Surgery and procedures CPT 64493 Outpatient

Lumbar facet injection cost in Spokane, WA

In Spokane-Spokane Valley, WA, 2 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $1,995.00 to $4,562.57, with a median of $3,278.79. The lowest listed price is at Providence Holy Family Hospital — $1,283.79 less than the median here. Across Washington, the median is $2,472.00 at 19 hospitals.

Cash prices at 2 facilities 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$1,995.00Providence Holy Family Hospital
Median$3,278.79half pay less
Highest$4,562.57in this market
Difference2.3×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 Spokane-Spokane Valley, WA.

median
Lowest $1,995.00Highest $4,909.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Providence Holy Family Hospital lowest Spokane, WA · (509) 482-0111 HC INJ PARAVERT F JNT L/S 1 LEV $1,995.00 $2,850.00 — 30% Apr 1, 2026
source file
Shriners Childrens - Spokane Spokane, WA · (509) 623-0422 INJ PARAVERT F JNT L/S 1 LEV $4,562.57 $4,562.57 $93.04–$1,373.09 — —
source file
Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC INJ PARAVERT F JNT L/S 1 LEV $4,909.10 $7,013.00 — 30% Apr 1, 2026
source file

Outpatient: lowest $1,995.00, median $3,278.79, highest $4,562.57 — a 2.3× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $1,995.00. 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 the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.