Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Winston-Salem, NC

In Winston-Salem, NC, 3 hospitals list a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $2,403.00 to $2,535.50, with a median of $2,472.00. The lowest listed price is at North Carolina Baptist Hospital — $69.00 less than the median here. Across North Carolina, the median is $4,272.78 at 30 hospitals.

Cash prices at 3 facilities across 3 cities for code 64635, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Oct 8, 2025 and Oct 21, 2025.

Lowest$2,403.00North Carolina Baptist Hospital
Median$2,472.00half pay less
Highest$2,535.50in this market
Difference1.1×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 Winston-Salem, NC.

median
Lowest $2,403.00Highest $2,535.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
North Carolina Baptist Hospital lowest Bermuda Run, NC HC DESTRUCTION PARAVERT NERVE LUM/SAC SING $2,403.00 $4,806.00 $809.33–$4,925.00 50% Oct 21, 2025
source file
Lexington Medical Center Lexington, NC · (336) 248-5161 HC DESTRUCTION PARAVERT NERVE LUM/SAC SING $2,472.00 $4,944.00 $931.45–$4,568.26 50% Oct 8, 2025
source file
North Carolina Baptist Hospital Winston Salem, NC · (336) 716-2011 HC DESTRUCTION PARAVERT NERVE LUM/SAC SING $2,535.50 $5,071.00 $853.96–$4,563.90 50% Oct 8, 2025
source file

Outpatient: lowest $2,403.00, median $2,472.00, highest $2,535.50 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $2,472.00. 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 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.