Surgery and procedures CPT 64493 Outpatient

Lumbar facet injection cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $212.86 to $1,572.59, with a median of $984.48. The lowest listed price is at Vanderbilt Wilson County Hospital — $771.62 less than the median here. Across Tennessee, the median is $552.30 at 32 hospitals.

Cash prices at 4 facilities across 4 cities for code 64493, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.

Lowest$212.86Vanderbilt Wilson County Hospital
Median$984.48half pay less
Highest$1,572.59in this market
Difference7.4×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $212.86Highest $1,642.68

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL $212.86 $734.00 $56.78–$734.00 71% Oct 1, 2025
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL $396.36 $734.00 $56.78–$734.00 46% Oct 1, 2025
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Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC INJ ANES/STER LUMB/SACR SGL $882.18 $3,042.00 $433.32–$2,433.60 71% Oct 1, 2025
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Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 CT INJ FACET JT 1ST LVL L OR S $1,572.59 $5,241.95 $954.50–$2,183.00 70% —
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Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 IR INJ FACT JT 1ST LVL L OR S $1,572.59 $5,241.95 $954.50–$2,183.00 70% —
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Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 CT INJ FACET JT 1ST LVL L OR S $1,572.59 $5,241.95 $954.50–$1,614.00 70% —
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Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 SP INJ FACET JT 1ST LVL L OR S $1,572.59 $5,241.95 $954.50–$1,614.00 70% —
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC INJ ANES/STER LUMB/SACR SGL $1,642.68 $3,042.00 $834.15–$3,042.00 46% Oct 1, 2025
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Outpatient: lowest $212.86, median $984.48, highest $1,572.59 — a 7.4× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $304.61. 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 4 of 4 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 it is

This injection puts numbing medicine or a steroid into or near a facet joint of the lower back, using imaging to guide the needle.

What the price covers

The price usually covers the injection and imaging guidance. The steroid or other medicine may be billed separately.