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

Nerve block injection at each additional rib nerve level

CPT 64421the billing code this page is about

Injection of numbing medicine and/or steroid around a rib nerve at each level beyond the first; billed in addition to the single-level injection, once per extra level.

Hospitals typically charge $1,083 cash for this outpatient procedure — the median across 2,040 hospitals that filed a usable cash price; the average of the middle 60% is $1,115. Most fall between $393 and $1,948 (20th–80th percentile).

Hospitals
2,040
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 2,040 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
$218$507$1,083$1,769$2,858

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($218 vs $2,858).

How the prices are spread

$106 – $150: 43 hospitals$106$150 – $214: 59 hospitals$214 – $304: 80 hospitals$214$304 – $432: 165 hospitals$432 – $614: 123 hospitals$432$614 – $874: 205 hospitals$874 – $1,243: 429 hospitals$874$1,243 – $1,767: 321 hospitals$1,767 – $2,514: 255 hospitals$1,767$2,514 – $3,575: 159 hospitals$2,514median $1,083price bands are equal on a log scale
Hospitals per price band (1,839 of 2,040 — the bands cover the 5th to 95th percentile)
FromToHospitals
$106$15043
$150$21459
$214$30480
$304$432165
$432$614123
$614$874205
$874$1,243429
$1,243$1,767321
$1,767$2,514255
$2,514$3,575159

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,083
Cash as a multiple of Medicare1.20×

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 $1,083.

