Self-Pay and Medicare Fee Schedules
At Pain Solutions, our commitment to your well-being extends beyond exceptional care – we believe in being transparent about our costs to empower you with informed choices. Many of our patients choose to be self-pay, discovering that their out-of-pocket expenses are often lower at our practice compared to hospitals contracted with their insurance. To provide you with a clear understanding of our fees, we present our self-pay and Medicare fee schedules below.
Why Choose Self-Pay?
Opting for self-pay at Pain Solutions offers several advantages:
Cost-Effectiveness: Many patients find that self-pay expenses at our practice are more affordable than those at hospitals contracted with their insurance.
Transparent Pricing: Our fee schedule outlines all major procedure costs, with additional fees ranging from $10 to $20 for injected medications or analgesics.
Click here to learn more about being a Self-Pay patient at Pain Solutions.
Please note: The Self Pay Fee Schedule does not include New Mexico gross receipt tax, which will be assessed at the time of service.
Self-Pay Fee Schedule
New Patient Visit
Short New Patient Visit $214.36
Long New Patient Visit $289.80
Transforaminal Lumbar Epidural Injections
(Steroid Back Injections)
64483 One Level Back Injection, unilateral $425.04
Bilateral $639.40
64484 (Each Additional Level) is an additional $222.00
Bilateral $325.88
Translaminar Epidural Injections
(Steroid Neck & Back Injections)
62321 Cervical/Thoracic Epidural Injection $370.00
62323 Lumbar/Caudal Epidural Injection $360.00
Facet Injections Lumbar
(Back Region)
64493 Lumbar Facet 1st Level $355.12
Bilateral $533.60
64494 Lumbar Facet 2nd Level $179.40
Bilateral $267.72
64495 Lumbar Facet 3rd Level $179.40
Bilateral $268.64
Lumbar/Sacral Radiofrequency Ablation
64635 Lumbar RF $910.00
Bilateral $1365.00
64636 2nd level Lumbar RF, unilateral $430.00
Bilateral $645.00
Large Joint Injections
20610 Major Joint Injection (without ultrasound) $175.00
20611 Major Joint Injection (with ultrasound) $193.20
***Additional Joints at a 20% discount
Trigger Point Injections
20552 Trigger Point Injections 1-2 $125.00
20553 Trigger Point Injections 3+ $150.00
Peripheral Nerve Block
64450 Peripheral Nerve Block $200.00
***Twenty (20) % discount for each additional nerve
Lumbar Sympathetic Block
64520 Lumbar Sympathetic Block $375.00
Celiac Plexus Block
64530 Diagnostic Celiac Plexus Block $450.00
64680 Neurolytic Block $600.00
Pump Refill
62370 Refill $320.00
***There is an additional cost for the medications
Botox
(Migraine)
64615 Injection fee for Botox $325.00
J0585 Cost of Botox $1500.00
Follow Up Visits
Nurse Visit $68.08
MD or PA up to 15 minutes $110.40
MD or PA for greater than 15 minutes $161.92
MD or PA for greater than 30 minutes $220.80
Transforaminal Cervical Epidural Injections
(Steroid Neck Injections)
64479 One Level Neck Injection, unilateral $483.41
Bilateral $726.80
64480 (Each Additional Level) is $235.52 (unilateral) OR Bilateral $354.20
Facet Injections Cervical/Thoracic
(Neck and Chest Region)
64490 Cervical Facet 1st Level $391
Bilateral $588.80
64491 Cervical Facet 2nd Level $193.88
Bilateral $291.64
64492 Cervical Facet 3rd Level $197.80
Bilateral $293.48
Cervical/Thoracic Radiofrequency Ablation
64633 Cervical RF $ 920.00
Bilateral $1380.00
64634 Each Additional Level $430.00
Bilateral $645.00
Intermediate Joint Injections
(Hip & Knee)
20604 Intermediate Joint Injection
(with ultrasound) $150.00
20605 Intermediate Joint Injection (without ultrasound) $100.00
SI Joint Injections
27096 Unilateral SI Joint Injection $360.00
27096 Bilateral SI Joint Injections $540.00
Occipital Nerve Block
64405, Unilateral $184.00
64405, Bilateral $274.16
Intercostal Block
64420 Intercostal Block Unilateral $300.00
64421 Intercostal Block, Multiple $350.00
Stellate Ganglion Block
64510 Stellate Ganglion Block $400.00
IV Infusions
Ketamine/Lidocaine $1000.00
Platelet Rich Plasma (PRP)
