Lumbar radiofrequency ablation cost in Rapid City, SD
In Rapid City, SD, 1 hospital lists a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $1,530.00 to $1,530.00, with a median of $1,530.00. Across South Dakota, the median is $2,458.40 at 3 hospitals.
Cash prices at 1 facility for code 64635, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Rapid City, SD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Black Hills Surgical Hospital lowest Rapid City, SD · (605) 721-4700 NEUROLYTIC DESTRUCTION NERVE LUMBAR | $1,530.00 | $2,550.00 | $1,955.12–$2,295.00 | 40% | — source file |
| Black Hills Surgical Hospital one side Rapid City, SD · (605) 721-4700 INJ DESTR NV LUMB/SAC RT | $1,530.00 | $2,550.00 | $1,955.12–$2,295.00 | 40% | — source file |
| Black Hills Surgical Hospital one side Rapid City, SD · (605) 721-4700 INJ DESTR NV LUMB/SAC LT | $1,530.00 | $2,550.00 | $1,955.12–$2,295.00 | 40% | — source file |
| Black Hills Surgical Hospital Rapid City, SD · (605) 721-4700 INJ DESTR NV LUMB/SAC BIL | $1,683.00 | $2,805.00 | $1,955.12–$2,524.50 | 40% | — source file |
Outpatient: lowest $1,530.00, median $1,530.00, highest $1,530.00.
As an inpatient, the same code is billed by 1 facility here, median $1,530.00. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and 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.