | not published |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | $6,311.00 | $242.59 – $4,246.94 |
| OSF St Mary Medical Center | Galesburg, IL | $6,431.40 | $2,092.58 – $5,672.00 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $6,460.90 | $167.60 – $4,062.56 |
| Texas Health Hospital Mansfield | Mansfield, TX | $6,491.02 | $1,961.62 – $4,781.00 |
| Pen Bay Medical Center | Rockport, ME | $6,597.10 | $185.32 – $851.92 |
| Mid Coast Hospital | Brunswick, ME | $6,597.10 | $184.25 – $851.92 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $6,600.00 | $238.34 – $4,306.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $6,600.00 | $238.34 – $4,306.00 |