Destruction of peripheral nerve or branch
Medicare pricing data for 5,272 providers across 51 states
This procedure has a 6.2x markup — hospitals charge $833.87 but Medicare allows only $134.70. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. Prices vary significantly by location — from $75 in North Dakota to $218 in Virginia. 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 peripheral nerve or branch (HCPCS code 64640) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $134.70, but hospitals typically charge $833.87 — a 6.2x 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 $134.70, your out-of-pocket cost would be approximately $26.94. 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 6.2x more than what Medicare allows for this procedure. Medicare actually pays $105.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Virginia | $218 | $605 | 89 | 1,096 | +62.2% |
| District of Columbia | $199 | $800 | 4 | 92 | +47.5% |
| Maryland | $188 | $715 | 114 | 2,068 | +39.7% |
| North Carolina | $179 | $655 | 135 | 1,361 | +32.9% |
| New Jersey | $176 | $2,223 | 138 | 1,121 | +30.3% |
| New York | $174 | $811 | 302 | 4,350 | +28.9% |
| California | $171 | $857 | 423 | 7,085 | +26.8% |
| Alaska | $166 | $1,222 | 11 | 188 | +23.4% |
| Puerto Rico | $159 | $254 | 3 | 96 | +18.0% |
| South Carolina | $158 | $791 | 110 | 1,898 | +16.9% |
| New Mexico | $156 | $740 | 32 | 422 | +16.0% |
| Colorado | $152 | $850 | 103 | 1,110 | +13.0% |
| Massachusetts | $152 | $947 | 111 | 1,669 | +12.5% |
| Tennessee | $151 | $926 | 96 | 1,142 | +11.9% |
| Utah | $148 | $583 | 75 | 1,666 | +9.7% |
| Florida | $146 | $882 | 430 | 5,377 | +8.1% |
| Illinois | $145 | $1,010 | 193 | 2,946 | +7.9% |
| Texas | $143 | $1,003 | 575 | 8,407 | +6.0% |
| Alabama | $141 | $422 | 53 | 1,336 | +4.4% |
| Arizona | $139 | $1,186 | 187 | 3,699 | +3.5% |
| Georgia | $139 | $856 | 164 | 1,917 | +2.9% |
| Hawaii | $138 | $490 | 12 | 81 | +2.5% |
| Delaware | $138 | $1,248 | 26 | 1,052 | +2.5% |
| Oregon | $137 | $689 | 62 | 1,119 | +1.7% |
| Nevada | $134 | $1,340 | 74 | 1,355 | -0.2% |
| Kentucky | $124 | $602 | 70 | 1,001 | -8.3% |
| Kansas | $123 | $562 | 47 | 836 | -8.6% |
| Washington | $121 | $771 | 77 | 1,235 | -10.3% |
| Michigan | $117 | $666 | 124 | 1,309 | -13.0% |
| Ohio | $117 | $424 | 161 | 2,266 | -13.4% |
| Wisconsin | $114 | $1,772 | 123 | 1,228 | -15.6% |
| Minnesota | $112 | $1,047 | 70 | 524 | -17.0% |
| Mississippi | $109 | $828 | 51 | 3,014 | -19.0% |
| Pennsylvania | $109 | $528 | 223 | 4,938 | -19.4% |
| New Hampshire | $108 | $627 | 26 | 1,434 | -19.5% |
| South Dakota | $105 | $340 | 26 | 626 | -21.7% |
| Maine | $104 | $994 | 16 | 243 | -22.8% |
| Missouri | $103 | $966 | 87 | 1,398 | -23.7% |
| Rhode Island | $98 | $818 | 16 | 277 | -27.0% |
| Louisiana | $97 | $728 | 110 | 2,644 | -27.7% |
| Arkansas | $96 | $460 | 64 | 1,434 | -28.9% |
| Iowa | $92 | $528 | 42 | 767 | -31.6% |
| Connecticut | $92 | $1,648 | 45 | 1,377 | -31.7% |
| Nebraska | $91 | $506 | 65 | 1,933 | -32.8% |
| Indiana | $90 | $855 | 93 | 1,202 | -32.9% |
| Montana | $90 | $833 | 10 | 65 | -33.4% |
| Oklahoma | $88 | $457 | 113 | 4,223 | -34.3% |
| Idaho | $88 | $667 | 31 | 254 | -34.7% |
| West Virginia | $82 | $503 | 16 | 164 | -39.2% |
| Vermont | $76 | $648 | 6 | 242 | -43.6% |
| North Dakota | $75 | $771 | 4 | 88 | -44.2% |
⚠️ 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