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

Nerve block injection for the pudendal nerve

CPT 64430the billing code this page is about

Injection of numbing medicine around the pudendal nerve, which supplies the pelvic floor and genital area, to block pain there. The code covers the injection itself, not imaging billed separately.

Hospitals typically charge $1,110 cash for this outpatient procedure — the median across 1,556 hospitals that filed a usable cash price; the average of the middle 60% is $1,160. Most fall between $397 and $2,167 (20th–80th percentile).

Hospitals
1,556
States
49
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 1,556 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
$213$512$1,110$1,934$3,010

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($213 vs $3,010).

How the prices are spread

$145 – $204: 76 hospitals$145$204 – $288: 63 hospitals$288 – $406: 101 hospitals$288$406 – $571: 105 hospitals$571 – $804: 127 hospitals$571$804 – $1,133: 255 hospitals$1,133 – $1,596: 253 hospitals$1,133$1,596 – $2,247: 203 hospitals$2,247 – $3,165: 150 hospitals$2,247$3,165 – $4,458: 72 hospitals$3,165median $1,110price bands are equal on a log scale
Hospitals per price band (1,405 of 1,556 — the bands cover the 5th to 95th percentile)
FromToHospitals
$145$20476
$204$28863
$288$406101
$406$571105
$571$804127
$804$1,133255
$1,133$1,596253
$1,596$2,247203
$2,247$3,165150
$3,165$4,45872

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,110
Cash as a multiple of Medicare1.23×

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 $1,110.

