Surgery and procedures CPT 64493 Outpatient

Lumbar facet injection cost in Richmond, KY

In Richmond-Berea, KY, 2 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $549.48 to $919.28, with a median of $734.38. The lowest listed price is at Rockcastle County Hospital — $184.90 less than the median here. Across Kentucky, the median is $1,247.53 at 24 hospitals.

Cash prices at 2 facilities across 2 cities for code 64493, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Jul 1, 2026.

Lowest$549.48Rockcastle County Hospital
Median$734.38half pay less
Highest$919.28in this market
Difference1.7×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 Richmond-Berea, KY.

median
Lowest $549.48Highest $919.28

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Rockcastle County Hospital lowest Mount Vernon, KY · (606) 256-2195 Injection of lower or sacral spine facet joint using imaging guidance, single level $549.48 $723.00 $68.79–$829.89 24% Jul 1, 2026
source file
CHI Saint Joseph Berea Nf Berea, KY · (859) 986-3151 HC INJ FACET LUMBAR $919.28 $1,907.00 $526.15–$2,348.00 52% Feb 28, 2026
source file

Outpatient: lowest $549.48, median $734.38, highest $919.28 — a 1.7× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $919.28. 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 2 of 2 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.