64484

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level

Medicare pricing data for 10,421 providers across 52 states

🤖AI Overview

This procedure has a 7.4x markup — hospitals charge $625.37 but Medicare allows only $85.05. Uninsured patients may face bills 7.4 times higher than what insurance negotiates. Prices vary significantly by location — from $50 in North Dakota to $120 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 sacral spine nerve root using imaging guidance, each additional level (HCPCS code 64484) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $85.05, but hospitals typically charge $625.37 — a 7.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $85.05, your out-of-pocket cost would be approximately $17.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$85.05
Average Hospital Charge
$625.37
Markup Ratio
7.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$625.37
Medicare Allowed$85.05
Medicare Payment$67.50

Hospitals charge 7.4x more than what Medicare allows for this procedure. Medicare actually pays $67.50 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$120$1,53824407+41.6%
New York$111$90065516,964+30.5%
Virginia$109$57021210,774+28.0%
Puerto Rico$106$12724536+24.6%
Florida$105$53695830,813+23.5%
Utah$98$3801574,154+15.0%
North Carolina$94$4693238,333+11.1%
Connecticut$91$638992,233+7.0%
Maine$91$20020161+6.7%
South Carolina$91$4861507,172+6.7%
New Mexico$89$724551,018+5.0%
Arizona$89$39528312,815+4.8%
Michigan$88$5463045,157+3.4%
Massachusetts$86$6322365,511+1.1%
New Jersey$86$2,19144610,293+1.1%
Illinois$84$63137111,379-1.4%
California$82$7121,02130,416-3.3%
Oklahoma$82$4311313,577-3.7%
Nebraska$81$373661,654-4.4%
New Hampshire$81$42142886-4.6%
Kentucky$81$3461102,761-5.0%
Iowa$80$498651,013-5.7%
Texas$80$58095725,845-6.0%
District of Columbia$79$57222401-7.0%
Rhode Island$79$86926524-7.1%
Hawaii$79$23615157-7.5%
Oregon$76$3401121,381-10.2%
Delaware$76$759462,514-10.6%
Pennsylvania$76$48943210,373-10.9%
Georgia$76$61437510,064-11.1%
Tennessee$75$3661844,377-12.0%
Alabama$74$3121524,339-13.4%
Colorado$73$6701954,611-14.2%
Washington$73$3131612,643-14.3%
Maryland$73$4102339,359-14.5%
Minnesota$72$4651311,334-15.3%
Nevada$71$1,1641152,570-16.5%
Ohio$70$3593437,440-18.2%
Missouri$67$5191493,090-21.8%
Arkansas$66$334861,893-22.8%
Wyoming$65$55620515-24.1%
Indiana$64$6342074,020-24.3%
Montana$64$24828465-24.5%
Louisiana$63$6121805,513-26.3%
Idaho$62$38567996-26.8%
West Virginia$62$24035726-27.0%
Wisconsin$61$7631832,274-28.6%
Mississippi$55$501813,559-35.2%
South Dakota$54$36523363-36.2%
Vermont$53$3791061-37.3%
Kansas$50$348872,928-40.7%
North Dakota$50$33512247-40.9%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber