64644

Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity

Medicare pricing data for 3,558 providers across 50 states

🤖AI Overview

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 chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity (HCPCS code 64644) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $150.35, but hospitals typically charge $551.62 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$30.07

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $150.35, your out-of-pocket cost would be approximately $30.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$150.35
Average Hospital Charge
$551.62
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$551.62
Medicare Allowed$150.35
Medicare Payment$113.28

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $113.28 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Connecticut$180$642461,064+19.9%
Hawaii$175$507952+16.7%
New York$175$8652392,318+16.1%
Rhode Island$172$5788112+14.5%
Nevada$171$49626178+13.9%
California$171$4742813,013+13.5%
District of Columbia$166$44624275+10.3%
Florida$165$5002381,978+9.5%
New Jersey$164$6141041,146+9.3%
Maryland$160$38461469+6.7%
Wyoming$160$572742+6.2%
Oregon$160$52540229+6.2%
Colorado$158$48675692+5.3%
Arizona$158$38958523+4.9%
Illinois$155$6301451,682+3.4%
South Carolina$155$44159632+3.0%
Massachusetts$152$5711081,496+1.2%
Alabama$151$38429330+0.3%
Virginia$149$44182784-0.6%
Delaware$149$34011192-0.9%
Louisiana$148$44859517-1.5%
Pennsylvania$148$4081661,564-1.6%
Tennessee$148$49271611-1.7%
Indiana$146$40788893-2.6%
Texas$145$5072242,120-3.4%
Ohio$144$4401461,500-4.0%
Georgia$144$51492661-4.4%
North Carolina$143$4801171,052-4.6%
Kansas$143$67138650-4.7%
Washington$142$43399919-5.3%
Utah$142$46622220-5.4%
Missouri$142$564951,654-5.4%
Oklahoma$142$35623221-5.5%
New Mexico$142$3111354-5.8%
Minnesota$140$706991,219-6.8%
Michigan$138$445135785-8.0%
Montana$138$29718165-8.2%
South Dakota$134$33717218-11.0%
Arkansas$133$42523176-11.6%
Iowa$130$47840673-13.4%
New Hampshire$130$65825219-13.8%
Nebraska$128$46026564-14.8%
West Virginia$121$4471495-19.3%
Mississippi$121$53228613-19.4%
Kentucky$121$37449377-19.6%
Wisconsin$121$1,279791,400-19.7%
North Dakota$116$29118194-23.2%
Idaho$111$30728234-26.0%
Maine$111$36020165-26.1%
Vermont$105$3441094-30.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber