64421

Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block

Medicare pricing data for 3,621 providers across 47 states

🤖AI Overview

This procedure has a 10.6x markup — hospitals charge $823.01 but Medicare allows only $77.50. Uninsured patients may face bills 10.6 times higher than what insurance negotiates. Prices vary significantly by location — from $25 in West Virginia to $168 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 multiple rib nerves for regional nerve block (HCPCS code 64421) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $77.50, but hospitals typically charge $823.01 — a 10.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.50

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $77.50, your out-of-pocket cost would be approximately $15.50. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$77.50
Average Hospital Charge
$823.01
Markup Ratio
10.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$823.01
Medicare Allowed$77.50
Medicare Payment$61.31

Hospitals charge 10.6x more than what Medicare allows for this procedure. Medicare actually pays $61.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$168$1,0783623,147+117.1%
Kentucky$141$1,32565540+81.4%
Georgia$121$1,273133592+56.2%
Wyoming$119$981722+53.2%
Nevada$114$1,4722998+47.1%
Mississippi$95$67735175+23.0%
Tennessee$95$66874367+22.4%
Washington$93$52052193+19.9%
North Dakota$87$8061358+12.2%
Maryland$82$68985217+5.3%
New Hampshire$81$8281942+4.9%
Minnesota$80$84475315+3.4%
Arkansas$78$44844185+0.8%
New Jersey$72$1,96492426-6.5%
Arizona$69$711110433-11.4%
Illinois$63$1,114190782-19.1%
Indiana$60$75589426-22.0%
Wisconsin$60$1,08761281-22.4%
Ohio$59$423137587-23.6%
Texas$56$1,0582931,278-27.6%
Connecticut$56$1,0682675-27.8%
Utah$54$34140223-30.1%
Oregon$54$52649135-30.5%
Massachusetts$52$74098345-32.5%
Missouri$52$72558264-33.0%
Michigan$52$566141660-33.3%
Colorado$51$80744278-33.7%
Nebraska$49$52642267-36.3%
Idaho$49$5292866-36.8%
Delaware$48$9472085-37.6%
South Carolina$47$66851216-39.0%
Kansas$46$1,00146255-41.0%
New York$45$4351831,037-41.7%
Florida$44$5752701,457-42.7%
Virginia$44$54372314-43.6%
Alaska$42$2,3006126-45.3%
Louisiana$35$1,48320127-54.8%
Pennsylvania$35$4501361,007-55.3%
Puerto Rico$34$362231-56.4%
Iowa$33$65131114-56.9%
Rhode Island$32$395379-58.4%
Alabama$31$35327215-59.6%
North Carolina$30$836102323-61.3%
District of Columbia$27$783624-65.2%
South Dakota$27$8315148-65.3%
Oklahoma$27$37940107-65.4%
West Virginia$25$64223132-67.9%

⚠️ 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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