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

Nerve block injection at one rib nerve level

CPT 64420the billing code this page is about

Injection of numbing medicine and/or steroid around the nerve running under one rib; covers a single level.

Hospitals typically charge $839 cash for this outpatient procedure — the median across 2,262 hospitals that filed a usable cash price; the average of the middle 60% is $866. Most fall between $317 and $1,559 (20th–80th percentile).

Hospitals
2,262
States
50
Filings dated
Aug 2022 – 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 2,262 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
$188$411$839$1,369$2,242

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($188 vs $2,242).

How the prices are spread

$126 – $173: 86 hospitals$126$173 – $237: 103 hospitals$237 – $326: 164 hospitals$237$326 – $447: 143 hospitals$447 – $614: 211 hospitals$447$614 – $843: 317 hospitals$843 – $1,157: 378 hospitals$843$1,157 – $1,588: 300 hospitals$1,588 – $2,179: 205 hospitals$1,588$2,179 – $2,992: 130 hospitals$2,179median $839price bands are equal on a log scale
Hospitals per price band (2,037 of 2,262 — the bands cover the 5th to 95th percentile)
FromToHospitals
$126$17386
$173$237103
$237$326164
$326$447143
$447$614211
$614$843317
$843$1,157378
$1,157$1,588300
$1,588$2,179205
$2,179$2,992130

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$839
Cash as a multiple of Medicare1.16×

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 $839.

