Price AtlasInteractive atlas · All states · techysurgeon.comFacet nerve ablation (radiofrequency): what insurers pay
Heat ablation of the nerves to a low-back facet joint, one level. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 64635: Destroy Lumb/Sac Facet Jnt
112 hospitals in 36 markets. National Medicare rate $1,995, surgery center $949.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $4,175–$4,693 |
| Austin TX | 2 | — | — | — | $1,651–$5,843 |
| Boston MA | 7 | $2,789 | $2,830 | $3,272 | $2,270–$3,910 |
| California (statewide) | 1 | — | — | — | $7,693–$7,693 |
| Chicago IL | 5 | $3,338 | $3,489 | $4,186 | $3,208–$6,703 |
| Cleveland OH | 5 | $4,476 | $5,140 | $5,329 | $2,623–$5,553 |
| Columbus OH | 1 | — | — | — | $7,024–$7,024 |
| Dallas-Fort Worth TX | 4 | — | — | — | $4,814–$7,226 |
| Denver CO | 7 | $3,542 | $4,024 | $4,104 | $3,060–$5,980 |
| Detroit MI | 7 | $1,362 | $1,608 | $1,825 | $1,362–$5,085 |
| Georgia (statewide) | 1 | — | — | — | $5,051–$5,051 |
| Houston TX | 1 | — | — | — | $5,824–$5,824 |
| Illinois (statewide) | 1 | — | — | — | $1,946–$1,946 |
| Indianapolis IN | 2 | — | — | — | $3,420–$3,950 |
| Kansas (statewide) | 1 | — | — | — | $3,936–$3,936 |
| Las Vegas NV | 1 | — | — | — | $2,052–$2,052 |
| Los Angeles CA | 2 | — | — | — | $7,158–$10,380 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $2,088–$5,670 |
| Minneapolis-St. Paul MN | 4 | — | — | — | $4,087–$4,584 |
| Nashville TN | 4 | — | — | — | $1,217–$3,222 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 3 | — | — | — | $3,376–$7,660 |
| Ohio (statewide) | 1 | — | — | — | $4,808–$4,808 |
| Philadelphia PA | 5 | $2,299 | $5,532 | $6,648 | $2,196–$6,872 |
| Phoenix AZ | 3 | — | — | — | $3,205–$3,770 |
| Pittsburgh PA | 1 | — | — | — | $3,732–$3,732 |
| Portland OR | 6 | $6,784 | $6,784 | $8,891 | $6,784–$9,593 |
| Research Triangle NC | 3 | — | — | — | $1,350–$5,754 |
| Richmond VA | 2 | — | — | — | $6,884–$6,884 |
| San Antonio TX | 1 | — | — | — | $3,731–$3,731 |
| San Francisco Bay Area CA | 2 | — | — | — | $5,911–$12,355 |
| Seattle-Tacoma WA | 6 | $6,906 | $7,009 | $8,315 | $5,957–$8,716 |
| St. Louis MO | 6 | $3,118 | $5,210 | $6,730 | $2,022–$9,261 |
| Tampa FL | 2 | — | — | — | $4,236–$6,291 |
| Washington DC | 6 | $3,313 | $3,834 | $5,024 | $2,878–$5,254 |
| Wisconsin (statewide) | 1 | — | — | — | $4,744–$4,744 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,217 | 0.7× | 1 | 2026-01-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $1,350 | 0.7× | 1 | 2026-02-25 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,362 | 0.7× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $1,362 | 0.7× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $1,362 | 0.7× | 1 | 2026-05-01 |
| Trinity Health Oakland Hospital | Detroit MI | $1,608 | 0.8× | 16 | 2026-03-31 |
| Ascension Seton Medical Center Austin | Austin TX | $1,651 | 0.8× | 1 | 2026-01-01 |
| Mclaren Port Huron | Detroit MI | $1,757 | 0.9× | 1 | 2025-12-31 |
| Henry Ford Health Rochester Hospital | Detroit MI | $1,893 | 1.0× | 1 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $1,933 | 1.0× | 7 | 2025-10-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $1,946 | 0.9× | 2 | 2026-06-03 |
| Mercy Hospital St Louis | St. Louis MO | $2,022 | 1.0× | 1 | 2026-06-04 |
| University Medical Center of Southern Nevada | Las Vegas NV | $2,052 | 1.0× | 7 | 2026-07-01 |
| Doctors Hospital | Miami-Fort Lauderdale FL | $2,088 | 1.0× | 2 | 2026-03-30 |
| Riddle Memorial Hospital | Philadelphia PA | $2,196 | 1.1× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $2,270 | 1.0× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $2,299 | 1.1× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,399 | 1.3× | 5 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,623 | 1.4× | 3 | 2026-07-14 |
| New England Baptist Hospital | Boston MA | $2,757 | 1.2× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $2,821 | 1.2× | 3 | 2026-04-01 |
| Winchester Hospital | Boston MA | $2,830 | 1.2× | 3 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $2,878 | 1.3× | 3 | 2026-09-01 |
| Mercy Hospital South | St. Louis MO | $2,927 | 1.5× | 1 | 2026-06-10 |
| Adventhealth Porter | Denver CO | $3,060 | 1.5× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $3,060 | 1.5× | 4 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $3,062 | 1.3× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,205 | 1.5× | 4 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $3,208 | 1.5× | 2 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,222 | 1.7× | 2 | 2026-01-01 |
| Medstar Georgetown University Hospital | Washington DC | $3,312 | 1.4× | 4 | 2026-04-01 |
| Medstar Washington Hospital Center | Washington DC | $3,316 | 1.4× | 4 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $3,338 | 1.6× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $3,376 | 1.4× | 9 | 2026-04-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $3,420 | 1.7× | 1 | 2026-01-01 |
| Beverly Hospital Corporation | Boston MA | $3,483 | 1.5× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $3,489 | 1.7× | 2 | 2026-04-01 |
| Mercy Hospital Jefferson | St. Louis MO | $3,691 | 1.9× | 1 | 2026-06-10 |
| Methodist Hospital | San Antonio TX | $3,731 | 1.9× | 5 | 2026-09-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $3,732 | 2.0× | 1 | 2026-03-06 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,770 | 1.8× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,770 | 1.8× | 5 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $3,841 | 1.9× | 3 | 2026-06-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $3,910 | 1.7× | 1 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $3,936 | 2.1× | 5 | 2026-09-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $3,950 | 1.9× | 1 | 2026-01-01 |
