Surgery and procedures CPT 64493 Outpatient

Lumbar facet injection cost in Portland, OR

In Portland-Vancouver-Hillsboro, OR-WA, 13 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $323.05 to $4,682.30, with a median of $2,145.00. The lowest listed price is at Legacy Salmon Creek Medical Center and 4 other hospitals — $1,821.95 less than the median here. Across Oregon, the median is $1,711.58 at 28 hospitals.

Cash prices at 13 facilities across 8 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 Mar 23, 2026 and Apr 1, 2026.

Lowest$323.05Legacy Salmon Creek Medical Center + 4 more
Median$2,145.00half pay less
Highest$4,682.30in this market
Difference14.5×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 Portland-Vancouver-Hillsboro, OR-WA.

median
Lowest $323.05Highest $4,682.30
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $323.05 $497.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $323.05 $497.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $323.05 $497.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $323.05 $497.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $323.05 $497.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $323.05 $497.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $323.05 $497.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $323.05 $497.00 — 35% Apr 1, 2026
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Providence Portland Medical Center Portland, OR · (503) 215-1111 HC INJ PARAVERT F JNT L/S 1 LEV $2,145.00 $2,860.00 — 25% Apr 1, 2026
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Providence Portland Medical Center Portland, OR · (503) 215-1111 HC INJ PARAVERT F JNT L/S 1 LEV $2,145.00 $2,860.00 — 25% Apr 1, 2026
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Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC INJ PARAVERT F JNT L/S 1 LEV $2,145.00 $2,860.00 — 25% Apr 1, 2026
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Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC INJ PARAVERT F JNT L/S 1 LEV $2,145.00 $2,860.00 — 25% Apr 1, 2026
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Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC INJ PARAVERT F JNT L/S 1 LEV $2,145.00 $2,860.00 — 25% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,212.60 $3,404.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,212.60 $3,404.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,212.60 $3,404.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,212.60 $3,404.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,212.60 $3,404.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,212.60 $3,404.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,212.60 $3,404.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,434.90 $3,746.00 — 35% Apr 1, 2026
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Oregon Health & Science University Portland, OR · (503) 494-9000 HB Inj,Paravertebral Lumb/Sacr 1 Level $2,458.95 $3,783.00 $726.34–$3,783.00 35% Mar 23, 2026
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Tuality Healthcare Hillsboro, OR · (503) 681-1111 HB Inj,Paravertebral Lumb/Sacr 1 Level $2,546.70 $3,918.00 $766.83–$3,918.00 35% —
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PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL $3,388.45 $5,213.00 $392.31–$4,569.31 35% —
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PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 INJ PARAVERT F JNT L/S 1 LEV $3,489.85 $5,369.00 $392.31–$4,569.31 35% —
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Shriners Childrens - Portland Portland, OR · (541) 241-5090 INJ PARAVERT F JNT L/S 1 LEV $4,682.30 $4,682.30 $782.63–$3,424.01 — —
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Legacy Good Samaritan Medical Center both sides Portland, OR · (503) 413-7682 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL $3,319.55 $5,107.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center both sides Portland, OR · (503) 413-7682 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL $3,319.55 $5,107.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center both sides Portland, OR · (503) 413-2200 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL $3,319.55 $5,107.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center both sides Tualatin, OR · (503) 692-1212 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL $3,319.55 $5,107.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center both sides Gresham, OR · (503) 674-1122 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL $3,319.55 $5,107.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center both sides Portland, OR · (503) 413-2200 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL $3,319.55 $5,107.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center both sides Vancouver, WA · (360) 487-1000 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL $3,649.75 $5,615.00 — 35% Apr 1, 2026
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Outpatient: lowest $323.05, median $2,145.00, highest $4,682.30 — a 14.5× difference within the same market.

Both sides : lowest $3,319.55, median $3,319.55, highest $3,649.75 — a 1.1× 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 9 facilities here, median $323.05. 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 3 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.