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Procedure price report · Other non-OR or closed therapeutic nervous system procedures

Nerve block injection into the vagus nerve

CPT 64408the billing code this page is about

Injection of numbing medicine and/or steroid around the vagus nerve in the neck.

Hospitals typically charge $406 cash for this outpatient procedure — the median across 580 hospitals that filed a usable cash price; the average of the middle 60% is $468. Most fall between $208 and $946 (20th–80th percentile).

Hospitals
580
States
49
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 580 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$148$226$406$730$1,325

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($148 vs $1,325).

How the prices are spread

$92 – $129: 20 hospitals$92$129 – $181: 36 hospitals$181 – $254: 74 hospitals$181$254 – $357: 96 hospitals$357 – $500: 70 hospitals$357$500 – $701: 107 hospitals$701 – $983: 48 hospitals$701$983 – $1,379: 47 hospitals$1,379 – $1,934: 8 hospitals$1,379$1,934 – $2,712: 17 hospitals$1,934median $406price bands are equal on a log scale
Hospitals per price band (523 of 580 — the bands cover the 5th to 95th percentile)
FromToHospitals
$92$12920
$129$18136
$181$25474
$254$35796
$357$50070
$500$701107
$701$98348
$983$1,37947
$1,379$1,9348
$1,934$2,71217

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$406
Cash as a multiple of Medicare1.29×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $406.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $818 across 10 hospitalsID$818Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $242 across 26 hospitalsIL$242Wisconsin: 4 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $201 across 30 hospitalsMI$201New York: median $349 across 32 hospitalsNY$349Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $208 across 20 hospitalsIA$208Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $346 across 28 hospitalsOH$346Pennsylvania: median $313 across 28 hospitalsPA$313New Jersey: median $3,786 across 25 hospitalsNJ$3,786Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $946 across 48 hospitalsCA$946Utah: median $507 across 22 hospitalsUT$507Colorado: median $1,055 across 26 hospitalsCO$1,055Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $511 across 11 hospitalsKY$511West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,934 across 11 hospitalsAZ$1,934New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $520 across 21 hospitalsSC$520Oklahoma: median $288 across 18 hospitalsOK$288Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $1,128 across 31 hospitalsGA$1,128Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $406 across 30 hospitalsTX$406Florida: median $523 across 10 hospitalsFL$523
Cash price by state, most expensive first. National median $406. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ25$3,786+833%$327 – $5,339
Arizona AZ11$1,934+377%$609 – $1,934
Georgia GA31$1,128+178%$404 – $1,128
Colorado CO26$1,055+160%$272 – $1,642
California CA48$946+133%$588 – $946
Idaho ID10$818+102%$549 – $818
Florida FL10$523+29%$215 – $1,221
South Carolina SC21$520+28%$520 – $2,046
Kentucky KY11$511+26%$154 – $1,185
Utah UT22$507+25%$507 – $563
Texas TX30$4060%$304 – $711
New York NY32$349−14%$332 – $442
Ohio OH28$346−15%$288 – $731
Pennsylvania PA28$313−23%$29 – $603
Oklahoma OK18$288−29%$103 – $646
Illinois IL26$242−40%$154 – $614
Iowa IA20$208−49%$130 – $208
Michigan MI30$201−51%$201 – $454
Indiana IN9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Wisconsin WI4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $406.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care490$419$210 – $946
Children’s11fewer than 20 hospitals
Critical access78$280$154 – $594
Ownership
For-profit59$546$272 – $1,128
Government82$349$169 – $629
Non-profit438$409$208 – $946
System affiliation
Part of a system481$410$208 – $946
Independent99$348$181 – $687

Cash price vs list price

Median list price (chargemaster)$721
Median cash price$406
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

384 hospitals filed a usable inpatient cash price for this code. The median is $520 and the average of the middle 60% is $553; most fall between $210 and $1,055.

Cash price percentiles, inpatient, across 384 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$154$272$520$946$1,325

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($154 vs $1,325).

Of the 418 hospitals that filed this code inpatient, 384 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

580 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 630 hospitals that filed this code at all gave us
Usable cash price — counted580
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded24
Hospitals that filed this code630

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR or closed therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Injection Aa&/Strd Vagus Nerve.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Nerve block injection into the vagus nerve (CPT 64408) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64408-nerve-block-injection-into-the-vagus-nerve