Facet Joint Injection Cost in New York (2026): Average Prices & What You'll Pay
What does a facet joint injection cost in New York?
Where you have a facet joint injection done in New York swings the bill from $330 to $1,104 for identical care. The median cash price across 89 reporting hospitals is $574. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.
Three low-priced facilities in New York, from hospital price files
- Newark-Wayne Community Hospital · Newark, NY $164
- WESTFIELD MEMORIAL HOSPITAL INC · Westfield, NY $167
- St. Mary's Healthcare · Amsterdam, NY $179
All 89 facilities are listed below, free.
Where facet joint injection costs vary in New York
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
What you pay for a facet joint injection depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Facet Joint Injection Providers in New York
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($574) |
|---|---|---|---|---|
| 1 | Newark-Wayne Community Hospital | Newark, NY | $164 | $410 below |
| 2 | WESTFIELD MEMORIAL HOSPITAL INC | Westfield, NY | $167 | $407 below |
| 3 | St. Mary's Healthcare | Amsterdam, NY | $179 | $395 below |
| 4 | Nassau Health Care Corporation | East Meadow, NY | $180 | $394 below |
| 5 | Mary Imogene Bassett Hospital | Cooperstown, NY | $194 | $380 below |
| 6 | St Peters Hospital | Albany, NY | $197 | $377 below |
| 7 | Richmond Medical Center | Staten Island, NY | $211 | $363 below |
| 8 | Champlain Valley Physicians Hospital Medical Center | Plattsburgh, NY | $215 | $359 below |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Newark-Wayne Community Hospital is the lowest-cost option at $164 - $410 below the median posted price ($574), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $590, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $904 to $904 | $904 |
| With insurance (commercial, average) | 82 | $183 to $3,554 | $1,491 |
| Without insurance (cash price) | 100 | $167 to $3,033 | $590 |
| Empire BlueCross BlueShield | 75 | $128 to $3,938 | $938 |
| UnitedHealthcare | 70 | $164 to $3,902 | $1,076 |
| Aetna | 56 | $234 to $6,211 | $1,892 |
| Cigna | 56 | $192 to $6,539 | $1,971 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does a facet joint injection cost with Medicare in New York?
Medicare's national hospital outpatient payment for facet joint injection is about $904 to $904 (typically near $904). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $181 on a $904 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does a facet joint injection cost with insurance in New York?
Across 82 New York hospitals, the negotiated rates commercial insurers pay for facet joint injection average $183 to $3,554 per hospital, with a median near $1,491. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does a facet joint injection cost without insurance in New York?
Cash (self-pay) prices for facet joint injection at 100 New York hospitals range from $167 to $3,033, with a median of $590. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does a facet joint injection cost with Empire BlueCross BlueShield in New York?
Empire BlueCross BlueShield negotiated rates for facet joint injection at 75 New York hospitals range from $128 to $3,938, with a median near $938. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does a facet joint injection cost with UnitedHealthcare in New York?
UnitedHealthcare negotiated rates for facet joint injection at 70 New York hospitals range from $164 to $3,902, with a median near $1,076. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.
How much does a facet joint injection cost with Aetna in New York?
Aetna negotiated rates for facet joint injection at 56 New York hospitals range from $234 to $6,211, with a median near $1,892. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does a facet joint injection cost with Cigna in New York?
Cigna negotiated rates for facet joint injection at 56 New York hospitals range from $192 to $6,539, with a median near $1,971. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How where you go changes what you pay for facet joint injection
The same facet joint injection bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $72–$7,436
- Professional fee $135–$416
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $72–$3,476
- Professional fee $135–$416
Estimated from CMS fee schedules + commercial rate multipliers
New York has some of the highest hospital prices in the country, driven by extreme labor costs, regulatory complexity, and the dominance of large academic medical systems - NewYork-Presbyterian, NYU Langone, Northwell, and Mount Sinai all command substantial commercial rate premiums. Upstate New York prices are substantially lower than the NYC metro area. The No Surprises Act and state-level billing protections apply, but the baseline rates themselves remain among the nation's highest.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (4) report prices above $4,628, including Stony Brook Eastern Long Island Hospital at $7,436, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $574 versus $565 inpatient, so where a procedure happens often matters more than which hospital you pick.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$574 |
| Deductible met - 20% coinsurance | ~$115 |
| Out-of-network provider | $1,263+ |
Frequently asked questions: facet joint injection costs in New York
How much does a facet joint injection cost in New York?
The typical insurer-negotiated rate is $180, with most facilities between $78 and $448 (based on 89 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of New York hospitals run $167–$3,033; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a facet joint injection in New York?
Based on declared prices, the lowest posted price in our New York data is Newark-Wayne Community Hospital in Newark at about $164. By metro, Binghamton has the lowest median ($430). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a facet joint injection so much cheaper at some New York hospitals?
Typical prices vary about 5.7× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New York, the median cash (self-pay) price is $590 versus a median negotiated rate of $1,491 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a facet joint injection in New York?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read an EOB line by line
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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