Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Omaha, NE

In Omaha, NE-IA, 10 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $898.20 to $5,850.00, with a median of $1,509.48. The lowest listed price is at Jennie Edmundson Memorial Hospital — $611.28 less than the median here. Across Nebraska, the median is $1,782.36 at 12 hospitals.

Cash prices at 10 facilities across 5 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 Feb 14, 2026 and Aug 10, 2026.

Lowest$898.20Jennie Edmundson Memorial Hospital
Median$1,509.48half pay less
Highest$5,850.00in this market
Difference6.5×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 Omaha, NE-IA.

median
Lowest $898.20Highest $11,121.84

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Jennie Edmundson Memorial Hospital lowest Council Bluffs, IA · (712) 396-6000 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR-SACRAL $898.20 $2,994.00 $1,377.24–$5,178.00 70% Feb 15, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 HC DESTROY LUMB/SAC FACET JNT $1,359.75 $2,775.00 $971.25–$2,719.50 51% Feb 28, 2026
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CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC DESTROY LUMB/SAC FACET JNT $1,509.48 $3,594.00 $610.98–$4,015.52 58% Feb 28, 2026
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CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC DESTROY LUMB/SAC FACET JNT $1,509.48 $3,594.00 $368.03–$5,081.00 58% Feb 28, 2026
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Alegent Creighton Health Papillion, NE · (402) 593-3000 HC DESTROY LUMB/SAC FACET JNT $1,509.48 $3,594.00 $368.03–$5,081.00 58% Feb 28, 2026
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Alegent Creighton Health Omaha, NE · (402) 717-8000 HC DESTROY LUMB/SAC FACET JNT $1,509.48 $3,594.00 $368.03–$5,081.00 58% Feb 28, 2026
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Alegent Health Immanuel Medical Center Omaha, NE · (402) 572-2121 HC DESTROY LUMB/SAC FACET JNT $1,509.48 $3,594.00 $368.03–$5,081.00 58% Feb 28, 2026
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CHI Health Mercy Council Bluffs Council Bluffs, IA · (712) 328-5000 HC DESTROY LUMB/SAC FACET JNT $1,509.48 $3,594.00 $368.03–$5,081.00 58% Feb 28, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 MECT Exam $1,712.70 $5,709.00 $2,626.14–$5,178.00 70% Feb 15, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 SP IR Exam $1,712.70 $5,709.00 $2,626.14–$5,178.00 70% Feb 15, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 MECT Exam $2,055.24 $5,709.00 $2,626.14–$5,178.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 SP IR Exam $2,055.24 $5,709.00 $2,626.14–$5,178.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 MECT Exam $2,055.24 $5,709.00 $2,626.14–$5,178.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 SP IR Exam $2,055.24 $5,709.00 $2,626.14–$5,178.00 64% Feb 14, 2026
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Bellevue Medical Center Bellevue, NE · (402) 763-3600 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint $5,850.00 $9,000.00 $1,861.61–$23,242.50 35% Aug 10, 2026
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Nebraska Medical Center Omaha, NE · (402) 559-4000 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint $5,850.00 $9,000.00 $1,861.61–$23,242.50 35% Aug 10, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR-SACRAL $11,121.84 $30,894.00 $3,711.00–$21,625.80 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR-SACRAL $11,121.84 $30,894.00 $3,711.00–$21,625.80 64% Feb 14, 2026
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Outpatient: lowest $898.20, median $1,509.48, highest $5,850.00 — a 6.5× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $1,509.48. 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 2 it is 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.