Cost analysis for CPT 64493 — Injection of lower or sacral spine facet joint using imaging guidance, single level
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 2.1x more than the cheapest for this procedure. AK averages $234.75 vs WV at $110.76.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $234.75 | $202.8K | 864 | 16 |
| CA | $223.50 | $12.6M | 56.5K | 673 |
| NV | $213.06 | $1.4M | 6.4K | 80 |
| NJ | $210.88 | $3.4M | 16.0K | 266 |
| MD | $205.58 | $4.8M | 23.2K | 212 |
| CT | $204.82 | $852.2K | 4.2K | 64 |
| OR | $204.71 | $1.5M | 7.2K | 87 |
| NY | $198.11 | $4.8M | 24.4K | 367 |
| DE | $196.96 | $761.1K | 3.9K | 40 |
| WY | $192.95 | $241.8K | 1.3K | 16 |
| GA | $191.65 | $5.4M | 28.3K | 322 |
| AZ | $190.44 | $4.2M | 21.8K | 221 |
| FL | $187.30 | $12.4M | 66.1K | 730 |
| CO | $187.17 | $2.0M | 10.8K | 135 |
| WA | $185.85 | $1.6M | 8.5K | 118 |
| MN | $180.78 | $1.2M | 6.8K | 115 |
| TX | $179.56 | $7.9M | 44.0K | 642 |
| IN | $178.61 | $2.2M | 12.1K | 177 |
| NM | $175.39 | $616.3K | 3.5K | 45 |
| TN | $175.04 | $2.7M | 15.6K | 162 |
| HI | $173.54 | $35.1K | 202 | 7 |
| RI | $173.52 | $229.6K | 1.3K | 18 |
| IL | $172.85 | $2.8M | 16.4K | 241 |
| SC | $172.40 | $3.0M | 17.1K | 130 |
| VA | $171.73 | $2.4M | 14.0K | 143 |
| LA | $171.04 | $1.9M | 11.0K | 122 |
| NH | $170.59 | $568.7K | 3.3K | 45 |
| PA | $169.91 | $3.6M | 21.2K | 329 |
| UT | $169.02 | $763.8K | 4.5K | 72 |
| AR | $168.81 | $1.8M | 10.5K | 97 |
| MS | $168.71 | $1.8M | 10.8K | 74 |
| MI | $165.87 | $1.5M | 9.2K | 190 |
| ID | $164.17 | $433.1K | 2.6K | 38 |
| MT | $163.51 | $371.7K | 2.3K | 30 |
| NE | $162.58 | $497.2K | 3.1K | 42 |
| KY | $162.43 | $1.3M | 7.8K | 97 |
| KS | $158.85 | $843.5K | 5.3K | 75 |
| NC | $158.04 | $2.2M | 13.6K | 217 |
| DC | $157.35 | $86.7K | 551 | 11 |
| MA | $157.13 | $2.0M | 12.8K | 179 |
| AL | $156.69 | $1.4M | 9.2K | 107 |
| IA | $155.57 | $503.0K | 3.2K | 47 |
| OH | $155.26 | $2.7M | 17.1K | 257 |
| WI | $154.93 | $1.2M | 7.6K | 150 |
| OK | $154.20 | $1.2M | 7.5K | 92 |
| ND | $144.49 | $108.5K | 751 | 14 |
| MO | $135.39 | $1.0M | 7.4K | 112 |
| PR | $125.15 | $28.3K | 226 | 7 |
| ME | $124.06 | $144.5K | 1.2K | 24 |
| SD | $118.82 | $138.5K | 1.2K | 22 |
| VT | $111.24 | $58.6K | 527 | 9 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | SC | $556.9K | 2.2K | $256.30 |
| Orthoarkansas Spine Institute Procedure Center Llc | Ambulatory Surgical Center | AR | $303.5K | 1.2K | $243.74 |
| Interventional Therapeutics Institute, Llc | Ambulatory Surgical Center | FL | $228.9K | 977 | $234.25 |
| Surgery Center Of Allentown Llc | Ambulatory Surgical Center | PA | $217.6K | 837 | $260.00 |
| Mays & Schnapp Pain Clinic & Rehabilitation Center | Ambulatory Surgical Center | TN | $214.9K | 917 | $234.40 |
| Cypress Ambulatory Surgery Center | Ambulatory Surgical Center | CA | $213.1K | 642 | $331.92 |
| West Florida Medical Center Clinic Pa | Ambulatory Surgical Center | FL | $208.2K | 890 | $233.92 |
| Arklamiss Surgery Center,llc | Ambulatory Surgical Center | LA | $207.0K | 872 | $237.37 |
| Peninsula Procedure Center, Lp | Ambulatory Surgical Center | CA | $203.1K | 509 | $398.95 |
| National Surgical Centers Of America Llc | Ambulatory Surgical Center | FL | $202.6K | 800 | $253.27 |
| New Mexico Orthopaedic Surgery Center, Llc | Ambulatory Surgical Center | NM | $199.9K | 797 | $250.78 |
| Heritage One Day Surgery Llc | Ambulatory Surgical Center | NY | $188.6K | 732 | $257.59 |
| Athens Spine Procedural Center Llc | Ambulatory Surgical Center | GA | $186.3K | 753 | $247.45 |
| Southern Surgery Center, Llc | Ambulatory Surgical Center | MS | $185.9K | 820 | $226.69 |
| Pisa Asc Holdco Llc | Ambulatory Surgical Center | AZ | $185.3K | 757 | $244.82 |
| Galileo Surgery Center, Lp | Ambulatory Surgical Center | CA | $182.3K | 570 | $319.78 |
| Presidio Surgery Center, Llc | Ambulatory Surgical Center | CA | $181.8K | 466 | $390.14 |
| Apc-Amarillo Surgical Operating Company, Llc | Ambulatory Surgical Center | TX | $179.4K | 761 | $235.71 |
| Oceanview Pain Treatment Medical Center, Inc. | Ambulatory Surgical Center | CA | $178.6K | 596 | $299.61 |
| Fort Sutter Surgery Center A California Limited Partnership | Ambulatory Surgical Center | CA | $177.9K | 481 | $369.90 |
The data suggests significant pricing inconsistencies for CPT 64493. With a 2.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.