Injection of anesthetic agent and/or steroid into rib nerve
Medicare pricing data for 6,088 providers across 51 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $130 | $1,046 | 595 | 3,400 | +35.6% |
| Louisiana | $130 | $1,445 | 56 | 203 | +35.4% |
| Nevada | $114 | $1,298 | 39 | 91 | +19.5% |
| Alaska | $113 | $1,868 | 24 | 175 | +18.0% |
| New Jersey | $111 | $2,382 | 135 | 354 | +15.9% |
| Arizona | $104 | $924 | 170 | 482 | +9.0% |
| Puerto Rico | $103 | $111 | 2 | 134 | +8.0% |
| Arkansas | $101 | $555 | 64 | 163 | +5.0% |
| New Hampshire | $100 | $938 | 43 | 175 | +4.7% |
| Oregon | $99 | $753 | 72 | 168 | +3.7% |
| Kentucky | $99 | $1,205 | 93 | 564 | +3.5% |
| Georgia | $98 | $1,098 | 191 | 494 | +2.2% |
| New York | $96 | $693 | 324 | 1,116 | -0.0% |
| Iowa | $95 | $827 | 52 | 123 | -0.4% |
| Connecticut | $94 | $815 | 55 | 190 | -1.7% |
| Washington | $94 | $530 | 106 | 240 | -1.8% |
| Florida | $94 | $588 | 436 | 1,587 | -1.9% |
| Indiana | $94 | $752 | 146 | 379 | -2.3% |
| Illinois | $93 | $1,004 | 301 | 863 | -3.3% |
| Tennessee | $92 | $754 | 120 | 326 | -3.8% |
| Texas | $91 | $970 | 464 | 1,183 | -5.2% |
| Utah | $90 | $462 | 52 | 162 | -5.6% |
| Maryland | $90 | $580 | 156 | 538 | -5.8% |
| Idaho | $90 | $545 | 39 | 70 | -6.3% |
| Minnesota | $89 | $1,088 | 132 | 575 | -6.7% |
| Colorado | $89 | $775 | 76 | 221 | -6.8% |
| Delaware | $88 | $804 | 25 | 97 | -8.3% |
| Pennsylvania | $87 | $561 | 260 | 926 | -8.9% |
| Hawaii | $87 | $493 | 15 | 20 | -9.2% |
| Mississippi | $86 | $593 | 58 | 179 | -10.0% |
| Michigan | $84 | $482 | 202 | 919 | -12.3% |
| Virginia | $83 | $808 | 131 | 421 | -13.2% |
| Rhode Island | $82 | $543 | 18 | 76 | -14.1% |
| Massachusetts | $82 | $752 | 214 | 733 | -14.3% |
| Wisconsin | $82 | $1,330 | 103 | 297 | -14.8% |
| South Carolina | $81 | $644 | 100 | 314 | -15.3% |
| Alabama | $79 | $252 | 46 | 213 | -17.9% |
| District of Columbia | $78 | $569 | 13 | 62 | -18.3% |
| Kansas | $78 | $637 | 58 | 206 | -18.3% |
| North Dakota | $78 | $756 | 15 | 43 | -18.4% |
| South Dakota | $78 | $200 | 26 | 153 | -18.6% |
| North Carolina | $75 | $835 | 204 | 458 | -21.3% |
| Missouri | $74 | $561 | 107 | 282 | -22.4% |
| New Mexico | $74 | $867 | 26 | 79 | -22.9% |
| Maine | $72 | $330 | 26 | 35 | -24.5% |
| Oklahoma | $71 | $320 | 51 | 106 | -26.4% |
| Nebraska | $69 | $504 | 80 | 343 | -27.6% |
| Montana | $68 | $535 | 12 | 30 | -28.6% |
| Ohio | $67 | $638 | 281 | 906 | -29.9% |
| Wyoming | $62 | $1,318 | 14 | 36 | -34.8% |
| West Virginia | $61 | $733 | 32 | 91 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber