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

Lumbar plexus block with pain catheter and infusion

CPT 64449the billing code this page is about

Placement of a catheter from the back next to the lumbar plexus nerves so numbing medicine can run continuously; the code covers catheter placement and starting the infusion.

Hospitals typically charge $1,247 cash for this outpatient procedure — the median across 735 hospitals that filed a usable cash price; the average of the middle 60% is $1,230. Most fall between $394 and $2,272 (20th–80th percentile).

Hospitals
735
States
49
Filings dated
Dec 2023 – 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 735 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
$177$519$1,247$1,921$3,903

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($177 vs $3,903).

How the prices are spread

$114 – $164: 31 hospitals$114$164 – $236: 22 hospitals$236 – $340: 39 hospitals$236$340 – $489: 48 hospitals$489 – $704: 48 hospitals$489$704 – $1,014: 73 hospitals$1,014 – $1,459: 133 hospitals$1,014$1,459 – $2,100: 139 hospitals$2,100 – $3,022: 71 hospitals$2,100$3,022 – $4,350: 59 hospitals$3,022median $1,247price bands are equal on a log scale
Hospitals per price band (663 of 735 — the bands cover the 5th to 95th percentile)
FromToHospitals
$114$16431
$164$23622
$236$34039
$340$48948
$489$70448
$704$1,01473
$1,014$1,459133
$1,459$2,100139
$2,100$3,02271
$3,022$4,35059

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,247
Cash as a multiple of Medicare1.38×

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 $1,247.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,413 across 10 hospitalsWA$1,413Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 3 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 $535 across 19 hospitalsMN$535Illinois: median $692 across 31 hospitalsIL$692Wisconsin: median $437 across 27 hospitalsWI$437Michigan: median $876 across 17 hospitalsMI$876New York: median $1,054 across 31 hospitalsNY$1,054Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: median $514 across 10 hospitalsNV$514Wyoming: 3 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 $158 across 20 hospitalsIA$158Indiana: median $911 across 22 hospitalsIN$911Ohio: median $1,799 across 48 hospitalsOH$1,799Pennsylvania: median $1,383 across 29 hospitalsPA$1,383New Jersey: median $1,782 across 34 hospitalsNJ$1,782Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $2,123 across 53 hospitalsCA$2,123Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,449 across 19 hospitalsCO$1,449Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,238 across 13 hospitalsMO$1,238Kentucky: median $945 across 17 hospitalsKY$945West Virginia: median $1,002 across 13 hospitalsWV$1,002Virginia: median $1,480 across 24 hospitalsVA$1,480Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $832 across 14 hospitalsKS$832Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $320 across 11 hospitalsTN$320North Carolina: median $644 across 32 hospitalsNC$644South Carolina: median $1,368 across 15 hospitalsSC$1,368Oklahoma: median $620 across 18 hospitalsOK$620Louisiana: median $419 across 12 hospitalsLA$419Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,421 across 20 hospitalsGA$2,421Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $1,556 across 76 hospitalsTX$1,556Florida: median $2,720 across 15 hospitalsFL$2,720
Cash price by state, most expensive first. National median $1,247. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL15$2,720+118%$363 – $22,603
Georgia GA20$2,421+94%$1,759 – $2,421
California CA53$2,123+70%$1,711 – $4,082
Ohio OH48$1,799+44%$1,080 – $4,301
New Jersey NJ34$1,782+43%$986 – $5,339
Texas TX76$1,556+25%$1,059 – $1,883
Virginia VA24$1,480+19%$1,359 – $2,409
Colorado CO19$1,449+16%$820 – $4,025
Washington WA10$1,413+13%$271 – $1,994
Pennsylvania PA29$1,383+11%$878 – $1,917
South Carolina SC15$1,368+10%$1,108 – $1,882
Missouri MO13$1,238−1%$182 – $2,272
New York NY31$1,054−16%$611 – $2,054
West Virginia WV13$1,002−20%$70 – $1,356
Kentucky KY17$945−24%$715 – $3,575
Indiana IN22$911−27%$242 – $1,436
Michigan MI17$876−30%$437 – $1,216
Kansas KS14$832−33%$278 – $1,576
Illinois IL31$692−45%$242 – $2,784
North Carolina NC32$644−48%$478 – $1,690
Oklahoma OK18$620−50%$106 – $1,815
Minnesota MN19$535−57%$394 – $1,264
Nevada NV10$514−59%$208 – $962
Wisconsin WI27$437−65%$437 – $1,279
Louisiana LA12$419−66%$309 – $673
Tennessee TN11$320−74%$104 – $1,106
Iowa IA20$158−87%$158 – $288
Mississippi MS9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not 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 $1,247.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care594$1,331$519 – $2,421
Children’s18fewer than 20 hospitals
Critical access119$800$172 – $1,663
Ownership
For-profit69$1,449$692 – $2,557
Government107$1,054$252 – $1,785
Non-profit555$1,264$437 – $2,408
System affiliation
Part of a system621$1,278$437 – $2,421
Independent114$952$195 – $1,970

Cash price vs list price

Median list price (chargemaster)$2,260
Median cash price$1,247
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

502 hospitals filed a usable inpatient cash price for this code. The median is $1,407 and the average of the middle 60% is $1,310; most fall between $437 and $2,273.

Cash price percentiles, inpatient, across 502 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
$177$535$1,407$2,054$3,670

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($177 vs $3,670).

Of the 537 hospitals that filed this code inpatient, 502 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

735 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 798 hospitals that filed this code at all gave us
Usable cash price — counted735
Cash price carrying a plausibility flag — shown on the compare tool, excluded here40
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded22
Hospitals that filed this code798

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 Lumbar Plexus Cont Nfs Cath.

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, “Lumbar plexus block with pain catheter and infusion (CPT 64449) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64449-lumbar-plexus-block-with-pain-catheter-and-infusion