Surgery and procedures CPT 64493 Iowa Outpatient

Lumbar facet injection cost in Iowa

In Iowa, 66 hospitals publish a cash price for facet joint injection, lower back, one level, with imaging guidance: from $157.60 to $2,902.97, with a median of $1,360.43. The lowest price is at Floyd County Memorial Hospital Commission (Charles City). The highest price is 18.4× the lowest.

  • The median here, $1,360.43, is 12% below the US median of $1,538.11.
  • That is 1.5× Medicare's 2026 national rate for the same service ($903.63).
  • Iowa ranks 22nd of 48 states by median, cheapest first.
  • 7 of 66 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 64493. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map

Lowest$157.60Floyd County Memorial Hospital Commission
Median$1,360.43half of hospitals charge less
Highest$2,902.97in Iowa
Lowest saves$1,202.83vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Floyd County Memorial Hospital Commission lowest Charles City · Charles City, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $157.60 $394.00 Sep 30, 2026
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Clarinda Regional Health Center Clarinda · Clarinda, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $238.50 $318.00 Oct 23, 2026
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Sioux Center Health one side Sioux Center · Sioux Center, IA $323.01 $333.00 Apr 1, 2026
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Audubon County Memorial Hospital Audubon · Audubon, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $560.00 $560.00 Sep 14, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $585.00 $780.00 Sep 2, 2026
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Guthrie County Hospital Guthrie Center · Des Moines-West Des Moines, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $586.00 $586.00 Sep 26, 2026
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Jefferson County Hospital Fairfield · Fairfield, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $598.80 $998.00 Aug 20, 2026
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Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA MSP Exam $662.10 $2,207.00 Feb 15, 2026
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The Finley Hospital Dubuque · Dubuque, IA HC INJ PARAVERT F JNT L/S 1 LEV $733.14 $916.42 Nov 4, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC FACET LUMBOSACRAL SINGLE $775.35 $1,723.00 Sep 30, 2026
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Dallas County Hospital Perry · Des Moines-West Des Moines, IA OR-INJ PARAVERT F JNT L/S 1 LEVEL $796.00 $1,225.00 May 29, 2026
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Hansen Family Hospital Iowa Falls · Iowa Falls, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $843.00 $843.00 Jul 10, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC FACET LUMBOSACRAL SINGLE $861.50 $1,723.00 Sep 30, 2026
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Greene County Medical Center Jefferson · Jefferson, IA HC INJ PARAVERT F JNT L/S 1 LEV $896.56 $1,601.00 Mar 26, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC FACET LUMBOSACRAL SINGLE $897.41 $2,087.00 Sep 30, 2026
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MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS PARAVERT FACET/NERV SACR SINGLE UNI $942.00 $1,570.00 Mar 31, 2026
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Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC INJ PARAVERT F JNT L/S 1 LEV $984.88 $1,231.09 Nov 4, 2026
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UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC INJ PARAVERT F JNT L/S 1 LEV $984.88 $1,231.09 Nov 4, 2026
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Loring Hospital Sac City · Sac City, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,012.00 $1,265.00 Aug 25, 2026
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Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,025.44 $1,972.00 Oct 19, 2026
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Shenandoah Medical Center Shenandoah · Shenandoah, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,062.75 $1,635.00 Sep 21, 2026
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MercyOne Genesis Davenport Medical Center one side Davenport · Davenport-Moline-Rock Island, IA-IL Fluoro Inj L-spine 1 Lev PVF Jnt Lt $1,088.40 $1,814.00 Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA GHS PARAVERT FACET/NERVE LUMB SINGLE UNI $1,088.40 $1,814.00 Mar 31, 2026
