Surgery and procedures CPT 64493 Outpatient

Lumbar facet injection cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 50 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $154.70 to $8,948.80, with a median of $1,352.50. The lowest listed price is at John H. Stroger, Jr. Hospital — $1,197.80 less than the median here. Across Illinois, the median is $1,550.00 at 75 hospitals.

  • The median here, $1,352.50, is 12% below the US median of $1,538.11.
  • That is 1.5× Medicare's 2026 national rate for the same service ($903.63).
  • 8 of 50 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 50 facilities across 37 cities for code 64493, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 10, 2026; the hospital files themselves were last updated between Jan 1, 2025 and Nov 6, 2026.

Lowest$154.70John H. Stroger, Jr. Hospital
Median$1,352.50half of hospitals charge less
Highest$8,948.80in this market
Difference57.8×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 Chicago-Naperville-Elgin, IL-IN.

median
Lowest $154.70Highest $8,948.80
one sideboth sides

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
John H. Stroger, Jr. Hospital one side lowest Chicago, IL · (312) 864-6000 PF-INJ ANES/STER L/S SGL RT +3 more lines at this price File of Apr 1, 2026 · source file $154.70 $221.00 $64.31–$176.80 30%
MacNeal Hospital Berwyn, IL · (708) 783-9100 Inj Paraverteb Facet Lumb/Sac Sing Level+2 more lines at this price File of Mar 31, 2026 · source file $300.20 $1,580.00 $300.20–$2,188.30 81%
Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 Inj Paraverteb Facet Lumb/Sac Singl Lev+2 more lines at this price File of Mar 31, 2026 · source file $300.20 $1,580.00 $339.34–$2,252.00 81%
Loyola University Medical Center Maywood, IL · (708) 216-9000 Inj Paraverteb Facet Lumb/Sac Singl Lev+2 more lines at this price File of Mar 31, 2026 · source file $363.40 $1,580.00 $339.34–$1,364.24 77%
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL File of Apr 1, 2026 · source file $446.25 $1,785.00 — 75%
Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL File of Apr 1, 2026 · source file $446.25 $1,785.00 — 75%
Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL File of Apr 1, 2026 · source file $446.25 $1,785.00 — 75%
Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL File of Apr 1, 2026 · source file $446.25 $1,785.00 — 75%
Franciscan Health Crown Point Crown Point, IN · (219) 757-6100 Injection Facet Lumbar/Sacral; Single Lvl Hcode File of Jan 1, 2026 · source file $534.06 $2,070.00 $2,070.00–$4,140.00 74%
Morris Hospital Morris, IL · (815) 942-2932 Injection of lower or sacral spine facet joint using imaging guidance, single level File of Oct 27, 2026 · source file $608.48 $2,529.00 $986.31–$2,604.87 76%
Loretto Hospital Chicago, IL · (773) 626-4300 Inj Block lumb/sacr addl File of Nov 5, 2026 · source file $769.41 $1,282.35 $142.05–$1,282.35 40%
Franciscan Health Dyer Dyer, IN · (219) 865-2141 Injection Facet Lumbar/Sacral; Single Lvl Hcode File of Jan 1, 2026 · source file $782.46 $2,898.00 $1,242.31–$3,952.87 73%
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 PAIN INJ PARAVERT F JNT L/S 1 LEV BCE File of Mar 17, 2025 · source file $924.49 $2,719.10 $283.00–$1,767.42 66%
Saint Joseph Medical Center - Joliet Joliet, IL · (815) 725-7133 INJ FACET L/S 1ST LEVEL+2 more lines at this price File of Sep 1, 2026 · source file $943.00 $3,440.00 $86.19–$5,431.00 73%
Mercy Medical Center Aurora, IL · (630) 859-2222 INJ ANES FACET LUMB SING INIT+1 more line at this price File of Sep 1, 2026 · source file $943.00 $2,164.00 $86.19–$7,606.00 56%
Roseland Community Hospital Chicago, IL · (773) 995-3000 Injection of lower or sacral spine facet joint using imaging guidance, single level File of Jul 1, 2026 · source file $958.82 $2,171.00 $881.47–$2,388.10 56%
Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,060.00 $2,120.00 $835.28–$4,490.00 50%
Northwest Health - Porter Valparaiso, IN · (219) 983-8300 IR Inj Paravert Facet Joint L S 1 Lvl File of Apr 1, 2026 · source file $1,082.70 $4,010.00 $77.10–$3,368.40 73%
Community First Medical Center Chicago, IL · (773) 282-7000 Injection of lower or sacral spine facet joint using imaging guidance, single level File of Apr 1, 2026 · source file $1,097.13 $2,194.25 $599.03–$2,194.25 50%
Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC INJ DX/THER PARAVRT FACET JOINT LUMB/SAC 1ST LE File of Jan 1, 2026 · source file $1,274.46 $3,862.00 $1,815.14 67%
Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,295.00 $2,590.00 $1,020.46–$4,490.00 50%
