64483

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

Medicare pricing data for 15,463 providers across 52 states

🤖AI Overview

This procedure has a 7.1x markup — hospitals charge $1,799 but Medicare allows only $254.03. Uninsured patients may face bills 7.1 times higher than what insurance negotiates. Prices vary significantly by location — from $151 in South Dakota to $318 in Alaska. 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 and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS code 64483) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $254.03, but hospitals typically charge $1,799 — a 7.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$50.81

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $254.03, your out-of-pocket cost would be approximately $50.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$254.03
Average Hospital Charge
$1,799
Markup Ratio
7.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,798.68
Medicare Allowed$254.03
Medicare Payment$197.73

Hospitals charge 7.1x more than what Medicare allows for this procedure. Medicare actually pays $197.73 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$318$3,182401,329+25.2%
California$308$2,8211,54595,107+21.2%
Nevada$289$3,0371668,857+13.8%
New Jersey$284$4,34260230,605+11.9%
New York$279$2,00083435,224+9.7%
Delaware$277$1,5906210,429+9.0%
Connecticut$276$1,6271666,143+8.6%
Oregon$275$1,1991838,996+8.4%
Maryland$273$1,62438136,444+7.5%
Virginia$273$1,36230225,896+7.3%
Arizona$269$1,74239036,944+6.0%
Florida$267$1,5781,32368,878+5.2%
Georgia$256$1,94159743,517+0.8%
Wyoming$254$1,337383,597+0.1%
Colorado$254$2,35931219,681-0.1%
South Carolina$251$1,12520121,788-1.2%
Washington$250$1,00531716,865-1.7%
Utah$250$9141868,677-1.7%
Minnesota$248$1,54335613,043-2.5%
Rhode Island$246$1,434361,550-3.2%
North Carolina$244$1,20444527,848-3.8%
Hawaii$244$91128305-4.0%
Pennsylvania$243$1,54562434,524-4.3%
Tennessee$241$1,33830321,171-5.2%
Texas$240$1,8371,30969,933-5.4%
Indiana$239$2,09333019,081-5.9%
Michigan$237$1,20943915,037-6.8%
Illinois$236$1,73952432,616-7.2%
Arkansas$235$1,47214410,600-7.5%
New Mexico$234$1,720822,990-8.0%
Nebraska$232$1,0771156,459-8.7%
Mississippi$232$1,30911514,944-8.7%
Massachusetts$232$1,54834313,775-8.7%
Kentucky$232$1,2011577,874-8.8%
Puerto Rico$230$27926593-9.3%
New Hampshire$229$1,295873,583-10.0%
District of Columbia$223$91831996-12.2%
Montana$222$823653,249-12.8%
Kansas$216$1,52115213,804-15.1%
Louisiana$215$1,71525617,628-15.3%
Alabama$212$95720914,059-16.4%
Oklahoma$212$90316511,006-16.4%
Ohio$212$1,17751029,630-16.5%
Idaho$211$9891124,361-17.1%
Iowa$209$1,2601104,325-17.6%
Wisconsin$205$2,34630610,913-19.5%
Missouri$193$1,33324911,599-24.2%
North Dakota$183$85835963-27.8%
Maine$165$640351,084-35.0%
Vermont$158$1,06418829-37.7%
West Virginia$153$566531,582-39.9%
South Dakota$151$630422,902-40.4%

⚠️ 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

🏥 See Medicare hospital data on OpenMedicare