Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Portland, OR

In Portland-Vancouver-Hillsboro, OR-WA, 8 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $790.40 to $7,870.20, with a median of $790.40. The lowest listed price is at Legacy Emanuel Medical Center and 4 other hospitals. Across Oregon, the median is $790.40 at 8 hospitals.

Cash prices at 8 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 Mar 23, 2026 and Apr 1, 2026.

Lowest$790.40Legacy Emanuel Medical Center + 4 more
Median$790.40half pay less
Highest$7,870.20in this market
Difference10.0×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 Portland-Vancouver-Hillsboro, OR-WA.

median
Lowest $790.40Highest $8,106.15
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $790.40 $1,216.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $790.40 $1,216.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $790.40 $1,216.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $790.40 $1,216.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $790.40 $1,216.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $790.40 $1,216.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $790.40 $1,216.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $790.40 $1,216.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC AN DESTROY LUMB/SAC FACET JNT $2,856.75 $4,395.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC AN DESTROY LUMB/SAC FACET JNT $2,856.75 $4,395.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC AN DESTROY LUMB/SAC FACET JNT $2,856.75 $4,395.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC AN DESTROY LUMB/SAC FACET JNT $2,856.75 $4,395.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC AN DESTROY LUMB/SAC FACET JNT $2,856.75 $4,395.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC AN DESTROY LUMB/SAC FACET JNT $2,856.75 $4,395.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC AN DESTROY LUMB/SAC FACET JNT $2,856.75 $4,395.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC AN DESTROY LUMB/SAC FACET JNT $3,175.90 $4,886.00 — 35% Apr 1, 2026
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Oregon Health & Science University Portland, OR · (503) 494-9000 HB Neuroly Blk Lumb Sgl Joint W/Guidance $4,899.05 $7,537.00 $1,447.10–$7,537.00 35% Mar 23, 2026
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Tuality Healthcare Hillsboro, OR · (503) 681-1111 HB Neuroly Blk Lumb Sgl Joint W/Guidance $5,757.70 $8,858.00 $1,692.99–$8,858.00 35% —
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PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT $7,870.20 $12,108.00 $866.14–$7,025.48 35% —
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PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 DESTROY LUMB/SAC FACET JNT $8,106.15 $12,471.00 $866.14–$7,025.48 35% —
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Legacy Good Samaritan Medical Center both sides Portland, OR · (503) 413-7682 HC AN DESTROY BILAT LUMB/SAC FACET JNT $3,126.50 $4,810.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center both sides Portland, OR · (503) 413-7682 HC AN DESTROY BILAT LUMB/SAC FACET JNT $3,126.50 $4,810.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center both sides Tualatin, OR · (503) 692-1212 HC AN DESTROY BILAT LUMB/SAC FACET JNT $3,126.50 $4,810.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center both sides Portland, OR · (503) 413-2200 HC AN DESTROY BILAT LUMB/SAC FACET JNT $3,126.50 $4,810.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center both sides Portland, OR · (503) 413-2200 HC AN DESTROY BILAT LUMB/SAC FACET JNT $3,126.50 $4,810.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center both sides Gresham, OR · (503) 674-1122 HC AN DESTROY BILAT LUMB/SAC FACET JNT $3,126.50 $4,810.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center both sides Vancouver, WA · (360) 487-1000 HC AN DESTROY BILAT LUMB/SAC FACET JNT $3,472.95 $5,343.00 — 35% Apr 1, 2026
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Outpatient: lowest $790.40, median $790.40, highest $7,870.20 — a 10.0× difference within the same market.

Both sides : lowest $3,126.50, median $3,126.50, highest $3,472.95 — a 1.1× difference within the same market.

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 5 facilities here, median $790.40. 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 2 of 3 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.