Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)
Medicare pricing data for 30,423 providers across 52 states
This procedure has a 14.3x markup — hospitals charge $988.96 but Medicare allows only $69.27. Uninsured patients may face bills 14.3 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 arm nerve bundle (brachial plexus) (HCPCS code 64415) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $69.27, but hospitals typically charge $988.96 — a 14.3x 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 $69.27, your out-of-pocket cost would be approximately $13.85. 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 14.3x more than what Medicare allows for this procedure. Medicare actually pays $54.84 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $91 | $1,272 | 85 | 434 | +31.2% |
| California | $77 | $1,064 | 2,593 | 14,161 | +11.1% |
| New York | $74 | $1,381 | 1,548 | 8,036 | +7.0% |
| Maryland | $74 | $767 | 546 | 4,383 | +6.8% |
| District of Columbia | $73 | $974 | 125 | 599 | +5.3% |
| New Jersey | $73 | $1,289 | 663 | 3,204 | +5.2% |
| Rhode Island | $72 | $804 | 76 | 361 | +4.5% |
| Florida | $72 | $1,163 | 1,796 | 12,651 | +3.4% |
| Connecticut | $71 | $1,380 | 294 | 2,108 | +2.9% |
| Massachusetts | $71 | $703 | 817 | 5,074 | +2.0% |
| Colorado | $71 | $1,066 | 607 | 4,719 | +1.8% |
| Delaware | $71 | $1,355 | 80 | 759 | +1.8% |
| Illinois | $70 | $1,137 | 1,256 | 6,854 | +1.7% |
| Puerto Rico | $70 | $1,678 | 7 | 30 | +0.8% |
| Pennsylvania | $70 | $890 | 1,283 | 8,407 | +0.6% |
| Virginia | $69 | $922 | 718 | 6,239 | +0.2% |
| Washington | $69 | $667 | 806 | 3,813 | -0.3% |
| Michigan | $69 | $1,181 | 887 | 4,951 | -0.5% |
| Tennessee | $69 | $752 | 739 | 5,753 | -0.7% |
| Nevada | $69 | $1,058 | 241 | 1,523 | -1.0% |
| Louisiana | $68 | $791 | 420 | 3,114 | -1.2% |
| Montana | $68 | $651 | 180 | 1,321 | -1.7% |
| Hawaii | $68 | $718 | 84 | 440 | -1.7% |
| Ohio | $68 | $731 | 1,332 | 8,606 | -1.9% |
| Minnesota | $68 | $1,094 | 591 | 3,251 | -1.9% |
| Arizona | $68 | $1,066 | 793 | 4,941 | -2.2% |
| New Mexico | $68 | $1,229 | 192 | 868 | -2.2% |
| Texas | $68 | $1,447 | 2,328 | 14,123 | -2.2% |
| Oregon | $68 | $875 | 440 | 2,221 | -2.3% |
| West Virginia | $68 | $815 | 127 | 679 | -2.4% |
| New Hampshire | $67 | $939 | 207 | 1,113 | -2.9% |
| Wyoming | $67 | $1,036 | 66 | 491 | -3.0% |
| Georgia | $67 | $869 | 863 | 5,921 | -3.0% |
| North Carolina | $67 | $1,152 | 852 | 8,034 | -3.3% |
| Kansas | $67 | $836 | 413 | 2,837 | -3.6% |
| Maine | $67 | $577 | 196 | 883 | -3.6% |
| Kentucky | $67 | $796 | 467 | 2,928 | -3.6% |
| Missouri | $67 | $800 | 628 | 5,028 | -3.8% |
| Utah | $67 | $776 | 376 | 2,376 | -3.9% |
| North Dakota | $67 | $443 | 84 | 679 | -3.9% |
| Wisconsin | $66 | $1,476 | 742 | 3,445 | -4.1% |
| Indiana | $66 | $840 | 866 | 5,514 | -4.4% |
| Vermont | $66 | $785 | 52 | 251 | -4.4% |
| Iowa | $66 | $915 | 430 | 2,538 | -5.1% |
| Mississippi | $66 | $621 | 261 | 2,374 | -5.1% |
| Oklahoma | $66 | $823 | 447 | 3,639 | -5.3% |
| South Dakota | $66 | $380 | 115 | 1,028 | -5.4% |
| South Carolina | $65 | $824 | 481 | 5,293 | -5.6% |
| Alabama | $65 | $572 | 369 | 3,090 | -5.8% |
| Nebraska | $65 | $595 | 316 | 1,956 | -6.8% |
| Idaho | $64 | $644 | 192 | 1,373 | -6.9% |
| Arkansas | $64 | $687 | 288 | 2,636 | -7.7% |
⚠️ 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