Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Longview, TX

In Longview, TX, 1 hospital lists a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $3,749.96 to $3,749.96, with a median of $3,749.96. Across Texas, the median is $2,812.90 at 122 hospitals.

Cash prices at 1 facility for code 64635, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$3,749.96Longview Medical Center
Median$3,749.96half pay less
Highest$3,749.96in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Longview Medical Center Longview, TX · (903) 758-1818 DESTROY LUMB/SAC FACET JNT $3,749.96 $20,833.13 $403.18–$17,708.16 82% Apr 1, 2026
source file

Outpatient: lowest $3,749.96, median $3,749.96, highest $3,749.96.

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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 64635 ($2,403.00). 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.

Henderson Hospital, LLC Henderson, TXDestruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint $213.30 file