Destruction of nerves supplying joint between spine and pelvis using imaging guidance
Medicare pricing data for 2,996 providers across 40 states
This procedure has a 5.8x markup — hospitals charge $2,638 but Medicare allows only $457.59. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $190 in West Virginia to $647 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
Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS code 64625) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $457.59, but hospitals typically charge $2,638 — a 5.8x 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 $457.59, your out-of-pocket cost would be approximately $91.52. 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 5.8x more than what Medicare allows for this procedure. Medicare actually pays $356.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $647 | $3,196 | 4 | 11 | +41.3% |
| New Jersey | $551 | $8,649 | 91 | 338 | +20.4% |
| Delaware | $526 | $2,474 | 11 | 61 | +14.9% |
| Arkansas | $520 | $1,451 | 63 | 675 | +13.6% |
| California | $504 | $2,862 | 290 | 1,367 | +10.2% |
| Illinois | $503 | $7,277 | 3 | 22 | +9.8% |
| Oregon | $500 | $1,882 | 41 | 161 | +9.4% |
| Maryland | $499 | $2,377 | 117 | 871 | +9.0% |
| Washington | $491 | $3,064 | 63 | 371 | +7.4% |
| Colorado | $484 | $3,062 | 84 | 507 | +5.8% |
| Arizona | $484 | $2,323 | 115 | 597 | +5.7% |
| Florida | $476 | $2,953 | 440 | 3,853 | +3.9% |
| Nevada | $475 | $4,050 | 35 | 157 | +3.8% |
| Virginia | $474 | $1,609 | 61 | 277 | +3.7% |
| Georgia | $466 | $2,715 | 139 | 451 | +1.7% |
| Tennessee | $460 | $2,340 | 57 | 189 | +0.5% |
| South Carolina | $453 | $2,911 | 57 | 272 | -1.0% |
| Texas | $451 | $2,778 | 420 | 3,509 | -1.3% |
| Nebraska | $445 | $2,528 | 16 | 62 | -2.7% |
| New Mexico | $441 | $1,859 | 28 | 246 | -3.6% |
| Kentucky | $427 | $1,632 | 25 | 69 | -6.6% |
| Montana | $421 | $1,637 | 9 | 35 | -7.9% |
| Pennsylvania | $418 | $2,136 | 132 | 591 | -8.7% |
| Utah | $416 | $1,686 | 33 | 110 | -9.0% |
| Oklahoma | $415 | $1,175 | 67 | 569 | -9.3% |
| Louisiana | $411 | $3,361 | 66 | 634 | -10.1% |
| Mississippi | $405 | $2,149 | 51 | 496 | -11.6% |
| Michigan | $390 | $2,146 | 57 | 135 | -14.8% |
| Indiana | $373 | $2,682 | 36 | 79 | -18.6% |
| Missouri | $370 | $1,808 | 25 | 58 | -19.2% |
| North Carolina | $361 | $1,342 | 88 | 375 | -21.1% |
| Alabama | $354 | $1,407 | 24 | 65 | -22.5% |
| Wyoming | $350 | $1,662 | 6 | 16 | -23.5% |
| Ohio | $347 | $1,267 | 110 | 496 | -24.1% |
| Kansas | $339 | $3,883 | 9 | 19 | -26.0% |
| North Dakota | $338 | $1,765 | 7 | 26 | -26.1% |
| Idaho | $317 | $940 | 26 | 80 | -30.7% |
| South Dakota | $266 | $460 | 9 | 32 | -41.8% |
| New York | $215 | $940 | 8 | 33 | -53.0% |
| West Virginia | $190 | $697 | 9 | 36 | -58.4% |
⚠️ 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