Injection of anesthetic agent and/or steroid into other nerve or branch
Medicare pricing data for 32,092 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $76 | $169 | 27 | 239 | +57.4% |
| Alaska | $63 | $934 | 84 | 259 | +30.1% |
| New Jersey | $61 | $2,625 | 905 | 19,016 | +26.2% |
| New York | $58 | $646 | 1,801 | 16,597 | +21.7% |
| Delaware | $57 | $390 | 101 | 768 | +18.3% |
| Pennsylvania | $54 | $178 | 1,455 | 20,991 | +12.2% |
| Oregon | $54 | $477 | 366 | 1,691 | +12.0% |
| California | $53 | $304 | 2,537 | 48,670 | +10.9% |
| Maryland | $53 | $314 | 731 | 6,687 | +9.4% |
| Arizona | $52 | $374 | 826 | 13,313 | +9.2% |
| Florida | $52 | $621 | 2,146 | 18,527 | +9.1% |
| District of Columbia | $51 | $665 | 86 | 348 | +7.1% |
| Colorado | $50 | $580 | 737 | 3,921 | +4.6% |
| Utah | $50 | $291 | 296 | 3,005 | +3.8% |
| Montana | $50 | $336 | 163 | 953 | +3.3% |
| Washington | $50 | $397 | 637 | 3,073 | +3.1% |
| Massachusetts | $48 | $468 | 756 | 5,603 | +0.2% |
| Illinois | $48 | $577 | 1,072 | 5,644 | -1.1% |
| Texas | $48 | $479 | 2,601 | 26,705 | -1.1% |
| Nevada | $47 | $540 | 222 | 1,434 | -1.3% |
| Minnesota | $47 | $543 | 578 | 2,766 | -2.9% |
| Virginia | $46 | $597 | 757 | 4,325 | -3.9% |
| Hawaii | $45 | $575 | 62 | 250 | -6.3% |
| Arkansas | $45 | $359 | 327 | 2,174 | -7.4% |
| Idaho | $44 | $444 | 170 | 854 | -9.3% |
| South Dakota | $43 | $327 | 111 | 521 | -10.5% |
| Kentucky | $43 | $556 | 490 | 2,503 | -11.3% |
| Ohio | $42 | $460 | 1,558 | 12,029 | -11.9% |
| New Mexico | $42 | $678 | 234 | 1,722 | -11.9% |
| Michigan | $42 | $478 | 1,096 | 6,679 | -12.6% |
| North Carolina | $41 | $455 | 1,035 | 8,819 | -14.5% |
| Oklahoma | $41 | $226 | 555 | 9,901 | -14.7% |
| South Carolina | $41 | $297 | 555 | 10,377 | -15.0% |
| Wisconsin | $41 | $872 | 627 | 2,695 | -15.3% |
| Louisiana | $40 | $486 | 455 | 3,637 | -16.2% |
| Tennessee | $40 | $368 | 660 | 5,454 | -16.4% |
| Kansas | $40 | $553 | 375 | 2,372 | -17.1% |
| Rhode Island | $39 | $413 | 88 | 608 | -18.4% |
| Connecticut | $39 | $828 | 390 | 4,103 | -18.8% |
| North Dakota | $38 | $328 | 100 | 678 | -20.0% |
| Georgia | $38 | $580 | 918 | 4,567 | -20.9% |
| Nebraska | $38 | $385 | 294 | 1,417 | -21.0% |
| Indiana | $38 | $483 | 743 | 4,137 | -21.6% |
| New Hampshire | $37 | $437 | 167 | 1,107 | -22.7% |
| Wyoming | $37 | $625 | 72 | 457 | -23.7% |
| Vermont | $36 | $337 | 62 | 171 | -25.2% |
| Missouri | $36 | $329 | 641 | 13,130 | -25.4% |
| Maine | $34 | $380 | 158 | 686 | -28.5% |
| Alabama | $34 | $258 | 397 | 4,673 | -29.8% |
| West Virginia | $33 | $448 | 127 | 726 | -30.8% |
| Iowa | $32 | $494 | 351 | 1,771 | -32.4% |
| Mississippi | $31 | $378 | 379 | 3,975 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber