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

Sciatic nerve block with pain catheter and infusion

CPT 64446the billing code this page is about

Placement of a small catheter next to the sciatic nerve so numbing medicine can be given continuously, rather than as a single shot; the code covers placing the catheter and starting the infusion.

Hospitals typically charge $1,160 cash for this outpatient procedure — the median across 920 hospitals that filed a usable cash price; the average of the middle 60% is $1,276. Most fall between $432 and $2,297 (20th–80th percentile).

Hospitals
920
States
49
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 920 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
$179$547$1,160$2,118$3,360

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($179 vs $3,360).

How the prices are spread

$137 – $191: 51 hospitals$137$191 – $267: 24 hospitals$267 – $373: 45 hospitals$267$373 – $521: 42 hospitals$521 – $728: 56 hospitals$521$728 – $1,018: 119 hospitals$1,018 – $1,422: 148 hospitals$1,018$1,422 – $1,988: 142 hospitals$1,988 – $2,778: 128 hospitals$1,988$2,778 – $3,883: 76 hospitals$2,778median $1,160price bands are equal on a log scale
Hospitals per price band (831 of 920 — the bands cover the 5th to 95th percentile)
FromToHospitals
$137$19151
$191$26724
$267$37345
$373$52142
$521$72856
$728$1,018119
$1,018$1,422148
$1,422$1,988142
$1,988$2,778128
$2,778$3,88376

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,160
Cash as a multiple of Medicare1.28×

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 $1,160.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,353 across 25 hospitalsWA$1,353Idaho: median $2,060 across 11 hospitalsID$2,060Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $680 across 23 hospitalsMN$680Illinois: median $1,139 across 35 hospitalsIL$1,139Wisconsin: median $1,448 across 34 hospitalsWI$1,448Michigan: median $1,144 across 48 hospitalsMI$1,144New York: median $1,054 across 31 hospitalsNY$1,054Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,114 across 23 hospitalsOR$2,114Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $170 across 23 hospitalsIA$170Indiana: median $911 across 25 hospitalsIN$911Ohio: median $2,630 across 54 hospitalsOH$2,630Pennsylvania: median $1,497 across 37 hospitalsPA$1,497New Jersey: median $3,786 across 27 hospitalsNJ$3,786Connecticut: 6 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 68 hospitalsCA$1,711Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $818 across 28 hospitalsCO$818Nebraska: median $785 across 12 hospitalsNE$785Missouri: median $2,172 across 14 hospitalsMO$2,172Kentucky: median $875 across 13 hospitalsKY$875West Virginia: median $131 across 13 hospitalsWV$131Virginia: median $1,322 across 26 hospitalsVA$1,322Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $838 across 12 hospitalsNM$838Kansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $757 across 14 hospitalsTN$757North Carolina: median $1,565 across 20 hospitalsNC$1,565South Carolina: median $2,147 across 20 hospitalsSC$2,147Oklahoma: median $604 across 30 hospitalsOK$604Louisiana: median $403 across 20 hospitalsLA$403Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $521 across 34 hospitalsGA$521Hawaii: no hospital in the corpus filed a usable priceHITexas: median $1,383 across 84 hospitalsTX$1,383Florida: median $2,139 across 29 hospitalsFL$2,139
Cash price by state, most expensive first. National median $1,160. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ27$3,786+226%$986 – $5,339
Ohio OH54$2,630+127%$1,032 – $3,993
Missouri MO14$2,172+87%$1,857 – $2,297
South Carolina SC20$2,147+85%$1,882 – $2,147
Florida FL29$2,139+84%$510 – $3,198
Oregon OR23$2,114+82%$137 – $2,539
Idaho ID11$2,060+78%$694 – $2,430
California CA68$1,711+47%$943 – $3,511
North Carolina NC20$1,565+35%$784 – $1,699
Pennsylvania PA37$1,497+29%$904 – $1,964
Wisconsin WI34$1,448+25%$1,040 – $1,687
Texas TX84$1,383+19%$309 – $1,874
Washington WA25$1,353+17%$327 – $1,982
Virginia VA26$1,322+14%$888 – $1,817
Michigan MI48$1,144−1%$62 – $1,319
Illinois IL35$1,139−2%$166 – $2,488
New York NY31$1,054−9%$904 – $2,054
Indiana IN25$911−21%$166 – $1,296
Kentucky KY13$875−25%$166 – $3,575
New Mexico NM12$838−28%$346 – $2,608
Colorado CO28$818−29%$766 – $2,127
Nebraska NE12$785−32%$226 – $1,435
Tennessee TN14$757−35%$102 – $1,106
Minnesota MN23$680−41%$394 – $876
Oklahoma OK30$604−48%$127 – $1,138
Georgia GA34$521−55%$521 – $3,455
Louisiana LA20$403−65%$318 – $830
Iowa IA23$170−85%$153 – $811
West Virginia WV13$131−89%$82 – $1,160
Kansas KS9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not 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 $1,160.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care735$1,309$521 – $2,483
Children’s19fewer than 20 hospitals
Critical access162$931$202 – $1,661
Ownership
For-profit91$1,132$563 – $2,430
Government131$847$274 – $1,681
Non-profit694$1,248$472 – $2,453
System affiliation
Part of a system784$1,216$510 – $2,430
Independent136$916$225 – $1,900

Cash price vs list price

Median list price (chargemaster)$2,305
Median cash price$1,160
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

688 hospitals filed a usable inpatient cash price for this code. The median is $1,277 and the average of the middle 60% is $1,351; most fall between $516 and $2,430.

Cash price percentiles, inpatient, across 688 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
$206$605$1,277$2,147$3,455

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($206 vs $3,455).

Of the 740 hospitals that filed this code inpatient, 688 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 31 a list price only.

How complete is this

920 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 998 hospitals that filed this code at all gave us
Usable cash price — counted920
Cash price carrying a plausibility flag — shown on the compare tool, excluded here44
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded32
Hospitals that filed this code998

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 Sciatic Nrv 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, “Sciatic nerve block with pain catheter and infusion (CPT 64446) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64446-sciatic-nerve-block-with-pain-catheter-and-infusion