Injection of lower or sacral spine facet joint using imaging guidance, single level
Medicare pricing data for 14,411 providers across 52 states
This procedure has a 7.7x markup — hospitals charge $1,776 but Medicare allows only $231.71. Uninsured patients may face bills 7.7 times higher than what insurance negotiates. Prices vary significantly by location — from $142 in West Virginia to $296 in Alaska. Where you get this procedure matters more than almost any other factor. 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 lower or sacral spine facet joint using imaging guidance, single level (HCPCS code 64493) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $231.71, but hospitals typically charge $1,776 — a 7.7x 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 $231.71, your out-of-pocket cost would be approximately $46.34. 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 7.7x more than what Medicare allows for this procedure. Medicare actually pays $180.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $296 | $3,759 | 38 | 996 | +27.7% |
| California | $281 | $2,618 | 1,371 | 60,114 | +21.3% |
| Nevada | $267 | $3,107 | 156 | 6,782 | +15.2% |
| New Jersey | $264 | $5,393 | 570 | 17,718 | +13.9% |
| Maryland | $259 | $1,731 | 358 | 24,046 | +11.9% |
| Oregon | $259 | $1,179 | 167 | 7,580 | +11.7% |
| Connecticut | $255 | $1,537 | 166 | 4,746 | +10.0% |
| Delaware | $249 | $1,817 | 60 | 3,945 | +7.5% |
| New York | $248 | $1,834 | 827 | 26,833 | +6.8% |
| Wyoming | $247 | $2,044 | 35 | 1,349 | +6.5% |
| Arizona | $243 | $1,576 | 356 | 22,605 | +4.7% |
| Georgia | $242 | $1,982 | 542 | 29,522 | +4.3% |
| Florida | $238 | $1,602 | 1,350 | 69,231 | +2.6% |
| Colorado | $237 | $1,727 | 259 | 11,514 | +2.1% |
| Washington | $234 | $1,052 | 265 | 9,402 | +1.2% |
| Minnesota | $227 | $1,590 | 255 | 7,581 | -1.9% |
| Texas | $227 | $1,940 | 1,284 | 47,792 | -2.1% |
| Hawaii | $226 | $546 | 29 | 295 | -2.3% |
| Indiana | $226 | $1,964 | 323 | 12,961 | -2.5% |
| Tennessee | $224 | $1,470 | 278 | 16,310 | -3.4% |
| South Carolina | $223 | $1,142 | 195 | 17,497 | -3.9% |
| New Mexico | $222 | $2,597 | 77 | 3,635 | -4.0% |
| Virginia | $221 | $1,128 | 235 | 14,537 | -4.4% |
| Rhode Island | $220 | $1,387 | 40 | 1,441 | -5.0% |
| Illinois | $218 | $1,771 | 461 | 17,658 | -6.0% |
| New Hampshire | $218 | $1,613 | 75 | 3,500 | -6.1% |
| Pennsylvania | $216 | $1,397 | 597 | 22,686 | -6.8% |
| Arkansas | $216 | $1,131 | 162 | 10,863 | -7.0% |
| Utah | $215 | $823 | 155 | 5,014 | -7.1% |
| Louisiana | $214 | $2,056 | 232 | 11,636 | -7.4% |
| Mississippi | $214 | $1,284 | 114 | 11,009 | -7.5% |
| Michigan | $211 | $1,215 | 445 | 10,478 | -9.1% |
| Montana | $209 | $897 | 53 | 2,379 | -9.6% |
| Kentucky | $209 | $1,254 | 172 | 8,239 | -9.7% |
| Idaho | $208 | $1,007 | 84 | 2,859 | -10.3% |
| Nebraska | $207 | $1,129 | 89 | 3,452 | -10.7% |
| North Carolina | $203 | $1,158 | 404 | 14,537 | -12.2% |
| Kansas | $202 | $1,692 | 140 | 5,637 | -12.8% |
| Alabama | $200 | $1,006 | 182 | 9,565 | -13.6% |
| Massachusetts | $199 | $1,297 | 329 | 13,528 | -14.1% |
| Oklahoma | $199 | $833 | 158 | 7,885 | -14.3% |
| Wisconsin | $197 | $2,715 | 267 | 8,323 | -14.9% |
| Ohio | $197 | $1,069 | 493 | 18,520 | -15.0% |
| District of Columbia | $197 | $865 | 29 | 600 | -15.1% |
| Iowa | $197 | $1,537 | 110 | 3,634 | -15.1% |
| North Dakota | $186 | $863 | 28 | 838 | -19.9% |
| Missouri | $175 | $1,329 | 219 | 8,037 | -24.5% |
| Puerto Rico | $169 | $181 | 26 | 337 | -27.3% |
| Maine | $160 | $574 | 38 | 1,236 | -30.8% |
| South Dakota | $153 | $621 | 37 | 1,240 | -33.8% |
| Vermont | $150 | $1,168 | 17 | 570 | -35.1% |
| West Virginia | $142 | $556 | 48 | 2,414 | -38.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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