Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Indianapolis, IN

In Indianapolis-Carmel-Greenwood, IN, 12 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $784.25 to $4,504.37, with a median of $3,311.40. The lowest listed price is at Witham Memorial Hospital — $2,527.15 less than the median here. Across Indiana, the median is $2,127.20 at 32 hospitals.

Cash prices at 12 facilities across 7 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 Mar 31, 2026 and May 5, 2026.

Lowest$784.25Witham Memorial Hospital
Median$3,311.40half pay less
Highest$4,504.37in this market
Difference5.7×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 Indianapolis-Carmel-Greenwood, IN.

median
Lowest $784.25Highest $12,089.71
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Witham Memorial Hospital lowest Lebanon, IN · (765) 485-8000 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint $784.25 $1,120.35 $694.62–$3,925.40 30% Mar 31, 2026
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Johnson Memorial Hospital Franklin, IN · (317) 736-3300 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint $1,814.40 $2,268.00 $985.67–$3,429.39 20% May 5, 2026
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Rehabilitation Hospital Of Indiana Indianapolis, IN Destruction Neurolytic Agent, Lumbar or Sacral, Single Facet $3,030.69 $5,317.00 — 43% —
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Rehabilitation Hospital Of Indiana Indianapolis, IN Destruction Neurolytic Agent, Lumbar or Sacral, Single Facet $3,030.69 $5,317.00 $924.93–$3,121.64 43% —
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St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$5,445.00 40% —
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St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$5,445.00 40% —
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Carmel AmbSurg Carmel, IN FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,914.00 40% —
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Naab Road Surgery Center Indianapolis, IN FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,914.00 40% —
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Endo Surgery Center Carmel, IN FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,914.00 40% —
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St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,631.00 40% —
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St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,631.00 40% —
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Endo Surgery Center Carmel, IN FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,914.00 40% —
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St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,631.00 40% —
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St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,631.00 40% —
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Naab Road Surgery Center Indianapolis, IN FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,914.00 40% —
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St. Vincent Hospital and Health Care Center Indianapolis, IN · (317) 338-7000 FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$5,445.00 40% —
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Carmel AmbSurg Carmel, IN FACET JNT DESTRUCT L/S+IM UNI $3,311.40 $5,519.00 $58.96–$4,914.00 40% —
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Riverview Health Noblesville, IN · (317) 773-0760 DESTRUCT NEU FACET W IMAG GUID L/S SNGL $4,167.60 $6,946.00 — 40% —
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Eskenazi Health Indianapolis, IN · (317) 880-4818 HC Destroy Lumb/Sac Faxet Jnt $4,504.37 $5,004.86 $1,906.00–$5,004.86 10% —
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Eskenazi Health Indianapolis, IN · (317) 880-4818 HC Destroy Lumb/Sac Faxet Jnt $12,089.71 $13,433.01 $2,066.00–$13,433.01 10% —
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Naab Road Surgery Center both sides Indianapolis, IN FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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Endo Surgery Center both sides Carmel, IN FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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Endo Surgery Center both sides Carmel, IN FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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St. Vincent Hospital and Health Care Center both sides Indianapolis, IN · (317) 338-7000 FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,944.00 40% —
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Carmel AmbSurg both sides Carmel, IN FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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Naab Road Surgery Center both sides Indianapolis, IN FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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Carmel AmbSurg both sides Carmel, IN FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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St. Vincent Fishers Hospital both sides Fishers, IN · (317) 415-9000 FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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St. Vincent Fishers Hospital both sides Fishers, IN · (317) 415-9000 FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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St. Vincent Anderson Regional Hospital both sides Anderson, IN · (765) 649-2511 FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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St. Vincent Anderson Regional Hospital both sides Anderson, IN · (765) 649-2511 FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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St. Vincent Carmel Hospital both sides Carmel, IN · (317) 582-7000 FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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St. Vincent Carmel Hospital both sides Carmel, IN · (317) 582-7000 FACET JNT DESTRUCT L/S+IM BI $6,622.80 $11,038.00 $58.96–$7,064.32 40% —
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Outpatient: lowest $784.25, median $3,311.40, highest $4,504.37 — a 5.7× difference within the same market.

Both sides : lowest $6,622.80, median $6,622.80, highest $6,622.80.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

As an inpatient, the same code is billed by 9 facilities here, median $3,311.40. 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 10 of 10 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.