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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $120 | $1,538 | 24 | 407 | +41.6% |
| New York | $111 | $900 | 655 | 16,964 | +30.5% |
| Virginia | $109 | $570 | 212 | 10,774 | +28.0% |
| Puerto Rico | $106 | $127 | 24 | 536 | +24.6% |
| Florida | $105 | $536 | 958 | 30,813 | +23.5% |
| Utah | $98 | $380 | 157 | 4,154 | +15.0% |
| North Carolina | $94 | $469 | 323 | 8,333 | +11.1% |
| Connecticut | $91 | $638 | 99 | 2,233 | +7.0% |
| Maine | $91 | $200 | 20 | 161 | +6.7% |
| South Carolina | $91 | $486 | 150 | 7,172 | +6.7% |
| New Mexico | $89 | $724 | 55 | 1,018 | +5.0% |
| Arizona | $89 | $395 | 283 | 12,815 | +4.8% |
| Michigan | $88 | $546 | 304 | 5,157 | +3.4% |
| Massachusetts | $86 | $632 | 236 | 5,511 | +1.1% |
| New Jersey | $86 | $2,191 | 446 | 10,293 | +1.1% |
| Illinois | $84 | $631 | 371 | 11,379 | -1.4% |
| California | $82 | $712 | 1,021 | 30,416 | -3.3% |
| Oklahoma | $82 | $431 | 131 | 3,577 | -3.7% |
| Nebraska | $81 | $373 | 66 | 1,654 | -4.4% |
| New Hampshire | $81 | $421 | 42 | 886 | -4.6% |
| Kentucky | $81 | $346 | 110 | 2,761 | -5.0% |
| Iowa | $80 | $498 | 65 | 1,013 | -5.7% |
| Texas | $80 | $580 | 957 | 25,845 | -6.0% |
| District of Columbia | $79 | $572 | 22 | 401 | -7.0% |
| Rhode Island | $79 | $869 | 26 | 524 | -7.1% |
| Hawaii | $79 | $236 | 15 | 157 | -7.5% |
| Oregon | $76 | $340 | 112 | 1,381 | -10.2% |
| Delaware | $76 | $759 | 46 | 2,514 | -10.6% |
| Pennsylvania | $76 | $489 | 432 | 10,373 | -10.9% |
| Georgia | $76 | $614 | 375 | 10,064 | -11.1% |
| Tennessee | $75 | $366 | 184 | 4,377 | -12.0% |
| Alabama | $74 | $312 | 152 | 4,339 | -13.4% |
| Colorado | $73 | $670 | 195 | 4,611 | -14.2% |
| Washington | $73 | $313 | 161 | 2,643 | -14.3% |
| Maryland | $73 | $410 | 233 | 9,359 | -14.5% |
| Minnesota | $72 | $465 | 131 | 1,334 | -15.3% |
| Nevada | $71 | $1,164 | 115 | 2,570 | -16.5% |
| Ohio | $70 | $359 | 343 | 7,440 | -18.2% |
| Missouri | $67 | $519 | 149 | 3,090 | -21.8% |
| Arkansas | $66 | $334 | 86 | 1,893 | -22.8% |
| Wyoming | $65 | $556 | 20 | 515 | -24.1% |
| Indiana | $64 | $634 | 207 | 4,020 | -24.3% |
| Montana | $64 | $248 | 28 | 465 | -24.5% |
| Louisiana | $63 | $612 | 180 | 5,513 | -26.3% |
| Idaho | $62 | $385 | 67 | 996 | -26.8% |
| West Virginia | $62 | $240 | 35 | 726 | -27.0% |
| Wisconsin | $61 | $763 | 183 | 2,274 | -28.6% |
| Mississippi | $55 | $501 | 81 | 3,559 | -35.2% |
| South Dakota | $54 | $365 | 23 | 363 | -36.2% |
| Vermont | $53 | $379 | 10 | 61 | -37.3% |
| Kansas | $50 | $348 | 87 | 2,928 | -40.7% |
| North Dakota | $50 | $335 | 12 | 247 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber