Anesthesia for nerve block and injection procedure, prone position
Medicare pricing data for 9,914 providers across 48 states
This procedure has a 14.1x markup — hospitals charge $1,636 but Medicare allows only $116.42. Uninsured patients may face bills 14.1 times higher than what insurance negotiates. Prices vary significantly by location — from $71 in Rhode Island to $180 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
Anesthesia for nerve block and injection procedure, prone position (HCPCS code 01992) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $116.42, but hospitals typically charge $1,636 — a 14.1x 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 $116.42, your out-of-pocket cost would be approximately $23.28. 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 14.1x more than what Medicare allows for this procedure. Medicare actually pays $90.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $180 | $1,139 | 10 | 16 | +54.6% |
| District of Columbia | $151 | $2,115 | 35 | 417 | +29.4% |
| Wyoming | $138 | $655 | 1 | 75 | +18.4% |
| New York | $136 | $3,161 | 945 | 12,336 | +16.7% |
| New Mexico | $136 | $1,006 | 27 | 141 | +16.6% |
| Puerto Rico | $134 | $1,596 | 4 | 16 | +15.4% |
| Idaho | $131 | $450 | 11 | 27 | +12.9% |
| California | $131 | $1,387 | 874 | 15,537 | +12.9% |
| Maine | $130 | $1,491 | 21 | 156 | +12.0% |
| Maryland | $129 | $1,480 | 159 | 1,140 | +10.8% |
| Colorado | $129 | $959 | 105 | 1,033 | +10.5% |
| Washington | $128 | $996 | 60 | 458 | +10.1% |
| New Hampshire | $127 | $1,180 | 36 | 132 | +9.5% |
| Florida | $127 | $2,288 | 728 | 7,838 | +8.7% |
| Iowa | $125 | $2,209 | 22 | 241 | +7.7% |
| Louisiana | $124 | $687 | 296 | 3,763 | +6.3% |
| Utah | $123 | $4,366 | 25 | 103 | +6.0% |
| Nevada | $123 | $1,611 | 54 | 2,784 | +5.8% |
| Massachusetts | $123 | $1,441 | 186 | 1,430 | +5.4% |
| Virginia | $122 | $1,441 | 102 | 553 | +4.6% |
| Minnesota | $121 | $1,944 | 97 | 1,654 | +3.7% |
| Indiana | $121 | $899 | 87 | 840 | +3.6% |
| New Jersey | $121 | $1,531 | 535 | 5,507 | +3.5% |
| Georgia | $120 | $1,817 | 366 | 3,732 | +3.5% |
| Arizona | $120 | $3,187 | 214 | 8,566 | +3.4% |
| Tennessee | $120 | $975 | 194 | 2,264 | +3.0% |
| Nebraska | $120 | $2,334 | 35 | 324 | +2.9% |
| Oklahoma | $119 | $791 | 85 | 2,316 | +2.1% |
| South Carolina | $117 | $996 | 29 | 147 | +0.9% |
| Delaware | $117 | $1,080 | 45 | 370 | +0.7% |
| Hawaii | $117 | $2,696 | 7 | 734 | +0.3% |
| Illinois | $117 | $971 | 521 | 3,718 | +0.2% |
| Missouri | $117 | $1,109 | 79 | 258 | +0.1% |
| North Carolina | $117 | $845 | 143 | 881 | +0.1% |
| Arkansas | $116 | $692 | 57 | 1,117 | -0.3% |
| Texas | $114 | $1,740 | 1,404 | 23,030 | -1.9% |
| Mississippi | $113 | $643 | 83 | 2,079 | -2.7% |
| Wisconsin | $111 | $1,365 | 70 | 272 | -4.5% |
| Connecticut | $109 | $1,677 | 187 | 822 | -6.2% |
| Kentucky | $109 | $886 | 81 | 2,090 | -6.8% |
| Kansas | $108 | $930 | 34 | 152 | -7.1% |
| Michigan | $105 | $1,451 | 301 | 2,541 | -9.6% |
| West Virginia | $105 | $778 | 48 | 141 | -10.0% |
| Oregon | $99 | $943 | 35 | 297 | -15.1% |
| Ohio | $92 | $528 | 349 | 3,741 | -20.9% |
| Pennsylvania | $83 | $964 | 583 | 3,916 | -29.1% |
| Alabama | $81 | $615 | 478 | 11,979 | -30.3% |
| Rhode Island | $71 | $549 | 22 | 86 | -39.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber