64420

Injection of anesthetic agent and/or steroid into rib nerve

Medicare pricing data for 6,088 providers across 51 states

🤖AI Overview

This procedure has a 8.7x markup — hospitals charge $834.94 but Medicare allows only $95.80. Uninsured patients may face bills 8.7 times higher than what insurance negotiates. Prices vary significantly by location — from $61 in West Virginia to $130 in California. 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 rib nerve (HCPCS code 64420) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $95.80, but hospitals typically charge $834.94 — a 8.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $95.80, your out-of-pocket cost would be approximately $19.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$95.80
Average Hospital Charge
$834.94
Markup Ratio
8.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$834.94
Medicare Allowed$95.80
Medicare Payment$74.82

Hospitals charge 8.7x more than what Medicare allows for this procedure. Medicare actually pays $74.82 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$130$1,0465953,400+35.6%
Louisiana$130$1,44556203+35.4%
Nevada$114$1,2983991+19.5%
Alaska$113$1,86824175+18.0%
New Jersey$111$2,382135354+15.9%
Arizona$104$924170482+9.0%
Puerto Rico$103$1112134+8.0%
Arkansas$101$55564163+5.0%
New Hampshire$100$93843175+4.7%
Oregon$99$75372168+3.7%
Kentucky$99$1,20593564+3.5%
Georgia$98$1,098191494+2.2%
New York$96$6933241,116-0.0%
Iowa$95$82752123-0.4%
Connecticut$94$81555190-1.7%
Washington$94$530106240-1.8%
Florida$94$5884361,587-1.9%
Indiana$94$752146379-2.3%
Illinois$93$1,004301863-3.3%
Tennessee$92$754120326-3.8%
Texas$91$9704641,183-5.2%
Utah$90$46252162-5.6%
Maryland$90$580156538-5.8%
Idaho$90$5453970-6.3%
Minnesota$89$1,088132575-6.7%
Colorado$89$77576221-6.8%
Delaware$88$8042597-8.3%
Pennsylvania$87$561260926-8.9%
Hawaii$87$4931520-9.2%
Mississippi$86$59358179-10.0%
Michigan$84$482202919-12.3%
Virginia$83$808131421-13.2%
Rhode Island$82$5431876-14.1%
Massachusetts$82$752214733-14.3%
Wisconsin$82$1,330103297-14.8%
South Carolina$81$644100314-15.3%
Alabama$79$25246213-17.9%
District of Columbia$78$5691362-18.3%
Kansas$78$63758206-18.3%
North Dakota$78$7561543-18.4%
South Dakota$78$20026153-18.6%
North Carolina$75$835204458-21.3%
Missouri$74$561107282-22.4%
New Mexico$74$8672679-22.9%
Maine$72$3302635-24.5%
Oklahoma$71$32051106-26.4%
Nebraska$69$50480343-27.6%
Montana$68$5351230-28.6%
Ohio$67$638281906-29.9%
Wyoming$62$1,3181436-34.8%
West Virginia$61$7333291-35.9%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber