Injection of lower or sacral spine facet joint using imaging guidance, second level
Medicare pricing data for 11,957 providers across 52 states
This procedure has a 7.2x markup — hospitals charge $690.51 but Medicare allows only $96.10. Uninsured patients may face bills 7.2 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 lower or sacral spine facet joint using imaging guidance, second level (HCPCS code 64494) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $96.10, but hospitals typically charge $690.51 — a 7.2x 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 $96.10, your out-of-pocket cost would be approximately $19.22. 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 7.2x more than what Medicare allows for this procedure. Medicare actually pays $76.10 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $135 | $2,370 | 28 | 614 | +40.4% |
| Connecticut | $115 | $709 | 138 | 3,362 | +19.8% |
| Hawaii | $113 | $258 | 21 | 219 | +17.9% |
| New York | $113 | $729 | 740 | 19,515 | +17.7% |
| Virginia | $112 | $640 | 215 | 12,535 | +16.4% |
| Florida | $109 | $582 | 1,144 | 47,524 | +13.7% |
| Utah | $107 | $407 | 145 | 4,100 | +11.4% |
| North Carolina | $105 | $598 | 361 | 12,478 | +9.3% |
| Arizona | $103 | $485 | 287 | 13,439 | +7.5% |
| New Jersey | $102 | $3,524 | 446 | 9,848 | +6.2% |
| South Carolina | $101 | $544 | 173 | 12,140 | +4.7% |
| Michigan | $100 | $559 | 399 | 7,951 | +4.3% |
| Oklahoma | $100 | $441 | 151 | 7,080 | +3.6% |
| District of Columbia | $99 | $563 | 26 | 510 | +2.6% |
| Kentucky | $98 | $502 | 155 | 6,236 | +1.5% |
| Massachusetts | $97 | $786 | 311 | 11,301 | +0.8% |
| Illinois | $96 | $754 | 401 | 12,586 | +0.2% |
| Delaware | $96 | $999 | 50 | 2,054 | -0.4% |
| Nevada | $96 | $1,376 | 124 | 3,444 | -0.4% |
| California | $96 | $700 | 1,025 | 29,718 | -0.6% |
| Texas | $94 | $643 | 1,076 | 29,943 | -2.0% |
| New Mexico | $93 | $495 | 71 | 2,340 | -2.8% |
| Oregon | $93 | $431 | 128 | 3,433 | -3.2% |
| Colorado | $93 | $554 | 203 | 5,747 | -3.2% |
| Alabama | $92 | $367 | 154 | 6,581 | -4.3% |
| Pennsylvania | $92 | $593 | 513 | 14,965 | -4.7% |
| Washington | $90 | $383 | 216 | 5,269 | -6.8% |
| Nebraska | $89 | $513 | 77 | 2,383 | -6.9% |
| Iowa | $89 | $646 | 99 | 2,819 | -7.3% |
| Tennessee | $89 | $498 | 226 | 8,646 | -7.7% |
| Rhode Island | $88 | $594 | 32 | 720 | -8.8% |
| Puerto Rico | $87 | $95 | 26 | 326 | -9.1% |
| Maryland | $86 | $485 | 253 | 9,570 | -10.3% |
| Montana | $85 | $407 | 34 | 1,078 | -11.8% |
| Indiana | $84 | $839 | 254 | 7,041 | -12.7% |
| Maine | $84 | $293 | 37 | 1,048 | -12.9% |
| New Hampshire | $83 | $695 | 61 | 2,162 | -13.2% |
| Georgia | $83 | $691 | 402 | 12,764 | -14.0% |
| Missouri | $82 | $510 | 191 | 6,264 | -14.2% |
| Ohio | $82 | $385 | 434 | 12,342 | -14.8% |
| Wyoming | $81 | $731 | 17 | 410 | -15.9% |
| Louisiana | $81 | $858 | 189 | 5,955 | -16.0% |
| Arkansas | $80 | $455 | 134 | 5,965 | -16.5% |
| Minnesota | $79 | $650 | 193 | 3,963 | -18.0% |
| Vermont | $78 | $535 | 17 | 493 | -18.9% |
| Idaho | $76 | $502 | 59 | 1,422 | -20.6% |
| Mississippi | $76 | $546 | 87 | 5,341 | -20.6% |
| Wisconsin | $76 | $1,274 | 212 | 5,105 | -20.9% |
| South Dakota | $74 | $382 | 34 | 994 | -22.7% |
| Kansas | $73 | $616 | 115 | 3,233 | -24.0% |
| North Dakota | $69 | $363 | 22 | 586 | -28.0% |
| West Virginia | $68 | $276 | 45 | 2,047 | -29.0% |
⚠️ 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