Injection of upper or middle spine facet joint using imaging guidance, single level
Medicare pricing data for 11,368 providers across 52 states
This procedure has a 7.4x markup — hospitals charge $1,773 but Medicare allows only $238.93. Uninsured patients may face bills 7.4 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS code 64490) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $238.93, but hospitals typically charge $1,773 — a 7.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $238.93, your out-of-pocket cost would be approximately $47.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 7.4x more than what Medicare allows for this procedure. Medicare actually pays $186.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $288 | $2,804 | 1,079 | 20,628 | +20.7% |
| Alaska | $278 | $3,104 | 26 | 294 | +16.2% |
| Nevada | $273 | $3,235 | 120 | 2,753 | +14.4% |
| New Jersey | $273 | $5,027 | 455 | 5,474 | +14.1% |
| Oregon | $268 | $1,174 | 126 | 3,026 | +12.4% |
| Maryland | $266 | $1,712 | 301 | 6,967 | +11.2% |
| Connecticut | $261 | $1,663 | 114 | 1,485 | +9.0% |
| Hawaii | $258 | $706 | 17 | 84 | +8.1% |
| Delaware | $254 | $1,732 | 55 | 1,113 | +6.3% |
| Georgia | $248 | $1,964 | 442 | 10,630 | +4.0% |
| Arizona | $248 | $1,623 | 317 | 9,340 | +3.9% |
| New York | $248 | $1,748 | 604 | 8,303 | +3.8% |
| Colorado | $244 | $1,765 | 212 | 4,959 | +2.2% |
| Florida | $243 | $1,594 | 1,128 | 27,355 | +1.8% |
| Minnesota | $243 | $1,490 | 195 | 3,524 | +1.6% |
| Washington | $241 | $1,154 | 189 | 3,391 | +0.8% |
| Wyoming | $239 | $1,910 | 21 | 376 | -0.1% |
| Texas | $238 | $2,007 | 1,053 | 19,342 | -0.5% |
| Rhode Island | $232 | $1,284 | 21 | 272 | -3.0% |
| Indiana | $229 | $2,038 | 252 | 4,171 | -4.0% |
| Tennessee | $228 | $1,437 | 219 | 5,423 | -4.4% |
| South Carolina | $227 | $1,176 | 160 | 5,227 | -5.1% |
| Arkansas | $224 | $1,058 | 135 | 3,203 | -6.2% |
| Pennsylvania | $224 | $1,258 | 496 | 6,397 | -6.3% |
| Illinois | $223 | $1,761 | 366 | 5,281 | -6.6% |
| New Mexico | $221 | $1,543 | 66 | 1,304 | -7.5% |
| Mississippi | $220 | $1,164 | 97 | 3,384 | -7.9% |
| Louisiana | $220 | $2,053 | 194 | 4,237 | -8.0% |
| Michigan | $219 | $1,190 | 328 | 3,797 | -8.3% |
| Montana | $217 | $862 | 37 | 598 | -9.1% |
| Virginia | $217 | $1,138 | 178 | 4,658 | -9.1% |
| Kentucky | $217 | $1,294 | 127 | 2,610 | -9.3% |
| Utah | $216 | $873 | 123 | 1,838 | -9.6% |
| Idaho | $214 | $1,023 | 63 | 1,043 | -10.3% |
| Iowa | $213 | $1,826 | 72 | 952 | -10.8% |
| Oklahoma | $213 | $944 | 135 | 3,276 | -10.9% |
| Kansas | $213 | $1,566 | 99 | 1,840 | -11.0% |
| District of Columbia | $213 | $968 | 18 | 150 | -11.0% |
| New Hampshire | $211 | $1,431 | 61 | 902 | -11.7% |
| Wisconsin | $210 | $2,401 | 210 | 2,913 | -12.1% |
| North Carolina | $209 | $1,105 | 293 | 4,313 | -12.4% |
| Nebraska | $209 | $1,091 | 71 | 1,010 | -12.5% |
| Massachusetts | $206 | $1,215 | 255 | 3,912 | -13.8% |
| Alabama | $206 | $960 | 134 | 2,645 | -13.8% |
| Ohio | $201 | $972 | 383 | 5,908 | -16.0% |
| North Dakota | $193 | $922 | 23 | 274 | -19.0% |
| Puerto Rico | $192 | $229 | 20 | 111 | -19.8% |
| Missouri | $185 | $1,347 | 152 | 2,589 | -22.7% |
| South Dakota | $163 | $679 | 30 | 449 | -31.6% |
| Maine | $154 | $581 | 32 | 318 | -35.7% |
| Vermont | $151 | $1,120 | 14 | 228 | -36.9% |
| West Virginia | $149 | $532 | 42 | 636 | -37.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber