Price AtlasInteractive atlas · All states · techysurgeon.comNeck facet joint injection: what insurers pay
An injection into a small joint of the neck or upper back with imaging guidance, one level. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 64490: Inj Paravert F Jnt C/T 1 Lev
109 hospitals in 34 markets. National Medicare rate $904, surgery center $486.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $2,906–$3,320 |
| Austin TX | 2 | — | — | — | $863–$2,520 |
| Boston MA | 7 | $1,228 | $1,261 | $1,356 | $1,088–$1,456 |
| California (statewide) | 1 | — | — | — | $7,068–$7,068 |
| Chicago IL | 7 | $1,281 | $2,342 | $2,759 | $1,017–$4,016 |
| Cleveland OH | 5 | $2,744 | $2,762 | $2,794 | $1,486–$2,860 |
| Dallas-Fort Worth TX | 4 | — | — | — | $2,808–$3,416 |
| Denver CO | 7 | $1,689 | $2,124 | $2,201 | $1,320–$2,438 |
| Detroit MI | 4 | — | — | — | $1,308–$3,791 |
| Georgia (statewide) | 1 | — | — | — | $3,590–$3,590 |
| Houston TX | 1 | — | — | — | $2,774–$2,774 |
| Illinois (statewide) | 1 | — | — | — | $997–$997 |
| Kansas (statewide) | 1 | — | — | — | $2,794–$2,794 |
| Las Vegas NV | 1 | — | — | — | $1,368–$1,368 |
| Los Angeles CA | 2 | — | — | — | $3,242–$6,417 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $506–$3,017 |
| Minneapolis-St. Paul MN | 4 | — | — | — | $2,354–$2,511 |
| Nashville TN | 4 | — | — | — | $1,106–$2,371 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 3 | — | — | — | $996–$5,096 |
| Ohio (statewide) | 1 | — | — | — | $1,856–$1,856 |
| Philadelphia PA | 5 | $2,299 | $5,051 | $6,185 | $2,196–$6,872 |
| Phoenix AZ | 3 | — | — | — | $1,812–$2,064 |
| Pittsburgh PA | 1 | — | — | — | $1,938–$1,938 |
| Portland OR | 6 | $3,797 | $4,832 | $4,832 | $3,452–$4,832 |
| Research Triangle NC | 3 | — | — | — | $1,350–$4,086 |
| Richmond VA | 2 | — | — | — | $3,138–$3,138 |
| San Antonio TX | 1 | — | — | — | $1,919–$1,919 |
| San Francisco Bay Area CA | 3 | — | — | — | $5,911–$8,967 |
| Seattle-Tacoma WA | 6 | $3,201 | $3,229 | $3,368 | $2,701–$3,405 |
| St. Louis MO | 6 | $3,052 | $4,257 | $6,289 | $2,022–$6,690 |
| Tampa FL | 2 | — | — | — | $1,377–$2,237 |
| Washington DC | 5 | $2,175 | $2,422 | $2,566 | $2,014–$2,566 |
| Wisconsin (statewide) | 1 | — | — | — | $1,898–$1,898 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Doctors Hospital | Miami-Fort Lauderdale FL | $506 | 0.6× | 3 | 2026-03-30 |
| Ascension Seton Medical Center Austin | Austin TX | $863 | 1.0× | 3 | 2026-01-01 |
| Montefiore Medical Center | New York City | $996 | 0.9× | 9 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $997 | 1.1× | 2 | 2026-06-03 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,017 | 1.1× | 3 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $1,074 | 1.1× | 3 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $1,088 | 1.0× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $1,106 | 1.3× | 7 | 2025-10-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $1,194 | 1.4× | 3 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,206 | 1.4× | 2 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,215 | 1.1× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $1,241 | 1.2× | 4 | 2026-04-01 |
| Winchester Hospital | Boston MA | $1,261 | 1.2× | 4 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,300 | 1.2× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $1,308 | 1.5× | 2 | 2026-01-01 |
| Adventhealth Porter | Denver CO | $1,320 | 1.4× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,320 | 1.4× | 4 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $1,350 | 1.5× | 1 | 2026-02-25 |
| University Medical Center of Southern Nevada | Las Vegas NV | $1,368 | 1.5× | 7 | 2026-07-01 |
| Tampa General Hospital | Tampa FL | $1,377 | 1.5× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,412 | 1.3× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $1,456 | 1.4× | 4 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $1,480 | 1.7× | 16 | 2026-03-31 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $1,486 | 1.8× | 3 | 2026-07-14 |
| Endeavor Health Edward Hospital | Chicago IL | $1,488 | 1.6× | 2 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $1,512 | 1.6× | 5 | 2026-03-13 |
| Mclaren Port Huron | Detroit MI | $1,617 | 1.8× | 1 | 2025-12-31 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $1,812 | 1.9× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $1,856 | 2.1× | 4 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $1,898 | 2.1× | 3 | 2026-01-01 |
| Methodist Hospital | San Antonio TX | $1,919 | 2.2× | 5 | 2026-09-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $1,938 | 2.3× | 1 | 2026-03-06 |
| Medstar Georgetown University Hospital | Washington DC | $2,014 | 1.9× | 4 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $2,022 | 2.3× | 1 | 2026-06-04 |
| HCA HealthONE Swedish | Denver CO | $2,058 | 2.2× | 4 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,064 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,064 | 2.2× | 5 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $2,124 | 2.3× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $2,170 | 2.3× | 4 | 2026-09-01 |
| Medstar Washington Hospital Center | Washington DC | $2,175 | 2.1× | 4 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $2,196 | 2.4× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $2,232 | 2.4× | 4 | 2026-09-01 |
| Morton Plant Hospital | Tampa FL | $2,237 | 2.4× | 2 | 2026-01-01 |
