Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
Medicare pricing data for 8,940 providers across 52 states
This procedure has a 6.2x markup — hospitals charge $2,849 but Medicare allows only $460.92. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. Prices vary significantly by location — from $247 in West Virginia to $579 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 upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS code 64633) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $460.92, but hospitals typically charge $2,849 — a 6.2x 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 $460.92, your out-of-pocket cost would be approximately $92.18. 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 6.2x more than what Medicare allows for this procedure. Medicare actually pays $363.20 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $579 | $4,445 | 24 | 147 | +25.6% |
| California | $552 | $4,220 | 786 | 8,480 | +19.8% |
| Connecticut | $543 | $2,715 | 73 | 485 | +17.9% |
| Hawaii | $540 | $1,512 | 13 | 41 | +17.2% |
| New Jersey | $531 | $6,169 | 317 | 2,177 | +15.2% |
| Nevada | $527 | $4,588 | 113 | 1,573 | +14.3% |
| Oregon | $525 | $2,286 | 109 | 1,507 | +13.8% |
| Maryland | $506 | $2,905 | 233 | 2,807 | +9.7% |
| New York | $506 | $2,591 | 424 | 3,129 | +9.7% |
| Delaware | $498 | $2,565 | 43 | 470 | +8.1% |
| Colorado | $496 | $2,979 | 181 | 2,307 | +7.7% |
| Wyoming | $493 | $3,070 | 13 | 114 | +7.0% |
| Washington | $480 | $1,874 | 153 | 1,764 | +4.2% |
| Georgia | $480 | $3,128 | 367 | 5,740 | +4.1% |
| Florida | $475 | $3,335 | 911 | 12,725 | +3.1% |
| Arizona | $469 | $2,471 | 284 | 5,676 | +1.8% |
| Minnesota | $465 | $2,586 | 158 | 1,903 | +0.9% |
| Texas | $462 | $3,391 | 864 | 10,190 | +0.2% |
| Kentucky | $457 | $2,161 | 110 | 1,571 | -0.8% |
| Indiana | $445 | $3,227 | 205 | 2,010 | -3.5% |
| Pennsylvania | $441 | $1,910 | 352 | 2,559 | -4.3% |
| Tennessee | $439 | $2,331 | 185 | 2,886 | -4.7% |
| Virginia | $438 | $1,766 | 151 | 1,788 | -4.9% |
| Arkansas | $437 | $1,745 | 125 | 1,988 | -5.1% |
| Nebraska | $433 | $2,322 | 57 | 633 | -6.0% |
| Oklahoma | $433 | $1,591 | 103 | 1,704 | -6.2% |
| Michigan | $427 | $2,002 | 260 | 2,007 | -7.4% |
| District of Columbia | $426 | $1,571 | 10 | 59 | -7.5% |
| New Mexico | $421 | $2,043 | 55 | 662 | -8.7% |
| Rhode Island | $420 | $2,299 | 13 | 100 | -8.8% |
| Alabama | $420 | $1,482 | 94 | 840 | -8.9% |
| New Hampshire | $419 | $2,125 | 50 | 411 | -9.0% |
| Illinois | $418 | $2,644 | 294 | 2,383 | -9.4% |
| Mississippi | $417 | $2,359 | 76 | 1,449 | -9.5% |
| South Carolina | $417 | $1,919 | 124 | 1,568 | -9.5% |
| Iowa | $414 | $2,209 | 68 | 629 | -10.3% |
| North Carolina | $413 | $1,817 | 242 | 1,990 | -10.3% |
| Kansas | $407 | $2,369 | 85 | 1,050 | -11.6% |
| Louisiana | $405 | $2,909 | 161 | 2,799 | -12.1% |
| Montana | $402 | $1,469 | 29 | 261 | -12.8% |
| Massachusetts | $402 | $1,813 | 161 | 1,168 | -12.9% |
| Idaho | $398 | $1,651 | 49 | 592 | -13.6% |
| Utah | $392 | $1,519 | 115 | 1,358 | -14.9% |
| Wisconsin | $391 | $3,666 | 160 | 1,457 | -15.1% |
| North Dakota | $371 | $1,898 | 18 | 156 | -19.5% |
| Puerto Rico | $369 | $426 | 10 | 61 | -19.9% |
| Ohio | $359 | $1,509 | 308 | 2,744 | -22.0% |
| Missouri | $353 | $2,153 | 118 | 1,427 | -23.3% |
| Maine | $302 | $1,238 | 23 | 121 | -34.5% |
| Vermont | $286 | $2,165 | 13 | 141 | -37.9% |
| South Dakota | $275 | $870 | 20 | 228 | -40.3% |
| West Virginia | $247 | $831 | 28 | 296 | -46.4% |
⚠️ 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