Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 17 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $273.70 to $3,586.50, with a median of $2,685.07. The lowest listed price is at McLaren Macomb and 1 other hospital — $2,411.37 less than the median here. Across Michigan, the median is $2,330.85 at 40 hospitals.

Cash prices at 17 facilities across 14 cities for code 64635, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Jun 28, 2026.

Lowest$273.70McLaren Macomb + 1 more
Median$2,685.07half pay less
Highest$3,586.50in this market
Difference13.1×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 Detroit-Warren-Dearborn, MI.

median
Lowest $273.70Highest $3,586.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
McLaren Macomb lowest Mount Clemens, MI · (586) 493-8000 Destruct Lumb/Sac Facet Jnt Sgl 64635 $273.70 $547.40 $122.90–$307.57 50% Dec 31, 2025
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McLaren Oakland lowest Pontiac, MI · (248) 338-5000 Destruct Lumb/Sac Facet Jnt Sgl 64635 $273.70 $547.40 $122.90–$307.57 50% Dec 31, 2025
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McLaren Macomb Mount Clemens, MI · (586) 493-8000 SP Destruct Neurolytic Agent Paravertebral Facet Joint W/Image Guidance; Lumbar/Sacral, Single 64635 $432.50 $865.00 $122.90–$307.57 50% Dec 31, 2025
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 SP Destruct Neurolytic Agent Paravertebral Facet Joint W/Image Guidance; Lumbar/Sacral, Single 64635 $432.50 $865.00 $122.90–$307.57 50% Dec 31, 2025
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McLaren Oakland Pontiac, MI · (248) 338-5000 SP Destruct Neurolytic Agent Paravertebral Facet Joint W/Image Guidance; Lumbar/Sacral, Single 64635 $432.50 $865.00 $122.90–$307.57 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 SP Destruct Neurolytic Agent Paravertebral Facet Joint W/Image Guidance; Lumbar/Sacral, Single 64635 $432.50 $865.00 $122.90–$307.57 50% Dec 31, 2025
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 64635 F BL DES L/S W/ GD $604.15 $1,208.30 $445.86–$1,943.42 50% Dec 31, 2025
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McLaren Macomb Mount Clemens, MI · (586) 493-8000 64635- IR Destruct Lumb/Sac Facet Jnt Sgl $1,228.50 $2,457.00 $1,068.17–$3,047.20 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 IR Rhizotomy of the Lumbar Spine/Sacral $1,594.60 $3,189.20 $1,068.17–$3,047.20 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 Destruct Lumb/Sac Facet Jnt Sgl 64635 $1,594.60 $3,189.20 $1,068.17–$3,047.20 50% Dec 31, 2025
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McLaren Oakland Pontiac, MI · (248) 338-5000 64635- IR Destruct Lumb/Sac Facet Jnt Sgl $1,962.05 $3,924.10 $1,068.17–$3,047.20 50% Dec 31, 2025
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McLaren Oakland Pontiac, MI · (248) 338-5000 IR Rhizotomy of the Lumbar Spine/Sacral $1,962.05 $3,924.10 $1,068.17–$3,047.20 50% Dec 31, 2025
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VHS Rehabilitation Institute of Michigan Detroit, MI DES LUMB/SAC FACET JNT $2,131.50 $2,842.00 — 25% Apr 8, 2026
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Henry Ford Health Detroit, MI · (313) 343-4000 DESTRUC LUMB/SAC SNGL W/IMAGE $2,430.40 $4,340.00 $732.49–$4,340.00 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 DESTRUC LUMB/SAC SNGL W/IMAGE $2,430.40 $4,340.00 $732.49–$4,340.00 44% —
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Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR $2,685.07 $3,363.00 $177.30–$7,807.00 20% Jun 28, 2026
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Henry Ford Wyandotte Hospital Wyandotte, MI HB DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR $2,685.07 $3,363.00 $177.30–$6,493.00 20% Jun 28, 2026
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Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR $2,685.07 $3,363.00 $177.30–$7,527.00 20% Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR $2,685.07 $3,363.00 $177.30–$7,807.00 20% Jun 28, 2026
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 64635- IR Destruct Lumb/Sac Facet Jnt Sgl $3,219.80 $6,439.60 $1,068.17–$3,047.20 50% Dec 31, 2025
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Destruct Lumb/Sac Facet Jnt Sgl 64635 $3,219.80 $6,439.60 $1,068.17–$3,618.55 50% Dec 31, 2025
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William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Dstr Nrolytic Agnt Parverteb Fct Singl Lmbr/Sacral $3,375.00 $3,375.00 — — —
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Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Destruction Lum/Sac Facet Sngl $3,375.00 $3,375.00 — — —
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Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Dstr Nrolytic Agnt Parverteb Fct Singl Lmbr/Sacral $3,375.00 $3,375.00 — — —
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Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Destruction Lum/Sac Facet Sngl $3,375.00 $3,375.00 — — —
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Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Dstr Nrolytic Agnt Parverteb Fct Singl Lmbr/Sacral $3,375.00 $3,375.00 — — —
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William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Destruction Lum/Sac Facet Sngl $3,375.00 $3,375.00 — — —
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William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Dstr Nrolytic Agnt Parverteb Fct Singl Lmbr/Sacral $3,375.00 $3,375.00 — — —
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Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Destruction Lum/Sac Facet Sngl $3,375.00 $3,375.00 — — —
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Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Dstr Nrolytic Agnt Parverteb Fct Singl Lmbr/Sacral $3,375.00 $3,375.00 — — —
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William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Destruction Lum/Sac Facet Sngl $3,375.00 $3,375.00 — — —
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VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 DES LUMB/SAC FACET JNT $3,586.50 $4,782.00 $0.17–$5,085.00 25% May 20, 2026
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Outpatient: lowest $273.70, median $2,685.07, highest $3,586.50 — a 13.1× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $3,375.00. 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 9 of 11 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.

4 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 64635 ($2,685.07). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Henry Ford Health West Bloomfield Hospital West Bloomfield, MIPR DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR $245.27 file
Henry Ford Wyandotte Hospital Wyandotte, MIPR DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR $245.27 file
Henry Ford Macomb Hospital Clinton Twp, MIPR DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR $245.27 file
Henry Ford Health Hospital Detroit, MIPR DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR $245.27 file