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

Nerve block for the sacroiliac joint nerves

CPT 64451the billing code this page is about

Injection of numbing medicine and/or steroid around the nerves that supply the sacroiliac joint in the lower back, using imaging to guide the needle.

Hospitals typically charge $992 cash for this outpatient procedure — the median across 1,421 hospitals that filed a usable cash price; the average of the middle 60% is $1,062. Most fall between $464 and $1,886 (20th–80th percentile).

Hospitals
1,421
States
50
Filings dated
Jun 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 1,421 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
$257$545$992$1,769$2,873

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($257 vs $2,873).

How the prices are spread

$185 – $250: 65 hospitals$185$250 – $337: 59 hospitals$337 – $456: 84 hospitals$337$456 – $617: 113 hospitals$617 – $834: 209 hospitals$617$834 – $1,128: 200 hospitals$1,128 – $1,526: 205 hospitals$1,128$1,526 – $2,064: 171 hospitals$2,064 – $2,791: 93 hospitals$2,064$2,791 – $3,774: 80 hospitals$2,791median $992price bands are equal on a log scale
Hospitals per price band (1,279 of 1,421 — the bands cover the 5th to 95th percentile)
FromToHospitals
$185$25065
$250$33759
$337$45684
$456$617113
$617$834209
$834$1,128200
$1,128$1,526205
$1,526$2,064171
$2,064$2,79193
$2,791$3,77480

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$992
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 $992.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,128 across 36 hospitalsWA$1,128Idaho: median $1,063 across 15 hospitalsID$1,063Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,122 across 51 hospitalsMN$1,122Illinois: median $863 across 50 hospitalsIL$863Wisconsin: median $1,060 across 61 hospitalsWI$1,060Michigan: median $742 across 42 hospitalsMI$742New York: median $881 across 49 hospitalsNY$881Massachusetts: median $1,158 across 23 hospitalsMA$1,158Oregon: median $408 across 30 hospitalsOR$408Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $518 across 47 hospitalsIA$518Indiana: median $469 across 45 hospitalsIN$469Ohio: median $1,378 across 97 hospitalsOH$1,378Pennsylvania: median $1,210 across 65 hospitalsPA$1,210New Jersey: median $3,986 across 34 hospitalsNJ$3,986Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,826 across 99 hospitalsCA$1,826Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,017 across 35 hospitalsCO$1,017Nebraska: median $543 across 28 hospitalsNE$543Missouri: median $1,054 across 32 hospitalsMO$1,054Kentucky: median $1,039 across 21 hospitalsKY$1,039West Virginia: median $812 across 19 hospitalsWV$812Virginia: median $1,055 across 33 hospitalsVA$1,055Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,117 across 23 hospitalsAZ$2,117New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $655 across 35 hospitalsKS$655Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $658 across 18 hospitalsTN$658North Carolina: median $1,212 across 35 hospitalsNC$1,212South Carolina: median $2,273 across 26 hospitalsSC$2,273Oklahoma: median $636 across 26 hospitalsOK$636Louisiana: median $641 across 24 hospitalsLA$641Mississippi: median $376 across 26 hospitalsMS$376Alabama: median $937 across 12 hospitalsAL$937Georgia: median $1,259 across 44 hospitalsGA$1,259Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $859 across 77 hospitalsTX$859Florida: median $1,304 across 57 hospitalsFL$1,304
Cash price by state, most expensive first. National median $992. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ34$3,986+302%$767 – $6,311
South Carolina SC26$2,273+129%$815 – $2,273
Arizona AZ23$2,117+113%$372 – $3,568
California CA99$1,826+84%$839 – $2,004
Ohio OH97$1,378+39%$802 – $2,956
Florida FL57$1,304+31%$695 – $2,994
Georgia GA44$1,259+27%$970 – $2,242
North Carolina NC35$1,212+22%$673 – $1,264
Pennsylvania PA65$1,210+22%$503 – $2,396
Massachusetts MA23$1,158+17%$310 – $2,109
Washington WA36$1,128+14%$806 – $2,028
Minnesota MN51$1,122+13%$440 – $1,628
Idaho ID15$1,063+7%$226 – $1,886
Wisconsin WI61$1,060+7%$541 – $1,396
Virginia VA33$1,055+6%$859 – $1,508
Missouri MO32$1,054+6%$730 – $1,714
Kentucky KY21$1,039+5%$807 – $2,781
Colorado CO35$1,017+3%$563 – $1,805
Alabama AL12$937−6%$234 – $6,778
New York NY49$881−11%$634 – $1,749
Illinois IL50$863−13%$238 – $2,814
Texas TX77$859−13%$705 – $1,372
West Virginia WV19$812−18%$85 – $1,477
Michigan MI42$742−25%$233 – $971
Tennessee TN18$658−34%$421 – $883
Kansas KS35$655−34%$173 – $1,203
Louisiana LA24$641−35%$378 – $1,036
Oklahoma OK26$636−36%$348 – $1,144
Nebraska NE28$543−45%$425 – $1,041
Iowa IA47$518−48%$240 – $1,261
Indiana IN45$469−53%$262 – $998
Oregon OR30$408−59%$284 – $2,196
Mississippi MS26$376−62%$270 – $614
Connecticut CT9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Utah UT7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Vermont VT1not 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 $992.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,079$1,060$562 – $2,028
Children’s21$957$641 – $3,287
Critical access314$658$241 – $1,517
Ownership
For-profit132$1,060$464 – $2,533
Government223$796$279 – $1,386
Non-profit1,059$1,050$487 – $1,918
System affiliation
Part of a system1,204$1,017$494 – $1,933
Independent217$876$252 – $1,681

Cash price vs list price

Median list price (chargemaster)$1,856
Median cash price$992
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

1,018 hospitals filed a usable inpatient cash price for this code. The median is $1,099 and the average of the middle 60% is $1,169; most fall between $545 and $2,004.

Cash price percentiles, inpatient, across 1,018 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
$348$657$1,099$1,835$2,956

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($348 vs $2,956).

Of the 1,074 hospitals that filed this code inpatient, 1,018 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

1,421 of the 3,956 hospitals with a price file in our corpus (36%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,503 hospitals that filed this code at all gave us
Usable cash price — counted1,421
Cash price carrying a plausibility flag — shown on the compare tool, excluded here53
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded27
Hospitals that filed this code1,503

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 Nerves Nrvtg Si Joint W/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, “Nerve block for the sacroiliac joint nerves (CPT 64451) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64451-nerve-block-for-the-sacroiliac-joint-nerves