64450

Injection of anesthetic agent and/or steroid into other nerve or branch

Medicare pricing data for 32,092 providers across 52 states

🤖AI Overview

This procedure has a 11.5x markup — hospitals charge $554.16 but Medicare allows only $48.08. Uninsured patients may face bills 11.5 times higher than what insurance negotiates. Prices vary significantly by location — from $31 in Mississippi to $76 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS code 64450) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $48.08, but hospitals typically charge $554.16 — a 11.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $48.08, your out-of-pocket cost would be approximately $9.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$48.08
Average Hospital Charge
$554.16
Markup Ratio
11.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$554.16
Medicare Allowed$48.08
Medicare Payment$37.54

Hospitals charge 11.5x more than what Medicare allows for this procedure. Medicare actually pays $37.54 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$76$16927239+57.4%
Alaska$63$93484259+30.1%
New Jersey$61$2,62590519,016+26.2%
New York$58$6461,80116,597+21.7%
Delaware$57$390101768+18.3%
Pennsylvania$54$1781,45520,991+12.2%
Oregon$54$4773661,691+12.0%
California$53$3042,53748,670+10.9%
Maryland$53$3147316,687+9.4%
Arizona$52$37482613,313+9.2%
Florida$52$6212,14618,527+9.1%
District of Columbia$51$66586348+7.1%
Colorado$50$5807373,921+4.6%
Utah$50$2912963,005+3.8%
Montana$50$336163953+3.3%
Washington$50$3976373,073+3.1%
Massachusetts$48$4687565,603+0.2%
Illinois$48$5771,0725,644-1.1%
Texas$48$4792,60126,705-1.1%
Nevada$47$5402221,434-1.3%
Minnesota$47$5435782,766-2.9%
Virginia$46$5977574,325-3.9%
Hawaii$45$57562250-6.3%
Arkansas$45$3593272,174-7.4%
Idaho$44$444170854-9.3%
South Dakota$43$327111521-10.5%
Kentucky$43$5564902,503-11.3%
Ohio$42$4601,55812,029-11.9%
New Mexico$42$6782341,722-11.9%
Michigan$42$4781,0966,679-12.6%
North Carolina$41$4551,0358,819-14.5%
Oklahoma$41$2265559,901-14.7%
South Carolina$41$29755510,377-15.0%
Wisconsin$41$8726272,695-15.3%
Louisiana$40$4864553,637-16.2%
Tennessee$40$3686605,454-16.4%
Kansas$40$5533752,372-17.1%
Rhode Island$39$41388608-18.4%
Connecticut$39$8283904,103-18.8%
North Dakota$38$328100678-20.0%
Georgia$38$5809184,567-20.9%
Nebraska$38$3852941,417-21.0%
Indiana$38$4837434,137-21.6%
New Hampshire$37$4371671,107-22.7%
Wyoming$37$62572457-23.7%
Vermont$36$33762171-25.2%
Missouri$36$32964113,130-25.4%
Maine$34$380158686-28.5%
Alabama$34$2583974,673-29.8%
West Virginia$33$448127726-30.8%
Iowa$32$4943511,771-32.4%
Mississippi$31$3783793,975-35.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber