Surgery and procedures CPT 64635 Outpatient

Lumbar radiofrequency ablation cost in Marion, VA

In Marion, VA, 1 hospital lists a cash price for radiofrequency ablation of facet joint nerves, lower back, one level: from $382.95 to $382.95, with a median of $382.95. Across Virginia, the median is $2,747.50 at 23 hospitals.

Cash prices at 1 facility 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 —.

Lowest$382.95Smyth County Community Hospital
Median$382.95half pay less
Highest$382.95in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Smyth County Community Hospital Marion, VA · (276) 378-1000 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $382.95 $2,553.00 $710.24–$4,153.43 85% —
source file

Outpatient: lowest $382.95, median $382.95, highest $382.95.

As an inpatient, the same code is billed by 1 facility here, median $382.95. 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 below the highest rate a health plan has negotiated and 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.