Lumbar radiofrequency ablation cost in Richmond, VA
In Richmond, VA, 2 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $3,745.80 to $5,113.51, with a median of $4,429.66. The lowest listed price is at Bon Secours St Francis Medical Center — $683.86 less than the median here. Across Virginia, the median is $2,747.50 at 23 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 — 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 Richmond, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Bon Secours St Francis Medical Center lowest Midlothian, VA · (804) 594-7400 HC Rf Destruct Lum Single | $3,745.80 | $6,243.00 | — | 40% | — source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville, VA · (804) 764-6000 HC Rf Destruct Lum Single | $5,113.51 | $8,522.52 | $1,959.11–$1,998.29 | 40% | — source file |
Outpatient: lowest $3,745.80, median $4,429.66, highest $5,113.51 — a 1.4× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $3,745.80. 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 not below the highest rate a health plan has negotiated. 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.