CPT 64636 · 1,161 hospitals reporting

Destruction of lower or sacral spinal facet joint nerves using imaging guidance; each additional fac

The same procedure costs $58.5 at one hospital and $23,616 at another — a 404× spread for what's billed under the same code. Median: $1,083.

Cheapest published

$58.5

8 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,161 hospitals

$1,083

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$23,616

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

500 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
FRENCH HOSPITAL MEDICAL CENTER	CA	$2,764	$1,083	$746	$2,709	5 insurers
FRENCH HOSPITAL MEDICAL CENTER	CA	$2,764	$1,083	$58.88	$5,432	5 insurers
OCH REGIONAL MEDICAL CENTER	MS	$1,711	$1,095	—	—	5 insurers
REGIONAL MEDICAL CENTER	IA	$1,340	$1,072	—	—	5 insurers
PRINCETON BAPTIST MEDICAL CENTER	AL	$2,197	$1,099	—	—	5 insurers
BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH	TX	$1,759	$1,055	$967	$8,427	5 insurers
HOLY CROSS HOSPITAL-DAVIS	UT	$2,783	$1,113	—	—	5 insurers
ST LUKES HOSPITAL	MN	$1,879	$1,052	—	—	5 insurers
CHI ST LUKES HEALTH MEMORIAL LUFKIN	TX	$3,200	$1,120	$196	$2,880	5 insurers
CHI ST LUKES HEALTH MEMORIAL LIVINGSTON	TX	$3,200	$1,120	$1,683	$2,880	5 insurers
GIBSON COMMUNITY HOSPITAL	IL	$1,033	$1,033	—	—	5 insurers
GIBSON GENERAL HOSPITAL	IN	$1,033	$1,033	—	—	5 insurers
KAISER FOUNDATION HOSPITAL - PANORAMA CITY	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL - LOS ANGELES	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL - DOWNEY	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL - SAN DIEGO	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL - WEST LA	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL, RIVERSIDE	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL - BALDWIN PARK	CA	$2,940	$1,029	$979	$2,646	3 insurers
KAISER FOUNDATION HOSPITAL-MORENO VALLEY	CA	$2,940	$1,029	$979	$2,646	3 insurers
SUNY/STONY BROOK UNIVERSITY HOSPITAL	NY	$1,021	$1,021	—	—	5 insurers
ADVOCATE TRINITY HOSPITAL	IL	$2,300	$1,150	—	—	5 insurers
ADVOCATE GOOD SHEPHERD HOSPITAL	IL	$2,300	$1,150	—	—	5 insurers
ST JOSEPH'S MEDICAL CENTER OF STOCKTON	CA	$3,446	$1,013	$2,481	$2,826	2 insurers
ST JOSEPH'S MEDICAL CENTER OF STOCKTON	CA	$3,446	$1,013	$51.31	$6,009	5 insurers
HIGHLAND HILLS MEDICAL CENTER	MS	$2,317	$1,159	—	—	0 insurers
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY	NY	$1,007	$1,007	—	—	5 insurers
SPRINGHILL MEDICAL CENTER	AL	$1,365	$1,160	—	—	2 insurers
RUSSELL REGIONAL HOSPITAL	KS	$1,180	$1,003	—	—	0 insurers
KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN	MS	$3,881	$1,164	—	—	5 insurers
MONUMENT HEALTH RAPID CITY HOSPITAL	SD	$1,166	$1,166	$711	$1,119	5 insurers
JOHNSON COUNTY HEALTHCARE CENTER	WY	$1,000	$1,000	—	—	0 insurers
PALMDALE REGIONAL MEDICAL CENTER	CA	$2,926	$1,170	—	—	5 insurers
WETZEL COUNTY HOSPITAL	WV	$1,973	$987	—	—	5 insurers
COAL COUNTY GENERAL HOSPITAL, INC.	OK	$1,313	$985	—	—	0 insurers
MARIAN REGIONAL MEDICAL CENTER	CA	$2,764	$1,183	$1,741	$2,709	4 insurers
MARIAN REGIONAL MEDICAL CENTER	CA	$2,764	$1,183	$58.88	$7,160	5 insurers
PEACEHEALTH ST JOHN MEDICAL CENTER	WA	$1,823	$1,185	—	—	5 insurers