Cost Estimator
San Juan Hospital| Cash| Inject paravertebral facet joint single level
ESTIMATE FOR
Inject paravertebral facet joint single level
CPT: 64490 
at San Juan Hospital
using Cash - No Insurance
9/10/2026 9:20 AM
San Juan Hospital Estimate
Patient portion estimate
$280.74*
Facility fee
$280.74
3rd party fees
Billed separately
*You may receive bills from any 3rd party providers involved with this procedure.
Pay in Full
$252.67
10% OFF for 60 days
2 Month Plan
$140.37
3 Month Plan
$93.58
4 Month Plan
$70.19
5 Month Plan
$56.15
This estimate covers only the fees from San Juan Hospital and may not include any 3rd party fees you may incur.
To schedule or ask a question
Call (435) 587-2116
Cost Detail
Total starting charges
$401.06
Insurance Coverage:
Cash - No Insurance
Look Up My Current Insurance Coverage
Cash Discount
$120.32
Total Estimated Patient Portion
$280.74

This price estimate, including payment options, is based on the selections you made and compared to what the expected charges will be for those services. Actual costs can change. Estimates with insurance factored in are based on your coverage at the time the estimate was given, which coverage may be different at the time of service. Please check with our Billing team prior to being seen for an updated estimate. See our full Terms of Use for details.

Cost data updated 8/5/2026 4:34 PM
Contact Billing
Terms of Use
Estimator Disclaimer