P9020 One Site Injection $800.00
***Twenty (20) percent reduction on the injection for each additional site.
Medicare Fee Schedule
New Patient Visits
99203 Short New Patient $119.23
99204 Long New Patient $179.02
Translaminar Epidural Injections
(Steroid Neck & Back Injections)
62321 Cervical/Thoracic Epidural Injection $281.57
62323 Lumbar/Caudal Epidural Injection $277.01
*There is an additional fee of approximately $10-$20 for the injectables.
Transforaminal Lumbar Epidural Injections
(Steroid Back Injections)
64483 One Level Back Injection, unilateral $259.65
Bilateral $389.48
64484 (Each Additional Level) $117.37
Bilateral $176.06
Facet Injections Lumbar
(Back Region)
64493 Lumbar Facet 1st Level $186.90
Bilateral $280.35
64494 Cervical Facet 2nd Level $96.88
Bilateral $145.32
64495 Cervical Facet 3rd Level $96.88
Bilateral $145.32
Lumbar/Sacral Radiofrequency Ablation
64635 Lumbar RF $442.91
Bilateral $664.37
64634 2nd level Lumbar RF, unilateral $181.98 Bilateral $272.97
Large Joint Injections
(Shoulder, Trochanteric Bursa with Ultrasound)
20610 Large Joint Injection
without ultrasound $68.69
20611 Large Joint Injection
with ultrasound $104.96
SI Joint Injections
27096 Unilateral SI Joint Injection $174.00
27096 Bilateral SI Joint Injections $261.00
Lumbar Sympathetic Block
64520 Lumbar Sympathetic Block $ 240.07
Celiac Plexus Block
64530 Diagnostic Celiac Plexus Block $242.45
64680 Neurolytic Block $369.07
Stellate Ganglion Block
64510 Stellate Ganglion Block $154.76
Pump Refill
62370 Refill $103.65
***There is an additional cost for the medications
Platelet Rich Plasma (PRP)
P9020 One Site Injection $800.00
***Twenty (20) percent injection for each additional site.
Follow Up Visits
99212 Short visit $58.96
99213 MD or PA up to 15 minutes $96.69
99214 MD or PA for > than 15 minutes $137.48
99215 MD or PA for > than 30 minutes $192.59
Transforminal Cervical Epidural Injections
(Steroid Neck Injections)
64479 One Level Neck Injection, unilateral $280.39
Bilateral $420.59
64480 (Each Additional Level) is $142.37
Bilateral $213.56
Facet Injections Cervical/Thoracic
(Neck & Chest Region)
64490 Cervical Facet 1st Level $204.55
Bilateral $306.83
64491 Cervical Facet 2nd Level $104.65
Bilateral $156.98
64492 Cervical Facet 3rd Level $105.00
Bilateral $157.50
Cervical/Thoracic Radiofrequency Ablation
64633 Cervical RF $447.35
Bilateral $671.03
64634 2nd level Cervical RF, unilateral $199.89
Bilateral $299.84
Intermediate Joint Injections
(Hip & Knee)
20605 Intermediate Joint Injection
without ultrasound $57.58
20604 Intermediate Joint Injection
with ultrasound $85.81
Trigger Point Injections
20552 Trigger Point Injections 1-2 $57.85
20553 Trigger Point Injections 3+ $66.07
Intercostal Block
64420 Intercostal Block Unilateral $105.83
64421 Intercostal Block, Multiple $36.32
Occipital Nerve Block
64405, Unilateral $80.70
Bilateral $121.05
*Additional fee for the injectables of $10-$20
Peripheral Nerve Block
64450 Peripheral Nerve Block $82.11
Botox
(Migraine)
64615 Injection fee for Botox $167.80
J0585 Cost of Botox variable
IV Infusions
Ketamine/Lidocaine $1000.00