Advocate Trinity Hospital Chicago, IL · (773) 967-5002 INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,295.00 $2,590.00 $1,020.46–$22,920.00 50%
Advocate Childrens Hospital Park Ridge Park Ridge, IL INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 6, 2026 · source file $1,295.00 $2,590.00 $1,020.46–$4,490.00 50%
Advocate South Suburban Hospital Hazel Crest, IL INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,295.00 $2,590.00 $1,020.46–$4,490.00 50%
Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,295.00 $2,590.00 $1,020.46–$3,430.00 50%
Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,410.00 $2,820.00 $1,111.08–$4,490.00 50%
Mercyhealth Hospital & Medical Center - Harvard one side Harvard, IL · (815) 943-5431 HC INJ PARAVERT F JNT L/S 1 LEV UNILATERAL File of Mar 1, 2026 · source file $1,480.16 $1,973.54 — 25%
Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,550.00 $3,100.00 $1,221.40–$4,490.00 50%
Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,550.00 $3,100.00 $1,221.40–$4,490.00 50%
Advocate Childrens Hospital Oak Lawn Oak Lawn, IL INJECT FACET L/S SINGLE LEVEL WITH IMAGE+1 more line at this price File of Nov 3, 2026 · source file $1,550.00 $3,100.00 $1,221.40–$4,490.00 50%
John H. Stroger, Jr. Hospital one side Chicago, IL · (312) 864-6000 INJ ANES/STER LUMB/SACR SGL RT+1 more line at this price File of Apr 1, 2026 · source file $1,582.00 $2,260.00 $64.31–$1,808.00 30%
Methodist Hospital-Southlake Merrillville, IN · (219) 886-4000 Inj Facet/Nrv;Lumb/Sac Sgl L File of Aug 18, 2026 · source file $1,703.10 $2,433.00 $184.37–$3,221.85 30%
The Methodist Hospitals Gary, IN · (219) 886-4000 Inj Facet/Nrv;Lumb/Sac Sgl L File of Aug 18, 2026 · source file $1,703.10 $2,433.00 $184.37–$3,221.85 30%
NorthShore University HealthSystems Skokie Hospital Skokie, IL Inj Paravert Facet Jt Lumb/Sacrl 1+1 more line at this price File of Jan 1, 2025 · source file $1,783.60 $2,744.00 $370.44–$1,498.22 35%
NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Inj Pv Facet Jnt/Nrv; Lumb/Sacral 1 Level+1 more line at this price File of Jan 1, 2025 · source file $1,783.60 $2,744.00 $370.44–$1,498.22 35%
Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 INJ FACET L/S SINGLE LEVEL W IMAGE BIL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $125.00–$3,364.20 50%
Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 INJ FACET L/S SINGLE LEVEL W IMAGE BIL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $125.00–$3,133.62 50%
Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 INJ FACET L/S SINGLE LEVEL W IMAGE BIL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $125.00–$3,050.46 50%
Advocate Childrens Hospital Park Ridge Park Ridge, IL INJ FACET L/S SINGLE LEVEL W IMAGE BIL File of Nov 6, 2026 · source file $1,890.00 $3,780.00 $125.00–$3,364.20 50%
Advocate Childrens Hospital Oak Lawn Oak Lawn, IL INJ FACET L/S SINGLE LEVEL W IMAGE BIL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $125.00–$3,110.94 50%
Advocate South Suburban Hospital Hazel Crest, IL INJ FACET L/S SINGLE LEVEL W IMAGE BIL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $125.00–$3,681.72 50%
Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 INJ FACET L/S SINGLE LEVEL W IMAGE BIL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $125.00–$3,197.88 50%
Franciscan Health Crown Point Crown Point, IN · (219) 757-6100 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level File of Jan 1, 2026 · source file $1,978.10 $7,667.05 $7,667.05–$11,173.25 74%
Franciscan Health Dyer Dyer, IN · (219) 865-2141 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level File of Jan 1, 2026 · source file $2,204.91 $8,166.35 $935.78–$2,980.20 73%
Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL · (312) 227-4000 H IR 64493 INJ PARAVERT FACET JNT LUMB/SACR 1 LEVEL File of Sep 1, 2026 · source file $2,302.30 $3,289.00 $559.13–$3,124.55 30%
Northwestern Lake Forest Hospital Lake Forest, IL · (847) 234-5600 HB Inj Paravert F Jnt L/S 1 Lev File of Apr 1, 2026 · source file $2,839.90 $4,057.00 $673.46–$4,057.00 30%
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB INJ PARAVERT FACET JT LUMB/SACRL 1ST LVL+1 more line at this price File of Apr 1, 2026 · source file $2,955.00 $2,955.00 — —
Swedish Covenant Health Chicago, IL · (773) 878-8200 HB INJ, PV FACET JNT/NRV; LUMB/SACRAL 1 LEVEL+1 more line at this price File of Apr 1, 2026 · source file $2,955.00 $2,955.00 — —
Endeavor Health Highland Park Hospital Highland Park, IL HB INJ, PV FACET JNT/NRV; LUMB/SACRAL 1 LEVEL+1 more line at this price File of Apr 1, 2026 · source file $2,955.00 $2,955.00 — —
