Surgery and procedures CPT 64493 Washington Outpatient

Lumbar facet injection cost in Washington

In Washington, 31 hospitals publish a cash price for facet joint injection, lower back, one level, with imaging guidance: from $174.68 to $5,438.50, with a median of $2,299.70. The lowest price is at Mason General Hospital & Family of Clinics (Shelton). The highest price is 31.1× the lowest.

  • The median here, $2,299.70, is 48% above the US median of $1,550.00.
  • That is 2.5× Medicare's 2026 national rate for the same service ($903.63).
  • Washington ranks 42nd of 48 states by median, cheapest first.
  • 3 of 31 hospitals list a cash price equal to their full list price, with no self-pay discount.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

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 12, 2026. See them on a map

Lowest$174.68Mason General Hospital & Family of Clinics
Median$2,299.70half of hospitals charge less
Highest$5,438.50in Washington
Lowest saves$2,125.02vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Mason General Hospital & Family of Clinics lowest Shelton · Shelton, WA 64493 Injection Paravertebral Facet Joint - single level $174.68 $232.90 Mar 10, 2026
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Astria Toppenish Hospital Toppenish · Yakima, WA 64493 Injection Paravertebral Facet Joint - lumbar $316.55 $487.00 Apr 1, 2026
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Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA FACET INJ L/S SPINE ONE LEVEL $418.38 $734.00 Apr 1, 2026
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Lincoln Hospital Davenport · Davenport, WA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,072.10 $1,191.22 Sep 14, 2026
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Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level $1,097.10 $1,219.00 Aug 10, 2026
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Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC INJ PARAVERT F JNT L/S 1 LEV $1,269.40 $2,308.00 Jan 1, 2025
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Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC FACET INJ L/S SPINE SINGLE LEVEL $1,387.20 $2,890.00 Apr 1, 2026
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Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC INJ PARAVERT F JNT L/S 1 LEV $1,387.20 $2,890.00 Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC FACET INJ L/S SPINE SINGLE LEVEL $1,387.20 $2,890.00 Apr 1, 2026
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Summit Pacific Medical Center Elma · Aberdeen, WA Injection of lower or sacral spine facet joint using imaging guidance, single level $1,576.80 $2,920.00 Aug 31, 2026
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PeaceHealth St John Medical Center one side Longview · Longview-Kelso, WA INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL $1,611.57 $2,479.34 Mar 21, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC Inj L/S Pvrt Facet Jt Dx/Thrp W Imag Single Lvl $1,614.81 $3,118.00 Sep 30, 2026
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East Adams Rural Healthcare Ritzville · Othello, WA HC INJ FACET JT LUMB/SACR W/ IMG SING LVL $1,634.52 $2,179.36 Jun 1, 2026
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Olympic Medical Center Port Angeles · Port Angeles, WA Upper or middle spine facet joint injection lev 1 $1,684.00 $2,105.00 Jun 24, 2026
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Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC INJ PARAVERT F JNT L/S 1 LEV $1,995.00 $2,850.00 Apr 1, 2026
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PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA INJ PARAVERT F JNT L/S 1 LEV $2,299.70 $3,538.00 Mar 21, 2026
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Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL $2,434.90 $3,746.00 Apr 1, 2026
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Jefferson Healthcare Port Townsend · Port Townsend, WA Injection of lower or sacral spine facet joint using imaging guidance, single level $2,472.00 $3,090.00 Aug 6, 2026
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Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC FACET INJ L/S SPINE SINGLE LEVEL $2,506.40 $4,820.00 Apr 1, 2026
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Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC INJ PARAVERT F JNT L/S 1 LEV $2,702.70 $3,861.00 Apr 1, 2026
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Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC INJ PARAVERT F JNT L/S 1 LEV $3,021.20 $4,316.00 Apr 1, 2026
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Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC FACET NERVE BLOCK, LUMBAR/SACR $3,069.60 $3,837.00 Mar 26, 2026
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Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC FACET NERVE BLOCK, LUMBAR/SACR $3,132.00 $3,915.00 Mar 26, 2026
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Forks Community Hospital Forks · Port Townsend, WA Injection of lower or sacral spine facet joint using imaging guidance, single level $3,144.80 $3,931.00 Oct 27, 2026
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Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Injection of lower or sacral spine facet joint using imaging guidance, single level $3,158.64 $3,158.64 Sep 1, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level $3,336.20 $4,766.00 Mar 12, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL $3,388.45 $5,213.00 Mar 20, 2026
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Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC INJ PARAVERT F JNT L/S 1 LEV $4,395.04 $8,452.00 Apr 1, 2026
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Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA INJ PARAVERT F JNT L/S 1 LEV $4,562.57 $4,562.57 Mar 18, 2026
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Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC INJ PARAVERT F JNT L/S 1 LEV $4,909.10 $7,013.00 Apr 1, 2026
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Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Inj Facet Lu $5,438.50 $5,438.50 Mar 31, 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
Seattle-Tacoma-Bellevue, WA 8 $1,387.20 $2,060.60
Kennewick-Richland, WA 3 $418.38 $1,269.40
Spokane-Spokane Valley, WA 3 $1,995.00 $4,562.57
Port Townsend, WA 2 $2,472.00 $2,808.40
Portland-Vancouver-Hillsboro, OR-WA 2 $2,434.90 $2,911.68
Wenatchee-East Wenatchee, WA 2 $1,097.10 $2,127.87
Aberdeen, WA 1 $1,576.80 $1,576.80
Bellingham, WA 1 $2,299.70 $2,299.70
Davenport, WA 1 $1,072.10 $1,072.10
Longview-Kelso, WA 1 $1,611.57 $1,611.57
Mount Vernon-Anacortes, WA 1 $3,132.00 $3,132.00
Olympia-Lacey-Tumwater, WA 1 $4,395.04 $4,395.04
Othello, WA 1 $1,634.52 $1,634.52
Port Angeles, WA 1 $1,684.00 $1,684.00
Shelton, WA 1 $174.68 $174.68
Walla Walla, WA 1 $3,021.20 $3,021.20
Yakima, WA 1 $316.55 $316.55
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.