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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $168 | $1,078 | 362 | 3,147 | +117.1% |
| Kentucky | $141 | $1,325 | 65 | 540 | +81.4% |
| Georgia | $121 | $1,273 | 133 | 592 | +56.2% |
| Wyoming | $119 | $981 | 7 | 22 | +53.2% |
| Nevada | $114 | $1,472 | 29 | 98 | +47.1% |
| Mississippi | $95 | $677 | 35 | 175 | +23.0% |
| Tennessee | $95 | $668 | 74 | 367 | +22.4% |
| Washington | $93 | $520 | 52 | 193 | +19.9% |
| North Dakota | $87 | $806 | 13 | 58 | +12.2% |
| Maryland | $82 | $689 | 85 | 217 | +5.3% |
| New Hampshire | $81 | $828 | 19 | 42 | +4.9% |
| Minnesota | $80 | $844 | 75 | 315 | +3.4% |
| Arkansas | $78 | $448 | 44 | 185 | +0.8% |
| New Jersey | $72 | $1,964 | 92 | 426 | -6.5% |
| Arizona | $69 | $711 | 110 | 433 | -11.4% |
| Illinois | $63 | $1,114 | 190 | 782 | -19.1% |
| Indiana | $60 | $755 | 89 | 426 | -22.0% |
| Wisconsin | $60 | $1,087 | 61 | 281 | -22.4% |
| Ohio | $59 | $423 | 137 | 587 | -23.6% |
| Texas | $56 | $1,058 | 293 | 1,278 | -27.6% |
| Connecticut | $56 | $1,068 | 26 | 75 | -27.8% |
| Utah | $54 | $341 | 40 | 223 | -30.1% |
| Oregon | $54 | $526 | 49 | 135 | -30.5% |
| Massachusetts | $52 | $740 | 98 | 345 | -32.5% |
| Missouri | $52 | $725 | 58 | 264 | -33.0% |
| Michigan | $52 | $566 | 141 | 660 | -33.3% |
| Colorado | $51 | $807 | 44 | 278 | -33.7% |
| Nebraska | $49 | $526 | 42 | 267 | -36.3% |
| Idaho | $49 | $529 | 28 | 66 | -36.8% |
| Delaware | $48 | $947 | 20 | 85 | -37.6% |
| South Carolina | $47 | $668 | 51 | 216 | -39.0% |
| Kansas | $46 | $1,001 | 46 | 255 | -41.0% |
| New York | $45 | $435 | 183 | 1,037 | -41.7% |
| Florida | $44 | $575 | 270 | 1,457 | -42.7% |
| Virginia | $44 | $543 | 72 | 314 | -43.6% |
| Alaska | $42 | $2,300 | 6 | 126 | -45.3% |
| Louisiana | $35 | $1,483 | 20 | 127 | -54.8% |
| Pennsylvania | $35 | $450 | 136 | 1,007 | -55.3% |
| Puerto Rico | $34 | $36 | 2 | 231 | -56.4% |
| Iowa | $33 | $651 | 31 | 114 | -56.9% |
| Rhode Island | $32 | $395 | 3 | 79 | -58.4% |
| Alabama | $31 | $353 | 27 | 215 | -59.6% |
| North Carolina | $30 | $836 | 102 | 323 | -61.3% |
| District of Columbia | $27 | $783 | 6 | 24 | -65.2% |
| South Dakota | $27 | $83 | 15 | 148 | -65.3% |
| Oklahoma | $27 | $379 | 40 | 107 | -65.4% |
| West Virginia | $25 | $642 | 23 | 132 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber