Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level
Medicare pricing data for 4,292 providers across 50 states
This procedure has a 7.0x markup — hospitals charge $1,809 but Medicare allows only $259.02. Uninsured patients may face bills 7.0 times higher than what insurance negotiates. Prices vary significantly by location — from $118 in West Virginia to $342 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 and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS code 64479) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $259.02, but hospitals typically charge $1,809 — a 7.0x 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 $259.02, your out-of-pocket cost would be approximately $51.80. 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 7.0x more than what Medicare allows for this procedure. Medicare actually pays $202.24 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $342 | $2,505 | 17 | 115 | +32.1% |
| Nevada | $300 | $3,298 | 94 | 1,858 | +15.8% |
| California | $299 | $3,279 | 421 | 5,134 | +15.6% |
| New Jersey | $291 | $3,642 | 125 | 934 | +12.3% |
| Oregon | $291 | $1,316 | 81 | 1,138 | +12.2% |
| Florida | $288 | $1,590 | 272 | 2,438 | +11.2% |
| New York | $287 | $1,778 | 164 | 1,313 | +10.9% |
| Connecticut | $285 | $1,153 | 25 | 142 | +9.8% |
| Virginia | $282 | $1,600 | 60 | 811 | +9.0% |
| Delaware | $282 | $1,314 | 22 | 622 | +8.9% |
| Rhode Island | $281 | $1,663 | 4 | 48 | +8.4% |
| South Carolina | $272 | $1,179 | 50 | 500 | +4.9% |
| Pennsylvania | $269 | $1,202 | 167 | 1,455 | +3.9% |
| Arizona | $268 | $1,451 | 133 | 962 | +3.6% |
| Maryland | $268 | $1,445 | 132 | 1,752 | +3.6% |
| District of Columbia | $267 | $883 | 3 | 22 | +2.9% |
| Puerto Rico | $263 | $268 | 7 | 17 | +1.7% |
| Georgia | $262 | $1,845 | 176 | 832 | +1.2% |
| Massachusetts | $259 | $1,647 | 67 | 740 | -0.1% |
| Washington | $257 | $984 | 114 | 1,296 | -0.7% |
| Minnesota | $255 | $1,397 | 133 | 758 | -1.5% |
| Illinois | $252 | $1,770 | 96 | 688 | -2.7% |
| Colorado | $251 | $2,456 | 136 | 1,267 | -3.1% |
| Idaho | $247 | $1,020 | 36 | 155 | -4.7% |
| New Hampshire | $245 | $1,407 | 15 | 213 | -5.2% |
| North Carolina | $245 | $948 | 134 | 1,924 | -5.5% |
| Tennessee | $242 | $1,408 | 102 | 894 | -6.7% |
| Mississippi | $242 | $1,439 | 48 | 708 | -6.8% |
| Montana | $242 | $869 | 24 | 216 | -6.8% |
| New Mexico | $236 | $1,103 | 18 | 40 | -9.0% |
| Arkansas | $234 | $1,439 | 35 | 418 | -9.8% |
| Indiana | $233 | $1,756 | 125 | 1,243 | -10.1% |
| Michigan | $232 | $1,048 | 108 | 414 | -10.5% |
| Ohio | $230 | $1,169 | 116 | 1,700 | -11.1% |
| Kentucky | $229 | $947 | 34 | 92 | -11.4% |
| Utah | $227 | $940 | 70 | 382 | -12.5% |
| Texas | $226 | $1,752 | 363 | 2,652 | -12.6% |
| Oklahoma | $226 | $699 | 33 | 152 | -12.8% |
| Missouri | $224 | $1,116 | 77 | 808 | -13.3% |
| Wyoming | $214 | $1,155 | 24 | 174 | -17.2% |
| Alabama | $212 | $1,005 | 79 | 1,005 | -18.2% |
| Louisiana | $212 | $1,605 | 102 | 1,667 | -18.2% |
| Nebraska | $209 | $1,173 | 34 | 255 | -19.3% |
| Kansas | $204 | $1,004 | 35 | 351 | -21.1% |
| Wisconsin | $199 | $2,127 | 88 | 575 | -23.2% |
| Iowa | $198 | $1,369 | 18 | 73 | -23.6% |
| North Dakota | $168 | $689 | 18 | 73 | -35.2% |
| Vermont | $166 | $1,265 | 3 | 20 | -36.0% |
| South Dakota | $157 | $395 | 13 | 72 | -39.5% |
| West Virginia | $118 | $469 | 11 | 57 | -54.5% |
⚠️ 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