What does code 64625 cost?

Across the published hospital price files, the disclosed cash price for 64625 ranges from $1,660 to $3,138. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

64625 is the billing code hospitals use to identify "Rf abltj nrv nrvtg si jt" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

64625

HCPCS

Rf abltj nrv nrvtg si jt

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 64625 (Rf abltj nrv nrvtg si jt) appears at 12 hospitals with disclosed cash prices from $1,660 to $3,138. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 64625 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 64625 vary by about 89% across the 9 hospitals with disclosed prices here — from $1,660 to $3,138. Shopping around can matter.

Hospitals

Prices shown

$1,660

Lowest cash

$3,138

Highest cash

code 64625 cash price9 disclosed · 9 hospitals

$1,660median ~$2,632$3,138

Lowest cash price by hospital

Aurora Medical Center Burlington$1,660
Aurora Medical Center Fond du Lac$1,660
Aurora Medical Center Kenosha$1,660
Froedtert West Bend Hospital$2,275
Froedtert Hospital$2,632
Providence Little Company of Mary Med Center Torrance$2,826

Cash price by city

Reflects your current filters.

Cash price by city$1,660 – $2,826

Burlington · 1 hospital$1,660
Fond Du Lac · 1 hospital$1,660
Kenosha · 1 hospital$1,660
West Bend · 1 hospital$2,275
Milwaukee · 1 hospital$2,632
Torrance · 1 hospital$2,826

13 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Rf abltj nrv nrvtg si jt Outpatient	Endeavor Health Edward Hospital	64625 HCPCS	—	—	$656 – $3,620	—
Hc Radiofrequency Ablation, Nerves Innervating The Sacroiliac Joint, With Image Guidance (Ie, Fluoro Inpatient & outpatient	University of Chicago Medical Center	64625 HCPCS	—	—	—	—
Rf abltj nrv nrvtg si jt Outpatient	University of Chicago Medical Center	64625 HCPCS	—	—	—	—
RFA SACROILIAC JOINT W IMG Outpatient	Advocate Illinois Masonic Medical Center	64625 CPT	$6,140	$3,070	$2,419 – $12,362	—
RFA SACROILIAC JOINT W IMG Outpatient	Advocate South Suburban Hospital	64625 CPT	$6,250	$3,125	$2,463 – $12,362	—
HC RADIOFREQUENCY ABLATION NERVES INNERVATING SI JT W/ IMAGE GUIDANCE Outpatient	Froedtert Hospital	64625 CPT	$4,786	$2,632	$1,436 – $9,469	—
RFA SACROILIAC JOINT W IMG Inpatient	Aurora Medical Center Burlington	64625 CPT	$3,320	$1,660	$1,992 – $2,822	—
RFA SACROILIAC JOINT W IMG Inpatient	Aurora Medical Center Fond du Lac	64625 CPT	$3,320	$1,660	$1,992 – $2,822	—
RFA SACROILIAC JOINT W IMG Inpatient	Aurora Medical Center Kenosha	64625 CPT	$3,320	$1,660	$1,992 – $2,822	—
HC RADIOFREQUENCY ABLATION NERVES INNERVATING SI JT W/ IMAGE GUIDANCE Inpatient	Froedtert West Bend Hospital	64625 CPT	$4,136	$2,275	$2,482 – $3,929	—
RF ABLTJ NRV NRVTG SI JT W/IMAGE Outpatient	Texas Health Center for Diagnostics and Surgery Plano	64625 CPT	$5,230	$3,138	$660 – $14,367	—
HC RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN CDM Inpatient & outpatient	Providence Little Company of Mary Med Center Torrance	64625 HCPCS	$8,074	$2,826	—	—
RF ABLTJ NRV NRVTG SI JT Inpatient & outpatient	Atrium Health Union	64625 CPT	—	—	$182 – $228	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 64625 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Advocate South Suburban Hospital Froedtert Hospital Aurora Medical Center Burlington Aurora Medical Center Fond du Lac Aurora Medical Center Kenosha Froedtert West Bend Hospital Texas Health Center for Diagnostics and Surgery Plano Providence Little Company of Mary Med Center Torrance Atrium Health Union

Code 64625: frequently asked

What does code 64625 cost?: Across the published hospital price files, the disclosed cash price for 64625 ranges from $1,660 to $3,138. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 64625?: 64625 is the billing code hospitals use to identify "Rf abltj nrv nrvtg si jt" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code 64625 by state

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