North Metro Surgery Center

Cash prices

1. Insertion of artificial upper spine disc, anterior approach

   Standard service: Cervical total disc replacement (single level)

   Code 22856

   Ask what's included
   $92,007

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
2. Injection of substance into middle or upper spine canal using imaging guidance - 62321

   Standard service: Cervical/thoracic epidural injection with imaging

   Code 62321

   Ask what's included
   $14,149

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
3. Injection of upper or middle spine facet joint using imaging guidance, second level - 64491

   Standard service: Cervical/thoracic facet joint injection, second level

   Code 64491

   Ask what's included
   $4,750

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
4. Injection of upper or middle spine facet joint using imaging guidance, single level - 64490

   Standard service: Cervical/thoracic facet joint injection, single level

   Code 64490

   Ask what's included
   $4,750

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
5. Injection of upper or middle spine facet joint using imaging guidance, third and any additional level

   Standard service: Cervical/thoracic facet joint injection, third+ level

   Code 64492

   Ask what's included
   $5,225

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
6. Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint - 64634

   Standard service: Cervical/thoracic facet radiofrequency ablation, each additional joint

   Code 64634

   Ask what's included
   $12,969

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
7. Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint - 64633

   Standard service: Cervical/thoracic facet radiofrequency ablation, single joint

   Code 64633

   Ask what's included
   $12,969

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
8. Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level - 64479

   Standard service: Cervical/thoracic transforaminal epidural injection, single level

   Code 64479

   Ask what's included
   $12,969

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
9. Removal of nasal sinus tissue using an endoscope - 31267

   Standard service: Endoscopic maxillary antrostomy with tissue removal

   Code 31267

   Ask what's included
   $24,363

   Listed standard billed fee; not identified as a cash/self-pay price.

   Source: northmetroasc.com · checked Oct 2026
10. Removal of nasal sinus tissue using an endoscope

    Standard service: Endoscopic sinus surgery

    Ask what's included
    $24,363

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
11. Removal of tissue from sphenoid sinus using an endoscope

    Standard service: Endoscopic sphenoidotomy with tissue removal

    Code 31288

    Ask what's included
    $25,033

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
12. Removal of knee cartilage using an endoscope

    Standard service: Knee arthroscopy with meniscectomy

    Ask what's included
    $48,040

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
13. Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level

    Standard service: Lumbar disc cellular/tissue injection, first level

    Ask what's included
    $34,194

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
14. Injection of lower or sacral spine facet joint using imaging guidance, second level - 64494

    Standard service: Lumbar facet joint injection (second level)

    Code 64494

    Ask what's included
    $4,750

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
15. Injection of lower or sacral spine facet joint using imaging guidance, single level - 64493

    Standard service: Lumbar facet joint injection (single level)

    Code 64493

    Ask what's included
    $4,750

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
16. Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint - 64636

    Standard service: Lumbar radiofrequency ablation (each additional level)

    Code 64636

    Ask what's included
    $12,969

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
17. Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint - 64635

    Standard service: Lumbar radiofrequency ablation (single level)

    Code 64635

    Ask what's included
    $12,969

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
18. Injection of substance into lower spine canal using imaging guidance - 62323

    Standard service: Lumbar/sacral interlaminar epidural injection with imaging

    Code 62323

    Ask what's included
    $14,149

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
19. Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level - 64484

    Standard service: Lumbar/sacral transforaminal epidural injection, each additional level

    Code 64484

    Ask what's included
    $12,969

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
20. Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level - 64483

    Standard service: Lumbar/sacral transforaminal epidural injection, single level

    Code 64483

    Ask what's included
    $12,969

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
21. Reshaping of nasal cartilage

    Standard service: Nasal cartilage reshaping

    Ask what's included
    $17,953

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
22. Exploration of nasal sinus using an endoscope

    Standard service: Nasal endoscopy, diagnostic

    Code 31231

    Ask what's included
    $28,212

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
23. Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint

    Standard service: Radiofrequency ablation, cervical/thoracic facet (each add'l level)

    Code 64634

    Ask what's included
    $12,969

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
24. Insertion of sacral nerve neurostimulator electrode array

    Standard service: Sacral nerve neurostimulator electrode insertion

    Ask what's included
    $34,869

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
25. Injection procedure for sacroiliac joint - G0260

    Standard service: Sacroiliac joint injection

    Code G0260

    Ask what's included
    $12,969

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
26. Reshaping of nasal cartilage - 30520

    Standard service: Septoplasty

    Code 30520

    Ask what's included
    $17,953

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
27. Insertion of spinal neurostimulator electrode array through skin

    Standard service: Spinal cord stimulator electrode insertion (percutaneous)

    Code 63650

    Ask what's included
    $46,188

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026
28. Removal of nasal air passage under lining tissue - 30140

    Standard service: Submucous resection of turbinate

    Code 30140

    Ask what's included
    $23,541

    Listed standard billed fee; not identified as a cash/self-pay price.

    Source: northmetroasc.com · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.