Surgery and procedures CPT 64493 Outpatient

Lumbar facet injection cost in Rochester, NY

In Rochester, NY, 7 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $152.65 to $2,349.42, with a median of $1,049.86. The lowest listed price is at Nicholas H. Noyes Memorial Hospital — $897.21 less than the median here. Across New York, the median is $1,051.70 at 54 hospitals.

Cash prices at 7 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$152.65Nicholas H. Noyes Memorial Hospital
Median$1,049.86half pay less
Highest$2,349.42in this market
Difference15.4×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 Rochester, NY.

median
Lowest $152.65Highest $3,951.65

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Nicholas H. Noyes Memorial Hospital lowest Dansville, NY · (585) 335-6001 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $152.65 $256.00 — 40% —
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Nicholas H. Noyes Memorial Hospital Dansville, NY · (585) 335-6001 HB Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (Pro) $170.00 — — — —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $215.86 $362.00 — 40% —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $435.00 $870.00 $32.95–$849.00 50% —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 Inj paravert f jnt l/s 1 lev $1,049.86 — $1,075.16–$2,186.98 — —
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Highland Hospital Rochester, NY · (585) 341-6711 Inj paravert f jnt l/s 1 lev $1,049.86 — $1,047.69–$1,875.05 — —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 HB Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level $1,448.00 — — — —
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Rochester General Hospital Rochester, NY · (585) 922-4000 HC INJECTION_S__ DX_THERA AGENT_ PARAVERTEBRAL FACET JOINT_ LUMBAR_SACRAL_ SINGLE LEVEL $2,188.39 $3,366.76 — 35% Apr 1, 2026
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Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC INJECTION_S__ DX_THERA AGENT_ PARAVERTEBRAL FACET JOINT_ LUMBAR_SACRAL_ SINGLE LEVEL $2,188.39 $3,366.76 — 35% Apr 1, 2026
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The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC INJECTION_S__ DX_THERA AGENT_ PARAVERTEBRAL FACET JOINT_ LUMBAR_SACRAL_ SINGLE LEVEL $2,349.42 $2,936.78 — 20% Apr 1, 2026
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level $3,951.65 — $561.21–$4,016.06 — —
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Outpatient: lowest $152.65, median $1,049.86, highest $2,349.42 — a 15.4× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $1,311.70. 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.