Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Rochester, NY

In Rochester, NY, 6 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $485.39 to $5,885.82, with a median of $3,900.14. The lowest listed price is at Nicholas H. Noyes Memorial Hospital — $3,414.75 less than the median here. Across New York, the median is $2,310.83 at 46 hospitals.

Cash prices at 6 facilities across 3 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$485.39Nicholas H. Noyes Memorial Hospital
Median$3,900.14half pay less
Highest$5,885.82in this market
Difference12.1×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 Rochester, NY.

median
Lowest $485.39Highest $8,408.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Nicholas H. Noyes Memorial Hospital lowest Dansville, NY · (585) 335-6001 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $485.39 $814.00 — 40% —
source file
Strong Memorial Hospital Rochester, NY · (585) 275-2121 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $1,060.00 $2,120.00 $142.27–$2,074.94 50% —
source file
Strong Memorial Hospital Rochester, NY · (585) 275-2121 Destroy lumb/sac facet jnt $2,317.85 — $2,373.71–$4,828.39 — —
source file
Highland Hospital Rochester, NY · (585) 341-6711 Destroy lumb/sac facet jnt $2,317.85 — $2,313.07–$4,139.71 — —
source file
Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC DESTRUCTION BY NEUROLYTIC AGNT PARVERTEB FCT NRV_SNGL JNT LUMBAR_SACRAL W IMAGE GUIDE $5,482.43 $8,434.51 — 35% Apr 1, 2026
source file
Rochester General Hospital Rochester, NY · (585) 922-4000 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR_SACRAL $5,482.43 $8,434.51 — 35% Apr 1, 2026
source file
Rochester General Hospital Rochester, NY · (585) 922-4000 HC DESTRUCTION BY NEUROLYTIC AGNT PARVERTEB FCT NRV_SNGL JNT LUMBAR_SACRAL W IMAGE GUIDE $5,482.43 $8,434.51 — 35% Apr 1, 2026
source file
Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR_SACRAL $5,482.43 $8,434.51 — 35% Apr 1, 2026
source file
The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC DESTRUCTION BY NEUROLYTIC AGNT PARVERTEB FCT NRV_SNGL JNT LUMBAR_SACRAL W IMAGE GUIDE $5,885.82 $7,357.27 — 20% Apr 1, 2026
source file
Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $8,408.20 — $1,194.27–$8,808.88 — —
source file

Outpatient: lowest $485.39, median $3,900.14, highest $5,885.82 — a 12.1× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $5,482.43. 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 2 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.