Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Springfield, MA

In Springfield, MA, 2 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $1,808.30 to $2,737.00, with a median of $2,272.65. The lowest listed price is at The Mercy Hospital — $464.35 less than the median here. Across Massachusetts, the median is $2,327.85 at 13 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 22, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$1,808.30The Mercy Hospital
Median$2,272.65half pay less
Highest$2,737.00in this market
Difference1.5×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 Springfield, MA.

median
Lowest $1,808.30Highest $2,737.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The Mercy Hospital one side lowest Springfield, MA · (413) 748-9000 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Rt $1,808.30 $2,782.00 $392.00–$5,616.57 35% Mar 31, 2026
source file
The Mercy Hospital one side lowest Springfield, MA · (413) 748-9000 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Lt $1,808.30 $2,782.00 $392.00–$5,616.57 35% Mar 31, 2026
source file
The Mercy Hospital Springfield, MA · (413) 748-9000 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl $2,192.45 $3,373.00 $392.00–$5,616.57 35% Mar 31, 2026
source file
Holyoke Medical Center Holyoke, MA · (413) 534-2500 Destroy lumb/sac facet jnt $2,737.00 $2,737.00 $1,080.02–$4,056.68 — —
source file

Outpatient: lowest $1,808.30, median $2,272.65, highest $2,737.00 — a 1.5× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $2,272.65. 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.