Northwestern Medicine Valley West Hospital Sandwich, IL · (815) 786-8484 HB Inj Paravert F Jnt L/S 1 Lev File of Apr 1, 2026 · source file $3,226.60 $4,609.43 — 30%
Palos Community Hospital Palos Heights, IL · (708) 923-4000 HB Inj Paravert F Jnt L/S 1 Lev File of Apr 1, 2026 · source file $3,532.20 $5,046.00 $807.36–$5,046.00 30%
Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb Inj Paravert F Jnt L/S 1 Lev File of Apr 1, 2026 · source file $3,533.00 $3,533.00 — —
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Lumbar Or Sacral; Single Level File of Apr 1, 2026 · source file $3,608.40 $3,608.40 — —
Shriners Childrens - Chicago Chicago, IL · (773) 622-5400 INJ PARAVERT F JNT L/S 1 LEV File of Mar 19, 2026 · source file $4,341.00 $4,341.00 $78.31–$1,326.95 —
Northwestern Medicine Central DuPage Hospital Winfield, IL · (630) 682-1600 HB Inj Paravert F Jnt L/S 1 Lev File of Apr 1, 2026 · source file $4,397.40 $6,282.00 $433.46–$6,282.00 30%
Northwestern Medicine Delnor Hospital Geneva, IL · (630) 208-3000 HB Inj Paravert F Jnt L/S 1 Lev File of Apr 1, 2026 · source file $4,397.40 $6,282.00 $936.02–$6,282.00 30%
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC PARVERT FACET INJECT W IMAGING LUMB OR SACRAL SNGL File of Apr 1, 2026 · source file $5,666.00 $5,666.00 — —
Edward Hospital Naperville, IL · (630) 527-3000 HC PARVERT FACET INJECT W IMAGING LUMB OR SACRAL SNGL File of Apr 1, 2026 · source file $5,666.00 $5,666.00 — —
Northwestern Medicine McHenry Hospital McHenry, IL · (815) 344-5000 HB Inj Paravert F Jnt L/S 1 Lev File of Apr 1, 2026 · source file $6,232.80 $8,904.00 $783.00–$4,057.00 30%
Northwestern Memorial Hospital Chicago, IL · (312) 926-2000 HB Inj Paravert F Jnt L/S 1 Lev File of Apr 1, 2026 · source file $8,948.80 $12,784.00 $1.40–$425.00 30%
Saint Joseph Medical Center - Joliet both sides Joliet, IL · (815) 725-7133 INJ FACET L/S 1ST LEVEL BILAT+1 more line at this price File of Sep 1, 2026 · source file $943.00 $5,161.00 $86.19–$5,431.00 82%
Mercyhealth Hospital & Medical Center - Harvard both sides Harvard, IL · (815) 943-5431 HC INJ PARAVERT F JNT L/S 1 LEV BILATERAL File of Mar 1, 2026 · source file $1,480.01 $1,973.35 — 25%
Advocate South Suburban Hospital both sides Hazel Crest, IL INJECT FACET L/S SINGLE LEVEL WITH IMAGE BILATERAL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $1,374.34–$4,490.00 50%
Advocate Christ Medical Center both sides Oak Lawn, IL · (708) 684-8000 INJECT FACET L/S SINGLE LEVEL WITH IMAGE BILATERAL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $1,374.34–$4,490.00 50%
Advocate Trinity Hospital both sides Chicago, IL · (773) 967-5002 INJECT FACET L/S SINGLE LEVEL WITH IMAGE BILATERAL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $1,374.34–$22,920.00 50%
Advocate Lutheran General Hospital both sides Park Ridge, IL · (847) 723-2210 INJECT FACET L/S SINGLE LEVEL WITH IMAGE BILATERAL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $1,374.34–$4,490.00 50%
Advocate Childrens Hospital Oak Lawn both sides Oak Lawn, IL INJECT FACET L/S SINGLE LEVEL WITH IMAGE BILATERAL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $1,374.34–$4,490.00 50%
Advocate Good Samaritan Hospital both sides Downers Grove, IL · (630) 275-5900 INJECT FACET L/S SINGLE LEVEL WITH IMAGE BILATERAL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $1,374.34–$4,490.00 50%
Advocate Childrens Hospital Park Ridge both sides Park Ridge, IL INJECT FACET L/S SINGLE LEVEL WITH IMAGE BILATERAL File of Nov 6, 2026 · source file $1,890.00 $3,780.00 $1,374.34–$4,490.00 50%
Advocate Illinois Masonic Medical Center both sides Chicago, IL · (773) 975-1600 INJECT FACET L/S SINGLE LEVEL WITH IMAGE BILATERAL File of Nov 3, 2026 · source file $1,890.00 $3,780.00 $1,374.34–$4,490.00 50%
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 $154.70, median $1,352.50, highest $8,948.80 — a 57.8× difference within the same market.

Both sides : lowest $943.00, median $1,890.00, highest $1,890.00 — a 2.0× difference within the same market.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

As an inpatient, the same code is billed by 31 facilities here, median $1,410.00. 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 32 of 37 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 64493 ($1,440.00). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Loretto Hospital Chicago, ILInj paravert f jnt l/s 1 lev $142.05 file
File Link to the hospital's own price file.