Surgery and procedures CPT 64635 Inpatient — admitted to hospital

Lumbar radiofrequency ablation cost in Des Moines, IA — inpatient

In Des Moines-West Des Moines, IA, 3 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level as an inpatient: from $1,024.00 to $4,891.25, with a median of $3,268.20. The lowest listed price is at UnityPoint Health - Des Moines Iowa Methodist Medical — $2,244.20 less than the median here. Across Iowa, the median is $1,024.00 at 29 hospitals.

Cash prices at 3 facilities across 2 cities for code 64635, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 2026.

Lowest$1,024.00UnityPoint Health - Des Moines Iowa Methodist Medical
Median$3,268.20half pay less
Highest$4,891.25in this market
Difference4.8×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 Des Moines-West Des Moines, IA.

median
Lowest $1,024.00Highest $7,337.85

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $1,024.00 $1,280.00 $175.47–$700.22 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $1,024.00 $1,280.00 $175.47–$700.22 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC DESTROY LUMB/SAC FACET JNT UNIL $1,576.35 $1,970.43 $853.20 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC DESTROY LUMB/SAC FACET JNT UNIL $1,576.35 $1,970.43 $853.20 20% Jan 28, 2026
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Mercy Medical Center - Newton one side Newton, IA · (641) 792-1273 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Rt $3,268.20 $5,028.00 $1,848.37–$5,028.00 35% Mar 31, 2026
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Mercy Medical Center - Newton one side Newton, IA · (641) 792-1273 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Lt $3,268.20 $5,028.00 $1,848.37–$5,028.00 35% Mar 31, 2026
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MercyOne Des Moines Medical Center one side Des Moines, IA · (515) 247-4436 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Lt $4,891.25 $7,525.00 $1,512.53–$7,525.00 35% Mar 31, 2026
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MercyOne Des Moines Medical Center one side Des Moines, IA · (515) 247-4436 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Rt $4,891.25 $7,525.00 $1,512.53–$7,525.00 35% Mar 31, 2026
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Mercy Medical Center - Newton Newton, IA · (641) 792-1273 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl $4,902.30 $7,542.00 $1,848.37–$7,542.00 35% Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl $7,337.85 $11,289.00 $1,843.15–$11,289.00 35% Mar 31, 2026
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Inpatient: lowest $1,024.00, median $3,268.20, highest $4,891.25 — a 4.8× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $3,268.20 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 3 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

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.