| Bryn Mawr Hospital | Philadelphia PA | $2,299 | 2.5× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $2,342 | 2.5× | 2 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $2,354 | 2.5× | 6 | 2026-06-16 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,371 | 2.8× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $2,422 | 2.6× | 6 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $2,438 | 2.6× | 3 | 2025-11-01 |
| Rush University Medical Center | Chicago IL | $2,470 | 2.6× | 2 | 2026-09-25 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $2,470 | 2.7× | 4 | 2026-06-16 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $2,511 | 2.7× | 5 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $2,511 | 2.7× | 5 | 2026-06-16 |
| St David's Medical Center | Austin TX | $2,520 | 2.8× | 5 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $2,566 | 2.8× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $2,566 | 2.8× | 4 | 2026-09-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $2,603 | 3.0× | 4 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $2,668 | 2.9× | 3 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $2,701 | 2.6× | 5 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $2,744 | 3.3× | 4 | 2026-06-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $2,762 | 3.3× | 4 | 2026-06-16 |
| Houston Methodist Hospital | Houston TX | $2,774 | 3.1× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $2,794 | 3.3× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $2,794 | 3.3× | 3 | 2026-06-15 |
| Medical City Plano | Dallas-Fort Worth TX | $2,808 | 3.2× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $2,808 | 3.2× | 5 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $2,850 | 3.2× | 3 | 2026-06-29 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $2,860 | 3.4× | 3 | 2026-06-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $2,906 | 3.3× | 2 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $2,906 | 3.3× | 2 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $2,906 | 3.3× | 2 | 2026-07-01 |
| Mercy Hospital South | St. Louis MO | $2,927 | 3.3× | 1 | 2026-06-10 |
| Boca Raton Regional Hospital | Miami-Fort Lauderdale FL | $3,017 | 3.3× | 1 | 2026-03-30 |
| University of Chicago Medical Center | Chicago IL | $3,048 | 3.2× | 2 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $3,138 | 3.6× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $3,138 | 3.6× | 4 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $3,201 | 3.1× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $3,201 | 3.1× | 6 | 2026-02-28 |
| Keck Hospital Of Usc | Los Angeles CA | $3,242 | 2.9× | 5 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $3,257 | 3.2× | 5 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $3,320 | 3.7× | 6 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $3,405 | 3.3× | 7 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $3,405 | 3.3× | 7 | 2026-08-27 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $3,416 | 3.8× | 2 | 2026-04-21 |
| Mercy Hospital Jefferson | St. Louis MO | $3,428 | 3.9× | 1 | 2026-06-10 |
| Providence St Vincent Medical Center | Portland OR | $3,452 | 3.5× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $3,452 | 3.5× | 2 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $3,590 | 4.6× | 3 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $3,787 | 3.4× | 5 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $3,791 | 4.3× | 1 | 2026-09-02 |
| Loyola University Medical Center | Chicago IL | $4,016 | 4.2× | 1 | 2026-03-31 |
| UNC Rex Hospital | Research Triangle NC | $4,086 | 4.6× | 3 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $4,832 | 4.9× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $4,832 | 4.9× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $4,832 | 4.9× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $4,832 | 4.9× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $5,051 | 5.6× | 3 | 2026-09-15 |
| Barnes Jewish Hospital | St. Louis MO | $5,086 | 5.7× | 1 | 2025-12-15 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $5,096 | 4.6× | 6 | 2026-01-01 |
| Stony Brook University Hospital | New York (statewide) | $5,417 | 4.9× | 5 | 2026-06-10 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $5,911 | 4.7× | 3 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $5,911 | 4.7× | 3 | 2026-03-23 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,185 | 6.2× | 3 | 2026-09-15 |
| Cedars-Sinai Medical Center | Los Angeles CA | $6,417 | 5.6× | 1 | 2025-11-26 |
| Missouri Baptist Medical Center | St. Louis MO | $6,690 | 7.5× | 3 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $6,690 | 7.5× | 3 | 2025-12-15 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $6,872 | 6.9× | 1 | 2026-03-24 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,068 | 6.2× | 4 | 2026-09-01 |
| Stanford Health Care | San Francisco Bay Area CA | $8,967 | 6.9× | 2 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for neck facet joint injection?
Across 109 hospitals in 34 metro areas that post a usable dollar rate, the median commercial rate for CPT 64490, hospital outpatient is $2,566, 2.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,812 to $3,405. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for neck facet joint injection?
Medicare's national hospital outpatient rate for CPT 64490 is $904 and its surgery-center rate is $486, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for neck facet joint injection?
Lowest medians: Doctors Hospital ($506), Ascension Seton Medical Center Austin ($863), Montefiore Medical Center ($996). Highest: Stanford Health Care ($8,967), Los Robles Hospital & Medical Center ($7,068), Inspira Medical Center Mullica Hill ($6,872). Coverage is limited to the markets listed on this page.