Alaska: median $1,257 across 15 hospitalsAK$1,257Maine: median $538 across 21 hospitalsME$538Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $374 across 16 hospitalsNH$374Washington: median $633 across 66 hospitalsWA$633Idaho: median $672 across 20 hospitalsID$672Montana: median $296 across 18 hospitalsMT$296North Dakota: median $712 across 13 hospitalsND$712Minnesota: median $836 across 78 hospitalsMN$836Illinois: median $748 across 89 hospitalsIL$748Wisconsin: median $610 across 93 hospitalsWI$610Michigan: median $733 across 74 hospitalsMI$733New York: median $820 across 68 hospitalsNY$820Massachusetts: median $1,164 across 43 hospitalsMA$1,164Oregon: median $316 across 49 hospitalsOR$316Nevada: median $673 across 16 hospitalsNV$673Wyoming: median $305 across 12 hospitalsWY$305South Dakota: median $550 across 17 hospitalsSD$550Iowa: median $389 across 66 hospitalsIA$389Indiana: median $504 across 54 hospitalsIN$504Ohio: median $1,262 across 131 hospitalsOH$1,262Pennsylvania: median $1,049 across 92 hospitalsPA$1,049New Jersey: median $2,636 across 42 hospitalsNJ$2,636Connecticut: median $1,068 across 20 hospitalsCT$1,068Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,321 across 141 hospitalsCA$1,321Utah: median $839 across 27 hospitalsUT$839Colorado: median $728 across 61 hospitalsCO$728Nebraska: median $559 across 51 hospitalsNE$559Missouri: median $749 across 57 hospitalsMO$749Kentucky: median $588 across 28 hospitalsKY$588West Virginia: median $677 across 26 hospitalsWV$677Virginia: median $1,032 across 47 hospitalsVA$1,032Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $365 across 36 hospitalsAZ$365New Mexico: median $890 across 13 hospitalsNM$890Kansas: median $460 across 63 hospitalsKS$460Arkansas: median $501 across 19 hospitalsAR$501Tennessee: median $507 across 36 hospitalsTN$507North Carolina: median $869 across 54 hospitalsNC$869South Carolina: median $1,450 across 39 hospitalsSC$1,450Oklahoma: median $504 across 44 hospitalsOK$504Louisiana: median $398 across 38 hospitalsLA$398Mississippi: median $385 across 30 hospitalsMS$385Alabama: median $874 across 25 hospitalsAL$874Georgia: median $1,824 across 62 hospitalsGA$1,824Hawaii: median $1,089 across 11 hospitalsHI$1,089Texas: median $1,232 across 135 hospitalsTX$1,232Florida: median $1,194 across 83 hospitalsFL$1,194
Cash price by state, most expensive first. National median $839. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ42$2,636+214%$816 – $4,881
Georgia GA62$1,824+117%$1,098 – $2,258
South Carolina SC39$1,450+73%$761 – $1,624
California CA141$1,321+57%$693 – $2,806
Ohio OH131$1,262+51%$630 – $1,736
Alaska AK15$1,257+50%$286 – $1,651
Texas TX135$1,232+47%$584 – $1,714
Florida FL83$1,194+42%$993 – $2,045
Massachusetts MA43$1,164+39%$589 – $1,727
Hawaii HI11$1,089+30%$638 – $1,654
Connecticut CT20$1,068+27%$335 – $1,964
Pennsylvania PA92$1,049+25%$612 – $2,185
Virginia VA47$1,032+23%$669 – $1,293
New Mexico NM13$890+6%$425 – $979
Alabama AL25$874+4%$457 – $1,074
North Carolina NC54$869+4%$605 – $1,061
Utah UT27$8390%$839 – $987
Minnesota MN78$8360%$253 – $1,128
New York NY68$820−2%$211 – $1,663
Missouri MO57$749−11%$329 – $1,555
Illinois IL89$748−11%$271 – $1,682
Michigan MI74$733−13%$116 – $1,261
Colorado CO61$728−13%$343 – $1,121
North Dakota ND13$712−15%$234 – $1,379
West Virginia WV26$677−19%$187 – $1,299
Nevada NV16$673−20%$310 – $1,473
Idaho ID20$672−20%$267 – $1,886
Washington WA66$633−25%$210 – $1,281
Wisconsin WI93$610−27%$291 – $971
Kentucky KY28$588−30%$250 – $1,255
Nebraska NE51$559−33%$307 – $991
South Dakota SD17$550−34%$268 – $1,132
Maine ME21$538−36%$188 – $1,121
Tennessee TN36$507−40%$299 – $883
Indiana IN54$504−40%$254 – $1,058
Oklahoma OK44$504−40%$232 – $933
Arkansas AR19$501−40%$270 – $1,461
Kansas KS63$460−45%$131 – $817
Louisiana LA38$398−53%$253 – $1,087
Iowa IA66$389−54%$190 – $950
Mississippi MS30$385−54%$244 – $665
New Hampshire NH16$374−55%$68 – $1,075
Arizona AZ36$365−56%$252 – $3,654
Oregon OR49$316−62%$169 – $950
Wyoming WY12$305−64%$172 – $1,453
Montana MT18$296−65%$124 – $416
Rhode Island RI8not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Delaware DE4not 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 $839.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,647$936$450 – $1,714
Children’s40$1,281$326 – $2,247
Critical access568$495$173 – $1,090
Ownership
For-profit200$927$524 – $1,933
Government420$675$216 – $1,257
Non-profit1,635$879$329 – $1,624
System affiliation
Part of a system1,843$890$375 – $1,655
Independent419$552$168 – $1,232

Cash price vs list price

Median list price (chargemaster)$1,512
Median cash price$839
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

1,667 hospitals filed a usable inpatient cash price for this code. The median is $931 and the average of the middle 60% is $964; most fall between $401 and $1,682.

Cash price percentiles, inpatient, across 1,667 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
$233$505$931$1,472$2,258

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($233 vs $2,258).

Of the 1,795 hospitals that filed this code inpatient, 1,667 gave a usable cash price; 46 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 82 a list price only.

How complete is this

2,262 of the 3,956 hospitals with a price file in our corpus (57%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,444 hospitals that filed this code at all gave us
Usable cash price — counted2,262
Cash price carrying a plausibility flag — shown on the compare tool, excluded here83
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded94
Hospitals that filed this code2,444

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 Intercostal Nrv Single Lvl.

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 at one rib nerve level (CPT 64420) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64420-nerve-block-injection-at-one-rib-nerve-level