Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance
Medicare pricing data for 8,134 providers across 51 states
This procedure has a 8.2x markup — hospitals charge $1,223 but Medicare allows only $149.88. Uninsured patients may face bills 8.2 times higher than what insurance negotiates. Prices vary significantly by location — from $83 in Hawaii to $259 in Alaska. 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 knee nerve branch using imaging guidance (HCPCS code 64454) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $149.88, but hospitals typically charge $1,223 — a 8.2x 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 $149.88, your out-of-pocket cost would be approximately $29.98. 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 8.2x more than what Medicare allows for this procedure. Medicare actually pays $115.99 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $259 | $3,109 | 8 | 40 | +73.0% |
| Washington | $182 | $684 | 122 | 525 | +21.2% |
| North Carolina | $180 | $835 | 252 | 1,500 | +20.2% |
| Virginia | $180 | $842 | 165 | 1,032 | +19.8% |
| New Jersey | $173 | $4,000 | 263 | 1,586 | +15.3% |
| Utah | $171 | $674 | 99 | 464 | +14.1% |
| Florida | $170 | $995 | 664 | 4,763 | +13.6% |
| South Carolina | $170 | $751 | 124 | 792 | +13.3% |
| Connecticut | $166 | $1,272 | 85 | 351 | +10.8% |
| Colorado | $165 | $1,524 | 131 | 693 | +9.8% |
| Oregon | $164 | $778 | 99 | 584 | +9.5% |
| Arizona | $164 | $1,062 | 217 | 1,511 | +9.3% |
| Nevada | $163 | $2,225 | 73 | 322 | +9.0% |
| Illinois | $160 | $1,020 | 310 | 2,143 | +6.5% |
| Maryland | $158 | $876 | 214 | 1,998 | +5.1% |
| New York | $157 | $2,214 | 463 | 4,138 | +4.9% |
| Kentucky | $157 | $786 | 119 | 933 | +4.8% |
| California | $155 | $1,700 | 717 | 3,954 | +3.4% |
| Delaware | $154 | $928 | 18 | 91 | +2.7% |
| Michigan | $153 | $811 | 218 | 799 | +1.9% |
| Iowa | $151 | $729 | 55 | 335 | +0.8% |
| Oklahoma | $150 | $469 | 104 | 933 | +0.3% |
| Massachusetts | $146 | $840 | 166 | 962 | -2.6% |
| New Mexico | $146 | $794 | 39 | 187 | -2.6% |
| Wisconsin | $144 | $1,761 | 177 | 1,183 | -3.7% |
| Vermont | $144 | $998 | 5 | 22 | -4.0% |
| Alabama | $142 | $609 | 77 | 288 | -5.1% |
| Texas | $142 | $1,308 | 856 | 5,204 | -5.5% |
| Tennessee | $138 | $800 | 135 | 1,070 | -7.8% |
| Wyoming | $137 | $794 | 13 | 62 | -8.4% |
| Georgia | $136 | $1,192 | 350 | 2,128 | -9.3% |
| Nebraska | $135 | $793 | 56 | 320 | -10.0% |
| Kansas | $134 | $1,048 | 77 | 419 | -10.3% |
| Montana | $134 | $614 | 21 | 94 | -10.5% |
| Minnesota | $132 | $891 | 139 | 866 | -12.1% |
| District of Columbia | $130 | $709 | 19 | 96 | -13.1% |
| Rhode Island | $130 | $652 | 24 | 275 | -13.6% |
| Missouri | $129 | $852 | 129 | 969 | -13.8% |
| Louisiana | $129 | $1,150 | 126 | 632 | -14.1% |
| Arkansas | $127 | $593 | 95 | 801 | -15.0% |
| Ohio | $125 | $592 | 297 | 1,805 | -16.3% |
| New Hampshire | $125 | $899 | 50 | 318 | -16.4% |
| Pennsylvania | $125 | $760 | 288 | 1,330 | -16.6% |
| South Dakota | $121 | $375 | 28 | 111 | -19.2% |
| Indiana | $120 | $1,171 | 194 | 1,220 | -19.8% |
| Maine | $117 | $319 | 26 | 141 | -22.0% |
| Mississippi | $107 | $837 | 123 | 1,320 | -28.8% |
| Idaho | $102 | $584 | 45 | 331 | -31.9% |
| West Virginia | $98 | $742 | 32 | 186 | -34.5% |
| North Dakota | $93 | $617 | 8 | 40 | -38.0% |
| Hawaii | $83 | $912 | 5 | 60 | -44.4% |
⚠️ 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