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Stewart Memorial Community Hospital Lake City · Lake City, IA INJ PARAVERT F JNT L/S 1 LEV $1,180.00 $1,475.00 Oct 8, 2024
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Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,211.25 $2,125.00 Oct 8, 2026
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Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,218.79 $1,523.48 Nov 4, 2026
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Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,250.40 $1,563.00 Mar 31, 2026
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Virginia Gay Hospital Vinton · Cedar Rapids, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,260.80 $1,576.00 Aug 13, 2026
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Spencer Municipal Hospital Spencer · Spencer, IA Inj Paravert F Jnt L/S 1 Lev R $1,306.50 $1,742.00 Jan 1, 2026
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WinnMed Decorah · Decorah, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,312.50 $1,875.00 Oct 13, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 64493 INJECTION PARAVERTEBRAL FACET JOINT W/GUIDANCE LUMB/S $1,316.90 $2,217.00 Jun 27, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,331.29 $1,664.11 Nov 4, 2026
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Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level $1,348.50 $1,798.00 Mar 31, 2026
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Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC INJ PARAVERT F JNT L/S 1 LEV $1,372.35 $1,715.43 Nov 4, 2026
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Unity Healthcare Muscatine · Muscatine, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,372.35 $1,715.43 Nov 4, 2026
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Kossuth Regional Health Center Algona · Algona, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,412.70 $1,765.88 Jul 16, 2026
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St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC INJ PARAVERT F JNT L/S 1 LEV $1,465.29 $1,831.61 Nov 4, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,477.60 $1,847.00 Oct 21, 2026
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Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,511.20 $1,889.00 Jun 29, 2026
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Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Inj Paravert F Jnt L/S 1 Lev $1,564.00 $1,564.00 Sep 1, 2026
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Lakes Regional Hospital one side Spirit Lake · Spirit Lake, IA $1,594.10 $1,678.00 Apr 1, 2026
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Pocahontas Community Hospital Pocahontas · Pocahontas, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,624.00 $1,624.00 Mar 29, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA FACET JOINT INJECTION LUMB/SAC 1 LEVEL $1,630.82 $1,918.61 Apr 24, 2026
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MercyOne Clinton Medical Center one side Clinton · Clinton, IA HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt $1,661.40 $2,556.00 Mar 31, 2026
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Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level $1,673.10 $2,574.00 Mar 31, 2026
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MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level $1,673.10 $2,574.00 Mar 31, 2026
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Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,733.04 $2,166.30 Jun 18, 2026
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Manning Regional Healthcare Center Manning · Carroll, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,757.08 $2,622.50 Oct 16, 2026
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Jackson County Regional Health Center Maquoketa · Maquoketa, IA PARAVERT FACET JNT NRV L OR S W FLUOROSCY $1,779.00 $1,779.00 Aug 11, 2026
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Hancock County Health System Britt · Britt, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,800.00 $2,400.00 Oct 20, 2026
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Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC INJ PARAVERT F JNT L/S 1 LEV $1,840.80 $2,301.00 Mar 31, 2026
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Belmond Community Hospital Belmond · Belmond, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,977.60 $3,296.00 Apr 22, 2026
