64400

Injection of anesthetic agent and/or steroid into face nerve

Medicare pricing data for 3,767 providers across 47 states

🤖AI Overview

This procedure has a 6.4x markup — hospitals charge $584.39 but Medicare allows only $91.72. Uninsured patients may face bills 6.4 times higher than what insurance negotiates. Prices vary significantly by location — from $36 in Delaware to $159 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 face nerve (HCPCS code 64400) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $91.72, but hospitals typically charge $584.39 — a 6.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $91.72, your out-of-pocket cost would be approximately $18.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$91.72
Average Hospital Charge
$584.39
Markup Ratio
6.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$584.39
Medicare Allowed$91.72
Medicare Payment$70.80

Hospitals charge 6.4x more than what Medicare allows for this procedure. Medicare actually pays $70.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$159$372959+73.1%
District of Columbia$159$4818139+72.9%
Arizona$119$7311321,673+29.8%
New York$118$7182092,544+28.4%
New Jersey$116$87264172+26.5%
Massachusetts$110$9791151,857+19.5%
California$108$5463792,801+17.6%
New Mexico$105$39824111+14.5%
Oklahoma$103$39258439+12.6%
Nevada$103$40041163+12.4%
Washington$101$45379554+9.7%
Louisiana$98$40646358+6.6%
South Carolina$94$49437117+2.2%
Florida$93$500190726+1.1%
Indiana$91$47964242-0.4%
Ohio$89$3261391,052-2.8%
North Carolina$88$485791,046-3.6%
Texas$88$7952971,287-4.2%
Minnesota$85$740116425-7.5%
Maryland$84$49298437-8.8%
West Virginia$83$3671344-9.1%
Missouri$79$61799299-14.2%
New Hampshire$77$455829-15.9%
Kentucky$76$49548107-17.4%
Oregon$76$43848231-17.7%
Georgia$75$68174284-17.8%
Pennsylvania$74$5342111,085-18.9%
Wisconsin$74$1,54179278-18.9%
Tennessee$72$53062257-21.6%
Colorado$72$5391001,128-22.0%
Illinois$69$63898338-24.5%
Alabama$69$31838145-25.2%
Utah$68$50155461-25.4%
Mississippi$67$3753098-26.6%
Kansas$66$60857129-28.1%
Michigan$66$3612141,090-28.3%
Connecticut$63$49037357-31.3%
Virginia$61$271691,184-33.0%
Nebraska$59$45935125-35.8%
Wyoming$58$6191015-37.2%
Iowa$49$5153759-46.3%
North Dakota$48$5061822-48.1%
South Dakota$43$2001013-52.7%
Idaho$43$23432253-52.9%
Arkansas$42$34116139-54.3%
Hawaii$37$990653-59.4%
Delaware$36$339864-61.0%

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

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