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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 64493
  4. Cost Analysis

How Much Does Injection of lower or sacral spine facet joint using imaging guidance, single level Cost on Medicare?

Cost analysis for CPT 64493 — Injection of lower or sacral spine facet joint using imaging guidance, single level

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Average Medicare Payment

N/A

Total Payments (Latest)

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Services (Latest)

N/A

Price Change (–)

N/A

🗺️ State-by-State Cost Variation

The most expensive state pays 2.1x more than the cheapest for this procedure. AK averages $234.75 vs WV at $110.76.

StateAvg PaymentTotal PaymentsServicesProviders
AK$234.75$202.8K86416
CA$223.50$12.6M56.5K673
NV$213.06$1.4M6.4K80
NJ$210.88$3.4M16.0K266
MD$205.58$4.8M23.2K212
CT$204.82$852.2K4.2K64
OR$204.71$1.5M7.2K87
NY$198.11$4.8M24.4K367
DE$196.96$761.1K3.9K40
WY$192.95$241.8K1.3K16
GA$191.65$5.4M28.3K322
AZ$190.44$4.2M21.8K221
FL$187.30$12.4M66.1K730
CO$187.17$2.0M10.8K135
WA$185.85$1.6M8.5K118
MN$180.78$1.2M6.8K115
TX$179.56$7.9M44.0K642
IN$178.61$2.2M12.1K177
NM$175.39$616.3K3.5K45
TN$175.04$2.7M15.6K162
HI$173.54$35.1K2027
RI$173.52$229.6K1.3K18
IL$172.85$2.8M16.4K241
SC$172.40$3.0M17.1K130
VA$171.73$2.4M14.0K143
LA$171.04$1.9M11.0K122
NH$170.59$568.7K3.3K45
PA$169.91$3.6M21.2K329
UT$169.02$763.8K4.5K72
AR$168.81$1.8M10.5K97
MS$168.71$1.8M10.8K74
MI$165.87$1.5M9.2K190
ID$164.17$433.1K2.6K38
MT$163.51$371.7K2.3K30
NE$162.58$497.2K3.1K42
KY$162.43$1.3M7.8K97
KS$158.85$843.5K5.3K75
NC$158.04$2.2M13.6K217
DC$157.35$86.7K55111
MA$157.13$2.0M12.8K179
AL$156.69$1.4M9.2K107
IA$155.57$503.0K3.2K47
OH$155.26$2.7M17.1K257
WI$154.93$1.2M7.6K150
OK$154.20$1.2M7.5K92
ND$144.49$108.5K75114
MO$135.39$1.0M7.4K112
PR$125.15$28.3K2267
ME$124.06$144.5K1.2K24
SD$118.82$138.5K1.2K22
VT$111.24$58.6K5279

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
The Southeastern Spine Institute Ambulatory Surgery Center, LlcAmbulatory Surgical CenterSC$556.9K2.2K$256.30
Orthoarkansas Spine Institute Procedure Center LlcAmbulatory Surgical CenterAR$303.5K1.2K$243.74
Interventional Therapeutics Institute, LlcAmbulatory Surgical CenterFL$228.9K977$234.25
Surgery Center Of Allentown LlcAmbulatory Surgical CenterPA$217.6K837$260.00
Mays & Schnapp Pain Clinic & Rehabilitation CenterAmbulatory Surgical CenterTN$214.9K917$234.40
Cypress Ambulatory Surgery CenterAmbulatory Surgical CenterCA$213.1K642$331.92
West Florida Medical Center Clinic PaAmbulatory Surgical CenterFL$208.2K890$233.92
Arklamiss Surgery Center,llcAmbulatory Surgical CenterLA$207.0K872$237.37
Peninsula Procedure Center, LpAmbulatory Surgical CenterCA$203.1K509$398.95
National Surgical Centers Of America LlcAmbulatory Surgical CenterFL$202.6K800$253.27
New Mexico Orthopaedic Surgery Center, LlcAmbulatory Surgical CenterNM$199.9K797$250.78
Heritage One Day Surgery LlcAmbulatory Surgical CenterNY$188.6K732$257.59
Athens Spine Procedural Center LlcAmbulatory Surgical CenterGA$186.3K753$247.45
Southern Surgery Center, LlcAmbulatory Surgical CenterMS$185.9K820$226.69
Pisa Asc Holdco LlcAmbulatory Surgical CenterAZ$185.3K757$244.82
Galileo Surgery Center, LpAmbulatory Surgical CenterCA$182.3K570$319.78
Presidio Surgery Center, LlcAmbulatory Surgical CenterCA$181.8K466$390.14
Apc-Amarillo Surgical Operating Company, LlcAmbulatory Surgical CenterTX$179.4K761$235.71
Oceanview Pain Treatment Medical Center, Inc.Ambulatory Surgical CenterCA$178.6K596$299.61
Fort Sutter Surgery Center A California Limited PartnershipAmbulatory Surgical CenterCA$177.9K481$369.90

🤔 Is Injection of lower or sacral spine facet joint using imaging guidance, single level Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.