Alaska: median $1,661 across 10 hospitalsAK$1,661Maine: median $872 across 19 hospitalsME$872Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $921 across 14 hospitalsNH$921Washington: median $1,117 across 57 hospitalsWA$1,117Idaho: median $1,000 across 18 hospitalsID$1,000Montana: median $423 across 14 hospitalsMT$423North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,057 across 74 hospitalsMN$1,057Illinois: median $939 across 82 hospitalsIL$939Wisconsin: median $612 across 88 hospitalsWI$612Michigan: median $1,020 across 68 hospitalsMI$1,020New York: median $1,054 across 57 hospitalsNY$1,054Massachusetts: median $1,521 across 34 hospitalsMA$1,521Oregon: median $128 across 42 hospitalsOR$128Nevada: median $798 across 13 hospitalsNV$798Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $566 across 17 hospitalsSD$566Iowa: median $608 across 65 hospitalsIA$608Indiana: median $617 across 43 hospitalsIN$617Ohio: median $1,640 across 123 hospitalsOH$1,640Pennsylvania: median $1,282 across 86 hospitalsPA$1,282New Jersey: median $1,435 across 48 hospitalsNJ$1,435Connecticut: median $1,385 across 18 hospitalsCT$1,385Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,793 across 124 hospitalsCA$1,793Utah: median $1,045 across 27 hospitalsUT$1,045Colorado: median $959 across 56 hospitalsCO$959Nebraska: median $672 across 45 hospitalsNE$672Missouri: median $916 across 53 hospitalsMO$916Kentucky: median $1,064 across 27 hospitalsKY$1,064West Virginia: median $1,017 across 18 hospitalsWV$1,017Virginia: median $1,217 across 49 hospitalsVA$1,217Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $474 across 33 hospitalsAZ$474New Mexico: median $1,236 across 12 hospitalsNM$1,236Kansas: median $694 across 55 hospitalsKS$694Arkansas: median $474 across 15 hospitalsAR$474Tennessee: median $711 across 35 hospitalsTN$711North Carolina: median $1,087 across 50 hospitalsNC$1,087South Carolina: median $1,806 across 34 hospitalsSC$1,806Oklahoma: median $783 across 33 hospitalsOK$783Louisiana: median $619 across 33 hospitalsLA$619Mississippi: median $591 across 30 hospitalsMS$591Alabama: median $1,215 across 20 hospitalsAL$1,215Georgia: median $1,898 across 64 hospitalsGA$1,898Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,446 across 124 hospitalsTX$1,446Florida: median $1,621 across 68 hospitalsFL$1,621
Cash price by state, most expensive first. National median $1,083. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA64$1,898+75%$1,105 – $3,539
South Carolina SC34$1,806+67%$1,368 – $2,410
California CA124$1,793+65%$899 – $3,069
Alaska AK10$1,661+53%$388 – $1,843
Ohio OH123$1,640+51%$904 – $3,648
Florida FL68$1,621+50%$1,008 – $2,336
Massachusetts MA34$1,521+40%$905 – $2,145
Texas TX124$1,446+33%$1,106 – $1,902
New Jersey NJ48$1,435+32%$986 – $5,110
Connecticut CT18$1,385+28%$966 – $2,580
Pennsylvania PA86$1,282+18%$769 – $2,185
New Mexico NM12$1,236+14%$292 – $1,534
Virginia VA49$1,217+12%$607 – $1,776
Alabama AL20$1,215+12%$456 – $1,401
Washington WA57$1,117+3%$305 – $2,043
North Carolina NC50$1,0870%$661 – $1,228
Kentucky KY27$1,064−2%$707 – $1,627
Minnesota MN74$1,057−2%$93 – $1,664
New York NY57$1,054−3%$408 – $2,190
Utah UT27$1,045−4%$1,045 – $1,230
Michigan MI68$1,020−6%$336 – $1,647
West Virginia WV18$1,017−6%$434 – $1,963
Idaho ID18$1,000−8%$462 – $2,430
Colorado CO56$959−12%$465 – $1,857
Illinois IL82$939−13%$375 – $1,923
New Hampshire NH14$921−15%$106 – $1,691
Missouri MO53$916−15%$358 – $1,663
Maine ME19$872−20%$410 – $1,424
Nevada NV13$798−26%$421 – $1,120
Oklahoma OK33$783−28%$400 – $1,098
Tennessee TN35$711−34%$367 – $967
Kansas KS55$694−36%$185 – $1,062
Nebraska NE45$672−38%$192 – $986
Louisiana LA33$619−43%$328 – $1,344
Indiana IN43$617−43%$242 – $980
Wisconsin WI88$612−44%$306 – $1,026
Iowa IA65$608−44%$108 – $1,090
Mississippi MS30$591−45%$378 – $756
South Dakota SD17$566−48%$243 – $1,430
Arizona AZ33$474−56%$345 – $6,169
Arkansas AR15$474−56%$374 – $1,234
Montana MT14$423−61%$105 – $734
Oregon OR42$128−88%$73 – $1,750
North Dakota ND9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maryland MD4not 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 $1,083.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,511$1,208$547 – $2,108
Children’s32$1,619$341 – $3,029
Critical access490$657$176 – $1,317
Ownership
For-profit176$1,225$563 – $2,229
Government386$890$295 – $1,646
Non-profit1,471$1,119$409 – $2,023
System affiliation
Part of a system1,688$1,119$436 – $1,964
Independent352$858$242 – $1,595

Cash price vs list price

Median list price (chargemaster)$1,843
Median cash price$1,083
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

1,517 hospitals filed a usable inpatient cash price for this code. The median is $1,217 and the average of the middle 60% is $1,264; most fall between $513 and $2,120.

Cash price percentiles, inpatient, across 1,517 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
$286$678$1,217$1,899$2,990

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($286 vs $2,990).

Of the 1,646 hospitals that filed this code inpatient, 1,517 gave a usable cash price; 67 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 62 a list price only.

How complete is this

2,040 of the 3,956 hospitals with a price file in our corpus (52%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,244 hospitals that filed this code at all gave us
Usable cash price — counted2,040
Cash price carrying a plausibility flag — shown on the compare tool, excluded here125
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 — excluded74
Hospitals that filed this code2,244

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 Ea Addl 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 each additional rib nerve level (CPT 64421) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64421-nerve-block-injection-at-each-additional-rib-nerve-level