Injection of anesthetic agent and/or steroid into upper neck and back of head nerve
Medicare pricing data for 11,173 providers across 52 states
This procedure has a 7.2x markup — hospitals charge $527.72 but Medicare allows only $73.31. Uninsured patients may face bills 7.2 times higher than what insurance negotiates. 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 upper neck and back of head nerve (HCPCS code 64405) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $73.31, but hospitals typically charge $527.72 — a 7.2x 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 $73.31, your out-of-pocket cost would be approximately $14.66. 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 7.2x more than what Medicare allows for this procedure. Medicare actually pays $55.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $93 | $481 | 15 | 129 | +26.8% |
| Alaska | $93 | $1,271 | 24 | 122 | +26.5% |
| Michigan | $88 | $421 | 471 | 3,954 | +19.9% |
| Florida | $86 | $390 | 781 | 4,395 | +16.7% |
| Wyoming | $83 | $448 | 34 | 207 | +12.7% |
| Kentucky | $82 | $430 | 152 | 905 | +12.4% |
| Illinois | $82 | $660 | 396 | 1,902 | +12.3% |
| South Carolina | $80 | $392 | 191 | 1,049 | +9.1% |
| Connecticut | $79 | $540 | 120 | 634 | +7.1% |
| District of Columbia | $78 | $394 | 22 | 224 | +6.4% |
| Vermont | $78 | $333 | 23 | 152 | +6.3% |
| New Jersey | $76 | $2,327 | 268 | 1,339 | +4.3% |
| Utah | $76 | $456 | 144 | 822 | +3.5% |
| Nebraska | $75 | $414 | 57 | 209 | +2.8% |
| Virginia | $75 | $361 | 233 | 2,090 | +1.9% |
| California | $75 | $538 | 969 | 9,351 | +1.8% |
| Alabama | $74 | $277 | 126 | 928 | +1.2% |
| New Hampshire | $74 | $612 | 84 | 609 | +1.0% |
| Indiana | $74 | $581 | 246 | 1,085 | +0.8% |
| West Virginia | $74 | $454 | 46 | 247 | +0.6% |
| Texas | $74 | $542 | 816 | 4,166 | +0.5% |
| New Mexico | $74 | $289 | 68 | 377 | +0.4% |
| Pennsylvania | $73 | $477 | 480 | 3,659 | +0.2% |
| Rhode Island | $73 | $316 | 30 | 101 | +0.1% |
| New York | $71 | $568 | 619 | 5,840 | -2.7% |
| North Dakota | $71 | $375 | 42 | 472 | -2.9% |
| Delaware | $71 | $435 | 44 | 233 | -3.3% |
| Massachusetts | $71 | $466 | 339 | 4,348 | -3.4% |
| Maryland | $71 | $463 | 269 | 1,511 | -3.7% |
| Georgia | $71 | $598 | 272 | 1,168 | -3.8% |
| Montana | $70 | $278 | 76 | 656 | -4.0% |
| Nevada | $70 | $871 | 103 | 461 | -4.3% |
| North Carolina | $70 | $510 | 366 | 2,211 | -4.8% |
| Oregon | $69 | $369 | 136 | 792 | -5.3% |
| Minnesota | $69 | $720 | 279 | 2,309 | -5.9% |
| Colorado | $69 | $444 | 245 | 1,713 | -5.9% |
| Washington | $69 | $351 | 272 | 1,705 | -6.2% |
| Ohio | $69 | $387 | 368 | 2,195 | -6.2% |
| Wisconsin | $68 | $1,305 | 202 | 1,108 | -7.7% |
| Missouri | $67 | $480 | 187 | 976 | -8.0% |
| Louisiana | $67 | $534 | 153 | 668 | -8.5% |
| Oklahoma | $67 | $301 | 152 | 859 | -8.5% |
| South Dakota | $67 | $274 | 71 | 340 | -8.5% |
| Iowa | $66 | $492 | 86 | 659 | -10.1% |
| Arkansas | $66 | $414 | 128 | 750 | -10.2% |
| Maine | $66 | $255 | 44 | 339 | -10.6% |
| Tennessee | $65 | $458 | 236 | 1,270 | -11.4% |
| Idaho | $64 | $351 | 82 | 495 | -12.9% |
| Puerto Rico | $63 | $249 | 5 | 68 | -14.0% |
| Arizona | $63 | $497 | 361 | 3,074 | -14.1% |
| Kansas | $62 | $491 | 131 | 660 | -15.8% |
| Mississippi | $58 | $356 | 91 | 591 | -20.9% |
⚠️ 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