Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Casper, WY

In Casper, WY, 2 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level (one side of the body): from $1,244.31 to $1,746.36, with a median of $1,495.34. The lowest listed price is at Summit Medical Center — $251.03 less than the median here. Across Wyoming, the median is $2,028.06 at 12 hospitals.

Cash prices at 2 facilities for code 64635, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 2, 2026; the hospital files themselves were last updated between Sep 22, 2026 and Sep 22, 2026.

Lowest$1,244.31Summit Medical Center

Median$1,495.34half of hospitals charge less

Highest$1,746.36in this market

Difference1.4×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 Casper, WY.

median

Lowest $1,244.31Highest $1,746.36

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Summit Medical Center one side lowest Casper, WY · (307) 232-6600 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT source file	$1,244.31	$2,183.00	—	43%
Summit Medical Center one side Casper, WY · (307) 232-6600 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT source file	$1,287.06	$2,258.00	—	43%
Banner Wyoming Medical Center one side Casper, WY · (307) 577-7201 DST NRV LUMB/SAC FL/CT GD SGL LT+1 more line at this price File of Sep 22, 2026 · source file	$1,746.36	$4,158.00	$1,122.66–$10,412.00	58%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

One side of the body : lowest $1,244.31, median $1,495.34, highest $1,746.36 — a 1.4× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $1,746.36. 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 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

Radiofrequency ablation uses heat to disable the small nerves that carry pain from lower back facet joints, 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.