64445

Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)

Medicare pricing data for 19,325 providers across 52 states

🤖AI Overview

This procedure has a 5.0x markup — hospitals charge $659.67 but Medicare allows only $130.69. Uninsured patients may face bills 5.0 times higher than what insurance negotiates. Prices vary significantly by location — from $66 in Idaho to $192 in Texas. 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 lower back and leg nerve (sciatic nerve) (HCPCS code 64445) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $130.69, but hospitals typically charge $659.67 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $130.69, your out-of-pocket cost would be approximately $26.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$130.69
Average Hospital Charge
$659.67
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$659.67
Medicare Allowed$130.69
Medicare Payment$102.69

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $102.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Texas$192$4411,50827,624+47.2%
New York$155$6848825,238+18.5%
Florida$153$6751,2119,283+16.7%
Louisiana$146$6652131,273+11.6%
New Jersey$139$1,1723681,585+6.5%
Puerto Rico$130$665829-0.2%
Rhode Island$129$49749258-1.0%
California$126$7251,7668,484-3.7%
Nebraska$123$438191939-5.8%
Pennsylvania$113$6927082,589-13.4%
Michigan$108$8416192,295-17.1%
Delaware$106$75061259-18.9%
Alabama$102$5061771,182-22.1%
Maryland$98$5923771,581-24.9%
Hawaii$97$63735116-26.0%
Oklahoma$95$5493032,112-27.2%
Virginia$94$7574621,698-28.0%
Alaska$91$1,15448142-30.4%
Minnesota$88$9164241,354-32.5%
North Carolina$88$8906082,612-32.6%
New Hampshire$88$859135518-32.9%
Arizona$87$8245581,859-33.2%
West Virginia$86$63073363-33.8%
Ohio$85$5977442,559-34.6%
Connecticut$85$1,138224653-35.0%
Kentucky$84$6253321,576-35.6%
Washington$84$5265511,350-35.8%
Illinois$84$1,0037621,799-35.9%
Colorado$84$9284471,311-36.0%
Kansas$83$7852531,123-36.7%
Arkansas$83$859120579-36.8%
Indiana$82$8005702,163-37.4%
Georgia$78$9075071,632-40.1%
District of Columbia$78$61793260-40.1%
New Mexico$78$1,055126256-40.1%
Massachusetts$78$6105091,378-40.7%
Mississippi$76$557150469-41.6%
Nevada$76$999201696-42.2%
Utah$75$668248648-42.4%
Missouri$75$8604091,383-42.6%
South Carolina$75$8373831,612-42.8%
Wisconsin$74$1,154367914-43.4%
Tennessee$73$6054721,768-43.9%
Montana$72$638108350-44.9%
Oregon$71$722332802-45.7%
Maine$71$560110204-45.7%
Vermont$70$7452897-46.2%
North Dakota$70$55140123-46.6%
Iowa$70$842206452-46.6%
Wyoming$69$95743168-47.3%
South Dakota$67$31071276-49.1%
Idaho$66$722107365-49.3%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber