Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 30 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $1,205.81 to $10,093.90, with a median of $2,310.83. The lowest listed price is at NYU Langone and 3 other hospitals — $1,105.02 less than the median here. Across New York, the median is $2,310.83 at 46 hospitals.

Cash prices at 30 facilities across 21 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 1, 2025 and Sep 5, 2026.

Lowest$1,205.81NYU Langone + 3 more
Median$2,310.83half pay less
Highest$10,093.90in this market
Difference8.4×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $1,205.81Highest $10,093.90
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
NYU Langone lowest Mineola, NY HC DESTROY LUMB/SAC FACET JNT $1,205.81 $6,346.39 $818.28–$64,992.14 81% Jan 1, 2026
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NYU Langone lowest New York, NY · (212) 263-7300 HC DESTROY LUMB/SAC FACET JNT $1,205.81 $6,346.39 $818.28–$64,992.14 81% Jan 1, 2026
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NYU Langone lowest Brooklyn, NY HC DESTROY LUMB/SAC FACET JNT $1,205.81 $6,346.39 $818.28–$64,992.14 81% Jan 1, 2026
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NYU Langone Hospital - Suffolk lowest Patchogue, NY · (631) 654-7100 HC DESTROY LUMB/SAC FACET JNT $1,205.81 $6,346.39 $818.28–$64,992.14 81% Jan 1, 2026
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NYU Langone lowest New York, NY · (212) 263-7300 HC DESTROY LUMB/SAC FACET JNT $1,205.81 $6,346.39 $818.28–$64,992.14 81% Jan 1, 2026
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $1,495.00 $1,495.00 $211.37–$1,345.50 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $1,495.00 $1,495.00 $211.37–$1,345.50 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases West Harrison, NY Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $1,495.00 $1,495.00 $170.81–$1,345.50 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases New York, NY Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $1,495.00 $1,495.00 $170.81–$1,345.50 — Dec 1, 2025
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New York City Health and Hospitals Jamaica, NY PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $1,995.02 $488.00 $204.97–$479.41 -309% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $1,995.02 $489.00 $204.97–$479.41 -308% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $1,995.02 $499.00 $204.97–$479.41 -300% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $1,995.02 $499.00 $204.97–$479.41 -300% Sep 5, 2026
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Newton Medical Center Newton, NJ · (973) 383-2121 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,133.79 $6,990.44 — 69% —
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Saint Marys Hospital Passaic, NJ · (973) 365-4300 Destroy lumbsac facet jnt $2,308.00 $7,738.00 $1,477.18–$6,190.40 70% Sep 1, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $216.14–$3,281.38 56% Sep 5, 2026
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New York City Health and Hospitals Broadway Elmhurst, NY HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $560.06–$5,014.00 56% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $211.37–$3,281.38 56% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $572.24–$5,014.00 56% Sep 5, 2026
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Metropolitan Hospital Center New York, NY · (212) 423-6262 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $216.14–$3,281.38 56% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $216.14–$3,281.38 56% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $561.91–$5,014.00 56% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $216.14–$3,281.38 56% Sep 5, 2026
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New York City Health and Hospitals Jamaica, NY HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $572.16–$5,014.00 56% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $575.66–$5,014.00 56% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC DESTRUCTION NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE $2,310.83 $5,218.37 $577.36–$5,014.00 56% Sep 5, 2026
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,485.66 $9,217.30 — 73% —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,605.71 $6,111.00 — 57% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,605.71 $17,414.03 — 85% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,605.71 $5,888.00 — 56% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,605.71 $13,512.70 — 81% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,605.71 $9,016.00 — 71% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,605.71 $13,962.71 — 81% —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Dest Neurolyt Paravt Facet Sng Lumb/Sacr $2,605.71 $13,788.81 — 81% —
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University Hospital Newark, NJ · (973) 972-4300 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $2,617.08 $7,292.16 $300.00–$6,927.55 64% Aug 13, 2026
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Mount Sinai Behavioral Health Center New York, NY HC Destroy Lumb/Sac Sngl Facet Jnt $3,420.00 $3,800.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY HC Destroy Lumb/Sac Sngl Facet Jnt $3,420.00 $3,800.00 — 10% Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Destroy Lumb/Sac Sngl Facet Jnt $3,420.00 $3,800.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Destroy Lumb/Sac Sngl Facet Jnt $3,420.00 $3,800.00 — 10% Apr 1, 2026
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Mount Sinai Queens Long Island, NY HC Destroy Lumb/Sac Sngl Facet Jnt $3,420.00 $3,800.00 — 10% Apr 1, 2026
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $3,813.00 $3,813.00 $1,412.00–$9,784.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases New York, NY HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $3,813.00 $3,813.00 $659.27–$9,784.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $3,813.00 $3,813.00 $1,412.00–$7,290.00 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases West Harrison, NY HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $3,813.00 $3,813.00 $659.27–$8,448.00 — Dec 1, 2025
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 DESTROY LUMB/SAC FACET JNT $4,249.00 $4,249.00 $2,425.62–$7,040.00 — —
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St Johns Riverside Hospital Park Care Pavillion Yonkers, NY DESTROY LUMB/SAC FACET JNT $5,247.90 $6,174.00 $1,648.00–$10,066.32 15% —
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 DES NEUR,PAR FCT,L/S SGL W/IMG $7,285.00 $7,285.00 — — Apr 1, 2026
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Hudson Regional Hospital Secaucus, NJ · (201) 392-3200 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint $10,093.90 $10,093.90 $1,731.00–$19,047.19 — Jan 19, 2026
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Memorial Hospital for Cancer and Allied Diseases both sides West Harrison, NY Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral|BILATERAL PROCEDURE $2,242.50 $2,242.50 $170.81–$2,018.25 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases both sides New York, NY Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral|BILATERAL PROCEDURE $2,242.50 $2,242.50 $170.81–$2,018.25 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases both sides Middletown, NJ Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral|BILATERAL PROCEDURE $2,242.50 $2,242.50 $211.37–$2,018.25 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases both sides Basking Ridge, NJ Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral|BILATERAL PROCEDURE $2,242.50 $2,242.50 $211.37–$2,018.25 — Dec 1, 2025
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Outpatient: lowest $1,205.81, median $2,310.83, highest $10,093.90 — a 8.4× difference within the same market.

Both sides : lowest $2,242.50, median $2,242.50, highest $2,242.50.

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 17 facilities here, median $2,605.71. 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 12 of 19 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.

1 row held back from this comparison

It is 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.

St. Barnabas Hospital Bronx, NYPR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $218.71 file