| HCA HealthONE Swedish | Denver CO | $4,024 | 1.9× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $4,024 | 1.9× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $4,037 | 2.0× | 4 | 2026-09-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $4,087 | 2.0× | 4 | 2026-06-16 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,170 | 2.0× | 4 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $4,175 | 2.1× | 6 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $4,186 | 2.0× | 2 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $4,236 | 2.1× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $4,353 | 2.1× | 6 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $4,476 | 2.4× | 4 | 2026-06-15 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $4,572 | 2.2× | 5 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $4,572 | 2.2× | 5 | 2026-06-16 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $4,584 | 2.2× | 6 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $4,693 | 2.4× | 2 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $4,693 | 2.4× | 2 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $4,693 | 2.4× | 2 | 2026-07-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $4,744 | 2.4× | 3 | 2026-01-01 |
| Bethesda North | Ohio (statewide) | $4,808 | 2.5× | 4 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $4,814 | 2.5× | 3 | 2026-06-29 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,051 | 3.0× | 3 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $5,085 | 2.6× | 1 | 2026-09-02 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $5,110 | 2.6× | 4 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $5,140 | 2.8× | 4 | 2026-06-16 |
| Reston Hospital Center | Washington DC | $5,248 | 2.6× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $5,254 | 2.6× | 4 | 2026-09-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $5,329 | 2.9× | 3 | 2026-06-15 |
| Medical City Plano | Dallas-Fort Worth TX | $5,381 | 2.7× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $5,381 | 2.7× | 5 | 2026-09-01 |
| Stony Brook University Hospital | New York (statewide) | $5,417 | 2.2× | 5 | 2026-06-10 |
| Thomas Jefferson University Hospital | Philadelphia PA | $5,532 | 2.8× | 3 | 2026-09-15 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $5,553 | 3.0× | 3 | 2026-06-15 |
| Boca Raton Regional Hospital | Miami-Fort Lauderdale FL | $5,670 | 2.8× | 2 | 2026-03-30 |
| UNC Rex Hospital | Research Triangle NC | $5,754 | 2.9× | 3 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $5,824 | 3.0× | 3 | 2026-04-01 |
| St David's Medical Center | Austin TX | $5,843 | 3.0× | 5 | 2026-09-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $5,911 | 2.1× | 3 | 2026-03-23 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $5,957 | 2.6× | 5 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 2.9× | 3 | 2025-11-01 |
| Morton Plant Hospital | Tampa FL | $6,291 | 3.1× | 3 | 2026-01-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 3.0× | 3 | 2026-09-15 |
| University of Chicago Medical Center | Chicago IL | $6,703 | 3.2× | 2 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $6,730 | 3.4× | 4 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $6,730 | 3.4× | 4 | 2025-12-15 |
| Legacy Emanuel Medical Center | Portland OR | $6,784 | 3.1× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $6,784 | 3.1× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $6,784 | 3.1× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $6,784 | 3.1× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $6,872 | 3.1× | 1 | 2026-03-24 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,884 | 3.6× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,884 | 3.6× | 4 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $6,906 | 3.0× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $6,906 | 3.0× | 6 | 2026-02-28 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $7,024 | 3.7× | 20 | 2026-03-31 |
| Swedish Medical Center | Seattle-Tacoma WA | $7,112 | 3.1× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $7,158 | 2.9× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $7,226 | 3.7× | 2 | 2026-04-21 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $7,510 | 3.1× | 6 | 2026-01-01 |
| Hospital for Special Surgery | New York City | $7,660 | 3.1× | 6 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,693 | 3.1× | 5 | 2026-09-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $8,716 | 3.8× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $8,716 | 3.8× | 6 | 2026-08-27 |
| Barnes Jewish Hospital | St. Louis MO | $9,261 | 4.7× | 4 | 2025-12-15 |
| Providence St Vincent Medical Center | Portland OR | $9,593 | 4.4× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $9,593 | 4.4× | 2 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $10,380 | 4.1× | 2 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $12,355 | 4.3× | 3 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for facet nerve ablation (radiofrequency)?
Across 112 hospitals in 36 metro areas that post a usable dollar rate, the median commercial rate for CPT 64635, hospital outpatient is $4,524, 2.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,207 to $6,058. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for facet nerve ablation (radiofrequency)?
Medicare's national hospital outpatient rate for CPT 64635 is $1,995 and its surgery-center rate is $949, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for facet nerve ablation (radiofrequency)?
Lowest medians: Ascension Saint Thomas Rutherford ($1,217), North Carolina Specialty Hospital ($1,350), Corewell Health Beaumont Grosse Pointe Hospital ($1,362). Highest: Stanford Health Care ($12,355), Cedars-Sinai Medical Center ($10,380), Providence Portland Medical Center ($9,593). Coverage is limited to the markets listed on this page.