Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 2 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $521.13 to $970.38, with a median of $745.76. The lowest listed price is at Vanderbilt Wilson County Hospital — $224.63 less than the median here. Across Tennessee, the median is $521.13 at 21 hospitals.

Cash prices at 2 facilities across 2 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 Oct 1, 2025 and Oct 1, 2025.

Lowest$521.13Vanderbilt Wilson County Hospital
Median$745.76half pay less
Highest$970.38in this market
Difference1.9×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $521.13Highest $3,572.10

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $521.13 $1,797.00 $132.24–$1,797.00 71% Oct 1, 2025
source file
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $970.38 $1,797.00 $132.24–$1,797.00 46% Oct 1, 2025
source file
Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC DESTROY LUMB/SAC FACET JNT $1,918.35 $6,615.00 $950.45–$5,944.00 71% Oct 1, 2025
source file
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC DESTROY LUMB/SAC FACET JNT $3,572.10 $6,615.00 $1,829.64–$6,615.00 46% Oct 1, 2025
source file

Outpatient: lowest $521.13, median $745.76, highest $970.38 — a 1.9× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $745.76. 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 2 of 2 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.