64624

Destruction of nerve branches of knee using imaging guidance

Medicare pricing data for 6,207 providers across 51 states

🤖AI Overview

This procedure has a 5.8x markup — hospitals charge $2,112 but Medicare allows only $366.70. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $160 in West Virginia to $540 in Connecticut. 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

Destruction of nerve branches of knee using imaging guidance (HCPCS code 64624) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $366.70, but hospitals typically charge $2,112 — a 5.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$73.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $366.70, your out-of-pocket cost would be approximately $73.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$366.70
Average Hospital Charge
$2,112
Markup Ratio
5.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,112.23
Medicare Allowed$366.70
Medicare Payment$287.82

Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $287.82 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Connecticut$540$2,86647433+47.2%
Nevada$485$3,19059288+32.3%
Wyoming$478$2,281827+30.4%
Maryland$475$2,1511731,143+29.6%
California$473$3,0694992,559+28.9%
New Jersey$472$8,227188849+28.8%
Alaska$455$5,259649+24.2%
Oregon$441$1,75591544+20.3%
New York$425$2,1823071,560+15.8%
Arizona$420$1,7001981,011+14.5%
Georgia$418$2,2432601,448+14.1%
Colorado$400$2,580119466+9.1%
Washington$383$1,27293400+4.6%
Florida$383$2,0765402,701+4.4%
Arkansas$378$1,23574521+3.0%
Indiana$376$2,492152640+2.4%
Tennessee$373$1,823115658+1.8%
Idaho$373$1,14726148+1.6%
Texas$370$2,5496253,290+0.8%
Mississippi$369$1,53963638+0.6%
Kentucky$369$1,41583487+0.6%
Delaware$367$1,84123236+0.2%
Minnesota$361$1,988107563-1.4%
New Mexico$359$1,32933122-2.1%
South Carolina$355$1,646100720-3.1%
Virginia$344$1,247113704-6.2%
Michigan$337$1,509157570-8.2%
Iowa$327$1,46047223-10.9%
Louisiana$326$1,714110699-11.1%
Illinois$321$1,7242491,650-12.5%
Utah$308$1,30682398-15.9%
Missouri$306$1,556107693-16.6%
South Dakota$293$9161663-20.0%
Montana$292$1,3891453-20.3%
Rhode Island$292$1,80111146-20.4%
North Carolina$287$1,1911821,040-21.6%
New Hampshire$285$1,52034220-22.2%
Pennsylvania$283$1,193217928-22.9%
Wisconsin$281$2,9411571,177-23.4%
Kansas$272$1,40361430-26.0%
Nebraska$267$1,46053364-27.1%
Ohio$267$1,0832401,117-27.3%
Hawaii$266$1,160821-27.5%
Alabama$259$87459269-29.3%
Massachusetts$256$1,369113436-30.3%
Vermont$255$1,766627-30.5%
North Dakota$230$1,3911033-37.3%
Oklahoma$225$1,01493792-38.6%
District of Columbia$223$1,0592169-39.2%
Maine$185$48418112-49.6%
West Virginia$160$54223106-56.3%

⚠️ 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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