64488

Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance

Medicare pricing data for 16,492 providers across 51 states

🤖AI Overview

This procedure has a 16.4x markup — hospitals charge $1,092 but Medicare allows only $66.63. Uninsured patients may face bills 16.4 times higher than what insurance negotiates. 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 local anesthetic for abdominal wall pain control on both sides using imaging guidance (HCPCS code 64488) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $66.63, but hospitals typically charge $1,092 — a 16.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $66.63, your out-of-pocket cost would be approximately $13.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$66.63
Average Hospital Charge
$1,092
Markup Ratio
16.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,091.88
Medicare Allowed$66.63
Medicare Payment$52.87

Hospitals charge 16.4x more than what Medicare allows for this procedure. Medicare actually pays $52.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$91$1,31741157+36.3%
New York$73$1,4789883,225+9.8%
New Jersey$71$2,334242897+7.0%
District of Columbia$71$88958146+6.9%
Maryland$70$5903511,287+5.1%
Illinois$69$1,0756341,759+4.3%
Connecticut$69$9872451,090+3.9%
Virginia$69$1,4903061,218+3.7%
Massachusetts$69$7234151,346+3.6%
California$69$1,2491,4846,075+3.1%
Florida$69$9068793,286+2.9%
Delaware$68$9362785+1.4%
Michigan$67$1,2485321,798+1.2%
Nevada$67$1,4202461,328+0.8%
New Mexico$67$1,23896277+0.8%
Hawaii$67$1,18946103+0.8%
Washington$67$726349802+0.7%
Vermont$67$1,0842038+0.6%
New Hampshire$67$1,14699247+0.2%
Montana$67$52592208+0.2%
Rhode Island$67$1,10757148+0.1%
Arizona$67$9564831,860+0.0%
West Virginia$66$84663201-0.3%
Colorado$66$8043471,007-0.5%
Pennsylvania$66$9634841,633-0.5%
Texas$66$1,4051,4345,771-0.8%
Missouri$66$1,0643081,603-1.1%
Utah$66$7072371,151-1.2%
Maine$66$48185202-1.2%
Wyoming$66$1,3082471-1.2%
North Dakota$66$87046116-1.5%
Kentucky$65$8774001,644-2.0%
Georgia$65$1,0554152,101-2.3%
Oklahoma$65$1,0592401,022-2.7%
North Carolina$65$1,6174221,640-2.8%
Oregon$65$963220635-2.9%
Wisconsin$65$1,4762821,203-3.0%
Louisiana$65$980175954-3.1%
Mississippi$64$819184899-3.2%
South Carolina$64$1,0523091,528-3.3%
Alabama$64$4701801,082-3.3%
Minnesota$64$878280762-3.6%
Kansas$64$650227959-3.7%
Indiana$64$9695842,846-4.1%
South Dakota$64$1,0723558-4.2%
Idaho$63$1,21242116-4.8%
Arkansas$63$577204785-4.9%
Iowa$63$821165421-5.0%
Tennessee$63$1,1424131,956-5.7%
Ohio$62$9877213,032-6.9%
Nebraska$60$5441871,179-9.8%

⚠️ 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