Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve
Medicare pricing data for 4,055 providers across 47 states
This procedure has a 8.3x markup — hospitals charge $634.02 but Medicare allows only $76.03. Uninsured patients may face bills 8.3 times higher than what insurance negotiates. Prices vary significantly by location — from $28 in Hawaii to $104 in New Jersey. 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 suprascapular shoulder nerve (HCPCS code 64418) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.03, but hospitals typically charge $634.02 — a 8.3x 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 $76.03, your out-of-pocket cost would be approximately $15.21. 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 8.3x more than what Medicare allows for this procedure. Medicare actually pays $58.64 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $104 | $2,492 | 114 | 851 | +37.4% |
| New York | $98 | $727 | 238 | 1,926 | +29.4% |
| South Carolina | $91 | $518 | 46 | 284 | +20.1% |
| Puerto Rico | $89 | $115 | 5 | 24 | +17.6% |
| District of Columbia | $88 | $224 | 4 | 36 | +16.1% |
| California | $86 | $855 | 305 | 2,021 | +13.1% |
| Florida | $84 | $461 | 366 | 3,862 | +11.0% |
| Virginia | $84 | $397 | 82 | 367 | +10.5% |
| New Mexico | $84 | $494 | 7 | 22 | +9.9% |
| Connecticut | $80 | $684 | 32 | 117 | +5.4% |
| Rhode Island | $79 | $326 | 6 | 119 | +4.3% |
| Ohio | $79 | $415 | 171 | 1,037 | +4.2% |
| Colorado | $79 | $583 | 56 | 370 | +4.0% |
| Delaware | $78 | $732 | 12 | 77 | +2.4% |
| Iowa | $76 | $439 | 13 | 32 | +0.2% |
| Washington | $76 | $599 | 56 | 149 | -0.0% |
| Illinois | $74 | $602 | 153 | 612 | -3.2% |
| Arizona | $73 | $608 | 125 | 573 | -3.5% |
| North Carolina | $73 | $561 | 123 | 772 | -3.8% |
| Michigan | $73 | $389 | 122 | 333 | -4.1% |
| Idaho | $72 | $317 | 8 | 19 | -5.8% |
| Alabama | $72 | $242 | 53 | 181 | -5.9% |
| Louisiana | $71 | $549 | 55 | 575 | -6.3% |
| Indiana | $70 | $543 | 77 | 507 | -7.7% |
| Texas | $69 | $664 | 451 | 1,830 | -8.7% |
| Pennsylvania | $68 | $372 | 142 | 1,322 | -10.7% |
| South Dakota | $67 | $248 | 15 | 65 | -11.3% |
| Kansas | $67 | $477 | 27 | 85 | -11.4% |
| Missouri | $66 | $433 | 59 | 197 | -12.8% |
| Georgia | $65 | $792 | 160 | 559 | -13.9% |
| Kentucky | $65 | $559 | 68 | 348 | -14.2% |
| Oregon | $64 | $355 | 54 | 218 | -15.5% |
| Oklahoma | $64 | $334 | 55 | 249 | -15.6% |
| Maryland | $64 | $254 | 87 | 1,061 | -16.1% |
| Massachusetts | $63 | $427 | 122 | 447 | -16.7% |
| Utah | $63 | $396 | 45 | 99 | -17.0% |
| Tennessee | $60 | $562 | 97 | 545 | -20.5% |
| New Hampshire | $59 | $746 | 15 | 102 | -22.2% |
| Nevada | $58 | $1,762 | 48 | 100 | -23.2% |
| Mississippi | $56 | $822 | 35 | 341 | -26.1% |
| Minnesota | $55 | $551 | 77 | 347 | -27.2% |
| Wisconsin | $55 | $996 | 95 | 405 | -28.0% |
| Nebraska | $54 | $385 | 28 | 86 | -28.7% |
| West Virginia | $45 | $1,195 | 14 | 33 | -41.3% |
| Maine | $41 | $671 | 11 | 69 | -46.7% |
| Arkansas | $39 | $397 | 59 | 412 | -48.2% |
| Hawaii | $28 | $1,013 | 4 | 57 | -63.3% |
⚠️ 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