Injection of anesthetic agent and/or steroid into upper arm and shoulder nerve (axillary nerve)
Medicare pricing data for 5,069 providers across 48 states
This procedure has a 11.3x markup — hospitals charge $963.04 but Medicare allows only $85.39. Uninsured patients may face bills 11.3 times higher than what insurance negotiates. Prices vary significantly by location — from $37 in Hawaii to $167 in Arkansas. 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 upper arm and shoulder nerve (axillary nerve) (HCPCS code 64417) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $85.39, but hospitals typically charge $963.04 — a 11.3x 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 $85.39, your out-of-pocket cost would be approximately $17.08. 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 11.3x more than what Medicare allows for this procedure. Medicare actually pays $66.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arkansas | $167 | $689 | 74 | 369 | +95.8% |
| Maryland | $140 | $504 | 53 | 347 | +63.8% |
| North Carolina | $130 | $828 | 125 | 496 | +52.1% |
| Pennsylvania | $128 | $558 | 215 | 994 | +49.5% |
| Mississippi | $113 | $764 | 92 | 492 | +32.8% |
| Minnesota | $112 | $848 | 70 | 193 | +30.9% |
| New York | $110 | $1,204 | 179 | 468 | +29.1% |
| Connecticut | $94 | $1,024 | 38 | 92 | +10.4% |
| Wisconsin | $92 | $1,336 | 108 | 291 | +8.0% |
| Illinois | $92 | $1,081 | 194 | 422 | +7.4% |
| Colorado | $91 | $1,061 | 68 | 191 | +6.1% |
| California | $88 | $1,191 | 418 | 1,205 | +3.2% |
| Tennessee | $85 | $853 | 108 | 324 | -0.2% |
| Indiana | $85 | $1,149 | 118 | 253 | -0.7% |
| Florida | $83 | $1,012 | 343 | 1,146 | -3.2% |
| Delaware | $79 | $1,254 | 27 | 57 | -7.0% |
| Idaho | $77 | $835 | 31 | 58 | -9.5% |
| New Jersey | $77 | $1,302 | 82 | 177 | -9.9% |
| Nebraska | $76 | $341 | 70 | 219 | -11.0% |
| Georgia | $76 | $1,215 | 189 | 514 | -11.6% |
| Arizona | $75 | $1,308 | 147 | 432 | -12.3% |
| Texas | $75 | $1,123 | 384 | 1,007 | -12.4% |
| Nevada | $72 | $1,036 | 48 | 121 | -16.2% |
| Michigan | $70 | $1,723 | 195 | 709 | -18.3% |
| Kentucky | $69 | $1,361 | 110 | 410 | -19.2% |
| South Dakota | $69 | $481 | 14 | 38 | -19.5% |
| Wyoming | $68 | $1,133 | 28 | 100 | -20.1% |
| Virginia | $68 | $1,124 | 81 | 231 | -20.8% |
| Ohio | $65 | $665 | 223 | 517 | -23.6% |
| Oklahoma | $65 | $800 | 160 | 437 | -24.1% |
| Alabama | $65 | $883 | 71 | 271 | -24.3% |
| Massachusetts | $65 | $624 | 63 | 148 | -24.3% |
| Louisiana | $63 | $747 | 77 | 515 | -26.2% |
| Maine | $62 | $675 | 25 | 73 | -27.2% |
| Washington | $62 | $628 | 162 | 483 | -27.2% |
| North Dakota | $62 | $938 | 13 | 53 | -27.5% |
| Montana | $62 | $492 | 27 | 45 | -27.9% |
| New Hampshire | $62 | $645 | 27 | 50 | -27.9% |
| Utah | $61 | $525 | 58 | 145 | -28.3% |
| Oregon | $61 | $873 | 80 | 180 | -28.6% |
| West Virginia | $61 | $1,332 | 19 | 43 | -28.6% |
| New Mexico | $61 | $1,414 | 33 | 52 | -29.0% |
| Missouri | $59 | $923 | 92 | 196 | -30.3% |
| Iowa | $58 | $831 | 40 | 86 | -31.8% |
| Kansas | $58 | $838 | 88 | 187 | -32.5% |
| District of Columbia | $57 | $1,106 | 10 | 25 | -32.9% |
| South Carolina | $49 | $728 | 112 | 604 | -42.3% |
| Hawaii | $37 | $966 | 9 | 66 | -56.3% |
⚠️ 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