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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $91 | $1,317 | 41 | 157 | +36.3% |
| New York | $73 | $1,478 | 988 | 3,225 | +9.8% |
| New Jersey | $71 | $2,334 | 242 | 897 | +7.0% |
| District of Columbia | $71 | $889 | 58 | 146 | +6.9% |
| Maryland | $70 | $590 | 351 | 1,287 | +5.1% |
| Illinois | $69 | $1,075 | 634 | 1,759 | +4.3% |
| Connecticut | $69 | $987 | 245 | 1,090 | +3.9% |
| Virginia | $69 | $1,490 | 306 | 1,218 | +3.7% |
| Massachusetts | $69 | $723 | 415 | 1,346 | +3.6% |
| California | $69 | $1,249 | 1,484 | 6,075 | +3.1% |
| Florida | $69 | $906 | 879 | 3,286 | +2.9% |
| Delaware | $68 | $936 | 27 | 85 | +1.4% |
| Michigan | $67 | $1,248 | 532 | 1,798 | +1.2% |
| Nevada | $67 | $1,420 | 246 | 1,328 | +0.8% |
| New Mexico | $67 | $1,238 | 96 | 277 | +0.8% |
| Hawaii | $67 | $1,189 | 46 | 103 | +0.8% |
| Washington | $67 | $726 | 349 | 802 | +0.7% |
| Vermont | $67 | $1,084 | 20 | 38 | +0.6% |
| New Hampshire | $67 | $1,146 | 99 | 247 | +0.2% |
| Montana | $67 | $525 | 92 | 208 | +0.2% |
| Rhode Island | $67 | $1,107 | 57 | 148 | +0.1% |
| Arizona | $67 | $956 | 483 | 1,860 | +0.0% |
| West Virginia | $66 | $846 | 63 | 201 | -0.3% |
| Colorado | $66 | $804 | 347 | 1,007 | -0.5% |
| Pennsylvania | $66 | $963 | 484 | 1,633 | -0.5% |
| Texas | $66 | $1,405 | 1,434 | 5,771 | -0.8% |
| Missouri | $66 | $1,064 | 308 | 1,603 | -1.1% |
| Utah | $66 | $707 | 237 | 1,151 | -1.2% |
| Maine | $66 | $481 | 85 | 202 | -1.2% |
| Wyoming | $66 | $1,308 | 24 | 71 | -1.2% |
| North Dakota | $66 | $870 | 46 | 116 | -1.5% |
| Kentucky | $65 | $877 | 400 | 1,644 | -2.0% |
| Georgia | $65 | $1,055 | 415 | 2,101 | -2.3% |
| Oklahoma | $65 | $1,059 | 240 | 1,022 | -2.7% |
| North Carolina | $65 | $1,617 | 422 | 1,640 | -2.8% |
| Oregon | $65 | $963 | 220 | 635 | -2.9% |
| Wisconsin | $65 | $1,476 | 282 | 1,203 | -3.0% |
| Louisiana | $65 | $980 | 175 | 954 | -3.1% |
| Mississippi | $64 | $819 | 184 | 899 | -3.2% |
| South Carolina | $64 | $1,052 | 309 | 1,528 | -3.3% |
| Alabama | $64 | $470 | 180 | 1,082 | -3.3% |
| Minnesota | $64 | $878 | 280 | 762 | -3.6% |
| Kansas | $64 | $650 | 227 | 959 | -3.7% |
| Indiana | $64 | $969 | 584 | 2,846 | -4.1% |
| South Dakota | $64 | $1,072 | 35 | 58 | -4.2% |
| Idaho | $63 | $1,212 | 42 | 116 | -4.8% |
| Arkansas | $63 | $577 | 204 | 785 | -4.9% |
| Iowa | $63 | $821 | 165 | 421 | -5.0% |
| Tennessee | $63 | $1,142 | 413 | 1,956 | -5.7% |
| Ohio | $62 | $987 | 721 | 3,032 | -6.9% |
| Nebraska | $60 | $544 | 187 | 1,179 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber