64718

Release and/or relocation of elbow nerve

Medicare pricing data for 8,324 providers across 51 states

🤖AI Overview

This procedure has a 6.2x markup — hospitals charge $3,340 but Medicare allows only $539.79. Uninsured patients may face bills 6.2 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

Release and/or relocation of elbow nerve (HCPCS code 64718) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $539.79, but hospitals typically charge $3,340 — a 6.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$107.96

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $539.79, your out-of-pocket cost would be approximately $107.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$539.79
Average Hospital Charge
$3,340
Markup Ratio
6.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,340.24
Medicare Allowed$539.79
Medicare Payment$426.77

Hospitals charge 6.2x more than what Medicare allows for this procedure. Medicare actually pays $426.77 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$630$3,326161865+16.7%
New York$621$4,0063181,228+15.1%
New Jersey$615$6,562163623+13.9%
District of Columbia$609$2,5541257+12.8%
Rhode Island$608$3,04928147+12.7%
Connecticut$604$4,10197341+11.9%
California$603$3,9525972,051+11.8%
Massachusetts$601$3,693159813+11.4%
Alaska$593$8,13038144+9.9%
New Hampshire$577$4,53345215+6.9%
New Mexico$575$2,59840171+6.4%
Colorado$573$3,927158766+6.1%
Oregon$569$2,517122418+5.4%
Hawaii$562$2,6612057+4.1%
Michigan$557$2,846242805+3.2%
Pennsylvania$555$2,7333601,499+2.8%
Texas$553$3,3156062,702+2.4%
Oklahoma$552$1,818117584+2.3%
Washington$551$1,963199958+2.1%
Delaware$549$3,20127305+1.7%
Illinois$545$4,6553021,559+1.0%
Florida$544$3,8775623,009+0.8%
Vermont$542$1,9751772+0.5%
Minnesota$540$2,997192637+0.1%
Georgia$540$3,8122911,638-0.0%
Ohio$534$2,3823201,252-1.1%
Utah$529$3,25493435-2.0%
Idaho$527$2,64768299-2.3%
Virginia$526$3,1851941,031-2.5%
Maine$526$2,2883386-2.5%
Nevada$522$4,97152299-3.2%
Kentucky$521$2,526128475-3.5%
North Carolina$521$2,5712591,188-3.6%
Mississippi$520$3,08379379-3.6%
Missouri$513$3,295221962-4.9%
Louisiana$513$3,253155635-5.0%
Montana$509$2,00441291-5.7%
Wisconsin$504$5,363171540-6.5%
South Carolina$504$2,531134740-6.6%
Alabama$502$2,571141540-7.1%
Wyoming$498$3,36651222-7.7%
North Dakota$494$1,93625107-8.5%
West Virginia$489$1,79743152-9.4%
Tennessee$488$3,1622221,135-9.6%
Arkansas$488$1,90994533-9.6%
Indiana$487$3,7672571,234-9.8%
Arizona$476$3,570186926-11.7%
Iowa$474$2,48498502-12.2%
Kansas$471$2,559158757-12.8%
South Dakota$469$1,58948270-13.2%
Nebraska$415$2,245111643-23.1%

⚠️ 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