Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Roanoke, VA

In Roanoke, VA, 3 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level (one side of the body): from $2,422.35 to $2,422.35, with a median of $2,422.35. The lowest listed price is at Carilion Giles Community Hospital and 2 other hospitals. Across Virginia, the median is $2,584.93 at 26 hospitals.

Cash prices at 3 facilities for code 64635, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$2,422.35Carilion Giles Community Hospital + 2 more
Median$2,422.35half pay less
Highest$2,422.35in this market
Difference1.0×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 Roanoke, VA.

median
Lowest $2,422.35Highest $4,498.90
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Carilion Giles Community Hospital one side lowest Roanoke, VA HB DESTROY LUMB/SAC FACET JNT SGL LT $2,422.35 $6,921.00 $395.66–$10,066.23 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital one side lowest Roanoke, VA HB DESTROY LUMB/SAC FACET JNT SGL LT $2,422.35 $6,921.00 $395.66–$12,211.30 65% —
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Carilion Giles Community Hospital one side lowest Roanoke, VA HB DESTROY LUMB/SAC FACET JNT SGL RT $2,422.35 $6,921.00 $395.66–$10,066.23 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital one side lowest Roanoke, VA HB DESTROY LUMB/SAC FACET JNT SGL RT $2,422.35 $6,921.00 $395.66–$12,211.30 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital one side lowest Roanoke, VA HB DESTROY LUMB/SAC FACET JNT SGL RT $2,422.35 $6,921.00 $395.66–$12,211.30 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital one side lowest Roanoke, VA HB DESTROY LUMB/SAC FACET JNT SGL LT $2,422.35 $6,921.00 $395.66–$12,211.30 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital both sides Roanoke, VA HB DESTROY LUMB/SAC FACET JNT SGL BILATERAL $4,498.90 $12,854.00 $395.66–$12,211.30 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital both sides Roanoke, VA HB DESTROY LUMB/SAC FACET JNT SGL BILATERAL $4,498.90 $12,854.00 $395.66–$12,211.30 65% —
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One side of the body : lowest $2,422.35, median $2,422.35, highest $2,422.35.

Both sides : lowest $4,498.90, median $4,498.90, highest $4,498.90.

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.

Cash or insurance?

At 3 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.