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

Paracervical nerve block injection

CPT 64435the billing code this page is about

Injection of numbing medicine into the tissue beside the cervix to block pain from the uterus and cervix.

Hospitals typically charge $622 cash for this outpatient procedure — the median across 852 hospitals that filed a usable cash price; the average of the middle 60% is $646. Most fall between $234 and $1,321 (20th–80th percentile).

Hospitals
852
States
48
Filings dated
Jan 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 852 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
$125$271$622$1,046$2,038

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($125 vs $2,038).

How the prices are spread

$96 – $135: 50 hospitals$96$135 – $190: 53 hospitals$190 – $267: 67 hospitals$190$267 – $376: 68 hospitals$376 – $529: 99 hospitals$376$529 – $743: 121 hospitals$743 – $1,046: 139 hospitals$743$1,046 – $1,471: 58 hospitals$1,471 – $2,069: 74 hospitals$1,471$2,069 – $2,910: 43 hospitals$2,069median $622price bands are equal on a log scale
Hospitals per price band (772 of 852 — the bands cover the 5th to 95th percentile)
FromToHospitals
$96$13550
$135$19053
$190$26767
$267$37668
$376$52999
$529$743121
$743$1,046139
$1,046$1,47158
$1,471$2,06974
$2,069$2,91043

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$622
Cash as a multiple of Medicare0.86×

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 $622.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $311 across 21 hospitalsWA$311Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $787 across 33 hospitalsMN$787Illinois: median $256 across 26 hospitalsIL$256Wisconsin: median $634 across 33 hospitalsWI$634Michigan: median $240 across 29 hospitalsMI$240New York: median $820 across 42 hospitalsNY$820Massachusetts: median $582 across 12 hospitalsMA$582Oregon: median $230 across 25 hospitalsOR$230Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $242 across 24 hospitalsIA$242Indiana: median $403 across 27 hospitalsIN$403Ohio: median $1,178 across 34 hospitalsOH$1,178Pennsylvania: median $721 across 39 hospitalsPA$721New Jersey: median $958 across 39 hospitalsNJ$958Connecticut: median $970 across 10 hospitalsCT$970Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,321 across 66 hospitalsCA$1,321Utah: median $507 across 24 hospitalsUT$507Colorado: median $642 across 24 hospitalsCO$642Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $353 across 13 hospitalsMO$353Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $392 across 20 hospitalsVA$392Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $2,345 across 12 hospitalsAZ$2,345New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $414 across 21 hospitalsNC$414South Carolina: median $696 across 14 hospitalsSC$696Oklahoma: median $504 across 18 hospitalsOK$504Louisiana: median $283 across 18 hospitalsLA$283Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,313 across 37 hospitalsGA$2,313Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $787 across 57 hospitalsTX$787Florida: median $2,008 across 17 hospitalsFL$2,008
Cash price by state, most expensive first. National median $622. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ12$2,345+277%$640 – $2,345
Georgia GA37$2,313+272%$395 – $2,910
Florida FL17$2,008+223%$695 – $5,411
California CA66$1,321+112%$710 – $2,038
Ohio OH34$1,178+89%$283 – $1,472
Connecticut CT10$970+56%$671 – $1,215
New Jersey NJ39$958+54%$767 – $4,881
New York NY42$820+32%$251 – $1,127
Texas TX57$787+27%$584 – $1,046
Minnesota MN33$787+26%$400 – $884
Pennsylvania PA39$721+16%$333 – $1,018
South Carolina SC14$696+12%$196 – $3,125
Colorado CO24$642+3%$273 – $1,055
Wisconsin WI33$634+2%$277 – $831
Massachusetts MA12$582−6%$143 – $866
Utah UT24$507−19%$447 – $749
Oklahoma OK18$504−19%$99 – $1,172
North Carolina NC21$414−33%$146 – $414
Indiana IN27$403−35%$140 – $619
Virginia VA20$392−37%$178 – $2,410
Missouri MO13$353−43%$119 – $1,217
Washington WA21$311−50%$145 – $605
Louisiana LA18$283−55%$224 – $471
Illinois IL26$256−59%$140 – $1,524
Iowa IA24$242−61%$144 – $314
Michigan MI29$240−61%$103 – $699
Oregon OR25$230−63%$120 – $561
Idaho ID9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Alaska AK2not 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 $622.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care677$682$248 – $1,472
Children’s15fewer than 20 hospitals
Critical access159$312$133 – $755
Ownership
For-profit78$673$298 – $1,886
Government130$414$196 – $866
Non-profit643$634$230 – $1,327
System affiliation
Part of a system711$642$242 – $1,321
Independent141$461$157 – $1,018

Cash price vs list price

Median list price (chargemaster)$975
Median cash price$622
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

580 hospitals filed a usable inpatient cash price for this code. The median is $634 and the average of the middle 60% is $702; most fall between $242 and $1,472.

Cash price percentiles, inpatient, 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
$140$297$634$1,276$2,101

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($140 vs $2,101).

Of the 620 hospitals that filed this code inpatient, 580 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.

How complete is this

852 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 928 hospitals that filed this code at all gave us
Usable cash price — counted852
Cash price carrying a plausibility flag — shown on the compare tool, excluded here54
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 — excluded22
Hospitals that filed this code928

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 Paracervical 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, “Paracervical nerve block injection (CPT 64435) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64435-paracervical-nerve-block-injection