Alaska: median $1,661 across 10 hospitalsAK$1,661Maine: median $716 across 13 hospitalsME$716Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $183 across 10 hospitalsNH$183Washington: median $792 across 45 hospitalsWA$792Idaho: median $945 across 14 hospitalsID$945Montana: median $367 across 11 hospitalsMT$367North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,031 across 53 hospitalsMN$1,031Illinois: median $1,352 across 62 hospitalsIL$1,352Wisconsin: median $706 across 58 hospitalsWI$706Michigan: median $974 across 56 hospitalsMI$974New York: median $1,104 across 53 hospitalsNY$1,104Massachusetts: median $1,521 across 30 hospitalsMA$1,521Oregon: median $330 across 29 hospitalsOR$330Nevada: median $372 across 10 hospitalsNV$372Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,984 across 10 hospitalsSD$1,984Iowa: median $318 across 30 hospitalsIA$318Indiana: median $562 across 37 hospitalsIN$562Ohio: median $1,727 across 89 hospitalsOH$1,727Pennsylvania: median $1,247 across 59 hospitalsPA$1,247New Jersey: median $2,453 across 39 hospitalsNJ$2,453Connecticut: median $1,175 across 11 hospitalsCT$1,175Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,711 across 106 hospitalsCA$1,711Utah: median $507 across 22 hospitalsUT$507Colorado: median $857 across 39 hospitalsCO$857Nebraska: median $511 across 19 hospitalsNE$511Missouri: median $1,019 across 34 hospitalsMO$1,019Kentucky: median $1,030 across 23 hospitalsKY$1,030West Virginia: median $401 across 23 hospitalsWV$401Virginia: median $843 across 41 hospitalsVA$843Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,085 across 22 hospitalsAZ$1,085New Mexico: median $1,236 across 11 hospitalsNM$1,236Kansas: median $833 across 35 hospitalsKS$833Arkansas: median $565 across 10 hospitalsAR$565Tennessee: median $304 across 22 hospitalsTN$304North Carolina: median $1,214 across 37 hospitalsNC$1,214South Carolina: median $1,113 across 33 hospitalsSC$1,113Oklahoma: median $97 across 16 hospitalsOK$97Louisiana: median $458 across 26 hospitalsLA$458Mississippi: median $511 across 20 hospitalsMS$511Alabama: median $1,226 across 13 hospitalsAL$1,226Georgia: median $2,043 across 55 hospitalsGA$2,043Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,171 across 113 hospitalsTX$1,171Florida: median $1,847 across 65 hospitalsFL$1,847
Cash price by state, most expensive first. National median $1,110. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ39$2,453+121%$1,025 – $5,110
Georgia GA55$2,043+84%$1,368 – $2,582
South Dakota SD10$1,984+79%$411 – $1,984
Florida FL65$1,847+66%$487 – $2,203
Ohio OH89$1,727+56%$1,078 – $3,993
California CA106$1,711+54%$762 – $5,203
Alaska AK10$1,661+50%$490 – $2,168
Massachusetts MA30$1,521+37%$813 – $2,599
Illinois IL62$1,352+22%$312 – $1,985
Pennsylvania PA59$1,247+12%$374 – $2,982
New Mexico NM11$1,236+11%$619 – $2,408
Alabama AL13$1,226+10%$739 – $6,478
North Carolina NC37$1,214+9%$620 – $1,283
Connecticut CT11$1,175+6%$1,036 – $3,063
Texas TX113$1,171+6%$1,042 – $1,383
South Carolina SC33$1,1130%$1,110 – $2,410
New York NY53$1,104−1%$668 – $2,407
Arizona AZ22$1,085−2%$413 – $2,718
Minnesota MN53$1,031−7%$470 – $2,150
Kentucky KY23$1,030−7%$809 – $2,666
Missouri MO34$1,019−8%$245 – $1,840
Michigan MI56$974−12%$201 – $1,294
Idaho ID14$945−15%$507 – $2,430
Colorado CO39$857−23%$750 – $2,084
Virginia VA41$843−24%$328 – $1,161
Kansas KS35$833−25%$286 – $1,507
Washington WA45$792−29%$284 – $1,635
Maine ME13$716−36%$268 – $1,293
Wisconsin WI58$706−36%$612 – $1,319
Arkansas AR10$565−49%$276 – $1,298
Indiana IN37$562−49%$311 – $1,728
Nebraska NE19$511−54%$316 – $961
Mississippi MS20$511−54%$224 – $1,148
Utah UT22$507−54%$507 – $563
Louisiana LA26$458−59%$304 – $1,491
West Virginia WV23$401−64%$90 – $1,139
Nevada NV10$372−66%$204 – $1,400
Montana MT11$367−67%$149 – $1,573
Oregon OR29$330−70%$178 – $2,539
Iowa IA30$318−71%$187 – $1,300
Tennessee TN22$304−73%$276 – $874
New Hampshire NH10$183−84%$182 – $613
Oklahoma OK16$97−91%$97 – $1,038
Hawaii HI8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Wyoming WY7not 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 $1,110.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,232$1,171$511 – $2,276
Children’s23$1,164$360 – $2,405
Critical access295$632$207 – $1,636
Ownership
For-profit139$1,276$547 – $2,718
Government230$874$300 – $1,661
Non-profit1,181$1,114$401 – $2,167
System affiliation
Part of a system1,320$1,132$455 – $2,211
Independent236$839$221 – $1,925

Cash price vs list price

Median list price (chargemaster)$2,010
Median cash price$1,110
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

1,151 hospitals filed a usable inpatient cash price for this code. The median is $1,171 and the average of the middle 60% is $1,234; most fall between $507 and $2,251.

Cash price percentiles, inpatient, across 1,151 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
$249$624$1,171$2,003$2,963

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($249 vs $2,963).

Of the 1,229 hospitals that filed this code inpatient, 1,151 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 45 a list price only.

How complete is this

1,556 of the 3,956 hospitals with a price file in our corpus (39%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,682 hospitals that filed this code at all gave us
Usable cash price — counted1,556
Cash price carrying a plausibility flag — shown on the compare tool, excluded here71
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded52
Hospitals that filed this code1,682

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 Pudendal 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 for the pudendal nerve (CPT 64430) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64430-nerve-block-injection-for-the-pudendal-nerve