Surgery and procedures CPT 64493 Outpatient

Lumbar facet injection cost in Boston, MA

In Boston-Cambridge-Newton, MA-NH, 21 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $924.50 to $5,128.42, with a median of $2,466.10. The lowest listed price is at Southcoast Hospitals Group - Tobey Hospital Campus — $1,541.60 less than the median here. Across Massachusetts, the median is $2,466.10 at 29 hospitals.

  • The median here, $2,466.10, is 60% above the US median of $1,538.11.
  • That is 2.7× Medicare's 2026 national rate for the same service ($903.63).
  • 12 of 21 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 21 facilities across 14 cities for code 64493, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Dec 15, 2025 and May 18, 2026.

Lowest$924.50Southcoast Hospitals Group - Tobey Hospital Campus
Median$2,466.10half of hospitals charge less
Highest$5,128.42in this market
Difference5.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.

median
Lowest $924.50Highest $5,128.42

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Southcoast Hospitals Group - Tobey Hospital Campus lowest Wareham, MA · (508) 679-3131 HC Inj Dx/Ther Agnt Paravert Facet Joint-Img Guide-Lumbar/Sac- 1st Level File of Dec 15, 2025 · source file $924.50 $1,849.00 $395.32–$2,408.00 50%
Emerson Hospital Concord, MA · (978) 369-1400 FACET JNT/NRV LUM/SAC 1ST File of May 18, 2026 · source file $1,026.00 $1,368.00 $780.46–$2,734.30 25%
Boston Medical Center South Brockton, MA · (508) 427-3000 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level File of Mar 13, 2026 · source file $1,108.31 $2,462.91 $394.86–$2,696.67 55%
Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Inj Paravert F Jnt L/S 1 Lev File of Mar 20, 2026 · source file $1,175.00 $1,175.00 $72.08–$2,439.76 —
Boston Medical Center Brighton Boston, MA · (617) 789-3000 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level File of Mar 13, 2026 · source file $1,235.98 $2,746.63 $475.07–$3,107.62 55%
Lowell General Hospital Lowell, MA · (978) 937-6000 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level File of Apr 1, 2026 · source file $1,500.80 $2,144.00 $319.90–$5,049.81 30%
Winchester Hospital Winchester, MA · (781) 729-9000 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $1,699.00 $1,699.00 — —
Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level File of Apr 1, 2026 · source file $1,733.90 $2,477.00 $530.75–$2,678.38 30%
Boston Medical Center Boston, MA · (617) 638-8000 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level File of Mar 13, 2026 · source file $1,878.75 $4,175.00 $431.24–$3,548.75 55%
Tufts Medical Center Boston, MA · (617) 636-5000 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level File of Apr 1, 2026 · source file $2,289.70 $3,271.00 $858.96–$6,336.91 30%
Signature Healthcare Brockton Hospital Brockton, MA · (508) 941-7000 INJ; PARAVERT F JNT L/S 1 LVL+2 more lines at this price File of Jan 28, 2026 · source file $2,466.10 $3,523.00 $95.73–$3,217.00 30%
Beth Israel Deaconess Hospital-Milton Milton, MA · (617) 696-4600 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $2,757.00 $2,757.00 — —
Exeter Hospital Exeter, NH · (603) 778-7311 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $2,794.58 $2,794.58 — —
New England Baptist Hospital Boston, MA · (617) 754-5800 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $2,803.00 $2,803.00 — —
Lahey Hospital & Medical Center, Burlington Burlington, MA · (781) 744-5100 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $2,932.00 $2,932.00 — —
Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · (508) 746-2000 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $3,167.00 $3,167.00 — —
Mount Auburn Hospital Cambridge, MA · (617) 492-3500 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $3,233.00 $3,233.00 — —
Beth Israel Deaconess Medical Center Boston, MA · (617) 667-7000 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $4,026.00 $4,026.00 — —
Anna Jaques Hospital Newburyport, MA · (978) 463-1000 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $4,419.00 $4,419.00 — —
Beth Israel Deaconess Hospital - Needham Needham, MA · (781) 453-3002 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL File of Apr 1, 2026 · source file $4,431.00 $4,431.00 — —
Signature Healthcare Brockton Hospital Brockton, MA · (508) 941-7000 INJ; PARAVERT F JNT L/S (BL)+1 more line at this price File of Jan 28, 2026 · source file $4,932.20 $7,046.00 $95.73–$3,148.15 30%
Shriners Childrens - Boston Boston, MA · (617) 722-3000 INJ PARAVERT F JNT L/S 1 LEV File of Mar 17, 2026 · source file $5,128.42 $5,128.42 $46.23–$1,525.00 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $924.50, median $2,466.10, highest $5,128.42 — a 5.5× difference within the same market.

As an inpatient, the same code is billed by 19 facilities here, median $2,466.10. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 9 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What lumbar facet injection is, what the price covers and why prices differ: Lumbar facet injection explained.