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Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,977.60 $3,296.00 Jun 11, 2026
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UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC INJ PARAVERT F JNT L/S 1 LEV $2,035.35 $2,544.18 Jan 28, 2026
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Cherokee Regional Medical Center Cherokee · Cherokee, IA HC INJ PARAVERT F JNT L/S 1 LEV $2,037.60 $2,264.00 Mar 31, 2026
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Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC INJ PARAVERT F JNT L/S 1 LEV $2,043.00 $2,270.00 Mar 30, 2026
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MercyOne North Iowa Medical Center one side Mason City · Mason City, IA HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Rt $2,150.20 $3,308.00 Mar 31, 2026
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Regional Medical Center one side Manchester · Manchester, IA INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL $2,216.80 $2,771.00 Feb 20, 2026
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Sanford Sheldon Medical Center Sheldon · Sheldon, IA SURG 64493 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $2,328.80 $2,911.00 Mar 4, 2026
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University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SINGLE LEVEL $2,548.00 $3,640.00 Mar 11, 2026
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University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SINGLE LEVEL $2,548.00 $3,640.00 Mar 11, 2026
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MercyOne Centerville Medical Center one side Centerville · Centerville, IA HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Rt $2,574.00 $2,574.00 Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level $2,803.45 $4,313.00 Mar 31, 2026
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MercyOne Waterloo Medical Center one side Waterloo · Waterloo-Cedar Falls, IA HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt $2,877.55 $4,427.00 Mar 31, 2026
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Sartori Memorial Hospital one side Cedar Falls · Waterloo-Cedar Falls, IA HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt $2,877.55 $4,427.00 Mar 31, 2026
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St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC INJ PARAVERT F JNT L/S 1 LEV $2,902.97 $3,628.71 Jan 28, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Des Moines-West Des Moines, IA 7 $586.00 $1,477.60
Waterloo-Cedar Falls, IA 6 $984.88 $1,622.12
Davenport-Moline-Rock Island, IA-IL 3 $942.00 $1,088.40
Omaha, NE-IA 3 $662.10 $861.50
Cedar Rapids, IA 2 $1,260.80 $1,648.08
Clinton, IA 2 $1,088.40 $1,374.90
Iowa City, IA 2 $2,548.00 $2,548.00
Algona, IA 1 $1,412.70 $1,412.70
Audubon, IA 1 $560.00 $560.00
Belmond, IA 1 $1,977.60 $1,977.60
Britt, IA 1 $1,800.00 $1,800.00
Cedar Rapids, IA 1 $2,902.97 $2,902.97
Centerville, IA 1 $2,574.00 $2,574.00
Charles City, IA 1 $157.60 $157.60
Cherokee, IA 1 $2,037.60 $2,037.60
Clarinda, IA 1 $238.50 $238.50
Clarion, IA 1 $1,977.60 $1,977.60
Corning, IA 1 $775.35 $775.35
Carroll, IA 1 $1,757.08 $1,757.08
Decorah, IA 1 $1,312.50 $1,312.50
Dubuque, IA 1 $733.14 $733.14
Emmetsburg, IA 1 $1,348.50 $1,348.50
Fairfield, IA 1 $598.80 $598.80
Fort Dodge, IA 1 $1,218.79 $1,218.79
Greenfield, IA 1 $585.00 $585.00
Guttenberg, IA 1 $1,840.80 $1,840.80
Harwarden, IA 1 $1,630.82 $1,630.82
Humboldt, IA 1 $2,043.00 $2,043.00
Iowa Falls, IA 1 $843.00 $843.00
Jefferson, IA 1 $896.56 $896.56
Lake City, IA 1 $1,180.00 $1,180.00
Manchester, IA 1 $2,216.80 $2,216.80
Maquoketa, IA 1 $1,779.00 $1,779.00
Marshalltown, IA 1 $984.88 $984.88
Mason City, IA 1 $2,150.20 $2,150.20
Muscatine, IA 1 $1,372.35 $1,372.35
New Hampton, IA 1 $1,673.10 $1,673.10
Pocahontas, IA 1 $1,624.00 $1,624.00
Sac City, IA 1 $1,012.00 $1,012.00
Sheldon, IA 1 $2,328.80 $2,328.80
Shenandoah, IA 1 $1,062.75 $1,062.75
Sioux Center, IA 1 $323.01 $323.01
Sioux City, IA-NE-SD 1 $1,465.29 $1,465.29
Spencer, IA 1 $1,306.50 $1,306.50
Spirit Lake, IA 1 $1,594.10 $1,594.10
Storm Lake, IA 1 $1,250.40 $1,250.40
Waukon, IA 1 $1,211.25 $1,211.25
West Union, IA 1 $1,316.90 $1,316.90
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What lumbar facet injection is, what the price covers and why prices differ: Lumbar facet injection explained.

Facet joint injection, lower back, one level, with imaging guidance in other states

Median cash price across the state's hospitals.