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Procedure price report · Insertion of catheter or spinal stimulator and injection into spinal canal

Continuous nerve block catheter in the shoulder nerve bundle

CPT 64416the billing code this page is about

Placement of a small catheter at the brachial plexus with continuous or intermittent infusion of numbing medicine, including the catheter insertion.

Hospitals typically charge $1,209 cash for this outpatient procedure — the median across 1,032 hospitals that filed a usable cash price; the average of the middle 60% is $1,284. Most fall between $472 and $2,269 (20th–80th percentile).

Hospitals
1,032
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 1,032 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
$196$692$1,209$2,054$3,232

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($196 vs $3,232).

How the prices are spread

$140 – $195: 55 hospitals$140$195 – $273: 45 hospitals$273 – $382: 43 hospitals$273$382 – $534: 35 hospitals$534 – $747: 43 hospitals$534$747 – $1,045: 156 hospitals$1,045 – $1,461: 207 hospitals$1,045$1,461 – $2,042: 140 hospitals$2,042 – $2,856: 122 hospitals$2,042$2,856 – $3,993: 92 hospitals$2,856median $1,209price bands are equal on a log scale
Hospitals per price band (938 of 1,032 — the bands cover the 5th to 95th percentile)
FromToHospitals
$140$19555
$195$27345
$273$38243
$382$53435
$534$74743
$747$1,045156
$1,045$1,461207
$1,461$2,042140
$2,042$2,856122
$2,856$3,99392

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,209
Cash as a multiple of Medicare1.34×

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 $1,209.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,387 across 26 hospitalsWA$1,387Idaho: median $2,060 across 13 hospitalsID$2,060Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,166 across 40 hospitalsMN$1,166Illinois: median $411 across 34 hospitalsIL$411Wisconsin: median $1,306 across 41 hospitalsWI$1,306Michigan: median $1,105 across 49 hospitalsMI$1,105New York: median $1,054 across 35 hospitalsNY$1,054Massachusetts: median $1,904 across 16 hospitalsMA$1,904Oregon: median $2,004 across 26 hospitalsOR$2,004Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $185 across 24 hospitalsIA$185Indiana: median $916 across 28 hospitalsIN$916Ohio: median $2,012 across 53 hospitalsOH$2,012Pennsylvania: median $1,425 across 41 hospitalsPA$1,425New Jersey: median $3,786 across 27 hospitalsNJ$3,786Connecticut: 7 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 $1,711 across 70 hospitalsCA$1,711Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $881 across 29 hospitalsCO$881Nebraska: median $785 across 17 hospitalsNE$785Missouri: median $2,114 across 18 hospitalsMO$2,114Kentucky: median $937 across 21 hospitalsKY$937West Virginia: median $224 across 15 hospitalsWV$224Virginia: median $1,369 across 38 hospitalsVA$1,369Maryland: no hospital in the corpus filed a usable priceMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,208 across 11 hospitalsNM$1,208Kansas: median $515 across 10 hospitalsKS$515Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $754 across 16 hospitalsTN$754North Carolina: median $929 across 21 hospitalsNC$929South Carolina: median $1,949 across 25 hospitalsSC$1,949Oklahoma: median $649 across 30 hospitalsOK$649Louisiana: median $616 across 26 hospitalsLA$616Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,421 across 20 hospitalsGA$2,421Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,383 across 97 hospitalsTX$1,383Florida: median $2,152 across 32 hospitalsFL$2,152
Cash price by state, most expensive first. National median $1,209. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ27$3,786+213%$986 – $5,339
Georgia GA20$2,421+100%$1,160 – $3,768
Florida FL32$2,152+78%$1,098 – $3,096
Missouri MO18$2,114+75%$881 – $14,792
Idaho ID13$2,060+70%$226 – $2,430
Ohio OH53$2,012+66%$1,032 – $3,993
Oregon OR26$2,004+66%$167 – $2,539
South Carolina SC25$1,949+61%$1,368 – $2,185
Massachusetts MA16$1,904+58%$1,023 – $2,764
California CA70$1,711+42%$951 – $3,388
Pennsylvania PA41$1,425+18%$878 – $1,821
Washington WA26$1,387+15%$289 – $2,054
Texas TX97$1,383+14%$318 – $1,789
Virginia VA38$1,369+13%$1,110 – $1,833
Wisconsin WI41$1,306+8%$810 – $1,740
New Mexico NM11$1,2080%$346 – $1,765
Minnesota MN40$1,166−4%$490 – $1,824
Michigan MI49$1,105−9%$68 – $1,319
New York NY35$1,054−13%$904 – $2,054
Kentucky KY21$937−23%$709 – $3,575
North Carolina NC21$929−23%$856 – $1,235
Indiana IN28$916−24%$189 – $3,575
Colorado CO29$881−27%$645 – $1,427
Nebraska NE17$785−35%$224 – $1,472
Tennessee TN16$754−38%$187 – $1,367
Oklahoma OK30$649−46%$350 – $1,101
Louisiana LA26$616−49%$346 – $1,225
Kansas KS10$515−57%$144 – $1,058
Illinois IL34$411−66%$166 – $2,984
West Virginia WV15$224−81%$84 – $1,110
Iowa IA24$185−85%$166 – $1,046
Nevada NV8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Utah UT2not 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 $1,209.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care815$1,327$585 – $2,503
Children’s20$933$335 – $1,789
Critical access194$896$200 – $1,687
Ownership
For-profit102$1,208$719 – $2,421
Government147$1,042$228 – $2,045
Non-profit780$1,300$515 – $2,295
System affiliation
Part of a system867$1,306$547 – $2,421
Independent165$989$220 – $1,949

Cash price vs list price

Median list price (chargemaster)$2,305
Median cash price$1,209
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

758 hospitals filed a usable inpatient cash price for this code. The median is $1,368 and the average of the middle 60% is $1,371; most fall between $510 and $2,421.

Cash price percentiles, inpatient, across 758 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
$204$709$1,368$2,185$3,096

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($204 vs $3,096).

Of the 821 hospitals that filed this code inpatient, 758 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

1,032 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,126 hospitals that filed this code at all gave us
Usable cash price — counted1,032
Cash price carrying a plausibility flag — shown on the compare tool, excluded here57
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded36
Hospitals that filed this code1,126

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 Insertion of catheter or spinal stimulator and injection into spinal canal family.

Hospitals file this code under descriptions such as Injection Aa&/Strd Brach Plex Cont Nfs Cath Img.

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, “Continuous nerve block catheter in the shoulder nerve bundle (CPT 64416) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64416-continuous-nerve-block-catheter-in-the-shoulder-nerve-bundle