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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Texas | $192 | $441 | 1,508 | 27,624 | +47.2% |
| New York | $155 | $684 | 882 | 5,238 | +18.5% |
| Florida | $153 | $675 | 1,211 | 9,283 | +16.7% |
| Louisiana | $146 | $665 | 213 | 1,273 | +11.6% |
| New Jersey | $139 | $1,172 | 368 | 1,585 | +6.5% |
| Puerto Rico | $130 | $665 | 8 | 29 | -0.2% |
| Rhode Island | $129 | $497 | 49 | 258 | -1.0% |
| California | $126 | $725 | 1,766 | 8,484 | -3.7% |
| Nebraska | $123 | $438 | 191 | 939 | -5.8% |
| Pennsylvania | $113 | $692 | 708 | 2,589 | -13.4% |
| Michigan | $108 | $841 | 619 | 2,295 | -17.1% |
| Delaware | $106 | $750 | 61 | 259 | -18.9% |
| Alabama | $102 | $506 | 177 | 1,182 | -22.1% |
| Maryland | $98 | $592 | 377 | 1,581 | -24.9% |
| Hawaii | $97 | $637 | 35 | 116 | -26.0% |
| Oklahoma | $95 | $549 | 303 | 2,112 | -27.2% |
| Virginia | $94 | $757 | 462 | 1,698 | -28.0% |
| Alaska | $91 | $1,154 | 48 | 142 | -30.4% |
| Minnesota | $88 | $916 | 424 | 1,354 | -32.5% |
| North Carolina | $88 | $890 | 608 | 2,612 | -32.6% |
| New Hampshire | $88 | $859 | 135 | 518 | -32.9% |
| Arizona | $87 | $824 | 558 | 1,859 | -33.2% |
| West Virginia | $86 | $630 | 73 | 363 | -33.8% |
| Ohio | $85 | $597 | 744 | 2,559 | -34.6% |
| Connecticut | $85 | $1,138 | 224 | 653 | -35.0% |
| Kentucky | $84 | $625 | 332 | 1,576 | -35.6% |
| Washington | $84 | $526 | 551 | 1,350 | -35.8% |
| Illinois | $84 | $1,003 | 762 | 1,799 | -35.9% |
| Colorado | $84 | $928 | 447 | 1,311 | -36.0% |
| Kansas | $83 | $785 | 253 | 1,123 | -36.7% |
| Arkansas | $83 | $859 | 120 | 579 | -36.8% |
| Indiana | $82 | $800 | 570 | 2,163 | -37.4% |
| Georgia | $78 | $907 | 507 | 1,632 | -40.1% |
| District of Columbia | $78 | $617 | 93 | 260 | -40.1% |
| New Mexico | $78 | $1,055 | 126 | 256 | -40.1% |
| Massachusetts | $78 | $610 | 509 | 1,378 | -40.7% |
| Mississippi | $76 | $557 | 150 | 469 | -41.6% |
| Nevada | $76 | $999 | 201 | 696 | -42.2% |
| Utah | $75 | $668 | 248 | 648 | -42.4% |
| Missouri | $75 | $860 | 409 | 1,383 | -42.6% |
| South Carolina | $75 | $837 | 383 | 1,612 | -42.8% |
| Wisconsin | $74 | $1,154 | 367 | 914 | -43.4% |
| Tennessee | $73 | $605 | 472 | 1,768 | -43.9% |
| Montana | $72 | $638 | 108 | 350 | -44.9% |
| Oregon | $71 | $722 | 332 | 802 | -45.7% |
| Maine | $71 | $560 | 110 | 204 | -45.7% |
| Vermont | $70 | $745 | 28 | 97 | -46.2% |
| North Dakota | $70 | $551 | 40 | 123 | -46.6% |
| Iowa | $70 | $842 | 206 | 452 | -46.6% |
| Wyoming | $69 | $957 | 43 | 168 | -47.3% |
| South Dakota | $67 | $310 | 71 | 276 | -49.1% |
| Idaho | $66 | $722 | 107 | 365 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber