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

Knee nerve block (genicular nerve branches)

CPT 64454the billing code this page is about

Injection of numbing medicine and/or steroid around the genicular nerve branches that carry pain signals from the knee, with imaging guidance.

Hospitals typically charge $993 cash for this outpatient procedure — the median across 1,798 hospitals that filed a usable cash price; the average of the middle 60% is $1,035. Most fall between $480 and $1,808 (20th–80th percentile).

Hospitals
1,798
States
50
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 1,798 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
$260$622$993$1,560$2,552

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($260 vs $2,552).

How the prices are spread

$159 – $216: 47 hospitals$159$216 – $294: 62 hospitals$294 – $400: 102 hospitals$294$400 – $544: 106 hospitals$544 – $739: 184 hospitals$544$739 – $1,005: 320 hospitals$1,005 – $1,367: 329 hospitals$1,005$1,367 – $1,859: 230 hospitals$1,859 – $2,528: 142 hospitals$1,859$2,528 – $3,438: 98 hospitals$2,528median $993price bands are equal on a log scale
Hospitals per price band (1,620 of 1,798 — the bands cover the 5th to 95th percentile)
FromToHospitals
$159$21647
$216$29462
$294$400102
$400$544106
$544$739184
$739$1,005320
$1,005$1,367329
$1,367$1,859230
$1,859$2,528142
$2,528$3,43898

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$993
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 $993.

Alaska: median $1,257 across 10 hospitalsAK$1,257Maine: median $704 across 13 hospitalsME$704Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $377 across 12 hospitalsNH$377Washington: median $1,117 across 44 hospitalsWA$1,117Idaho: median $1,037 across 20 hospitalsID$1,037Montana: median $456 across 13 hospitalsMT$456North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $824 across 72 hospitalsMN$824Illinois: median $1,135 across 75 hospitalsIL$1,135Wisconsin: median $1,157 across 81 hospitalsWI$1,157Michigan: median $971 across 66 hospitalsMI$971New York: median $820 across 56 hospitalsNY$820Massachusetts: median $1,104 across 37 hospitalsMA$1,104Oregon: median $921 across 32 hospitalsOR$921Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $626 across 10 hospitalsSD$626Iowa: median $565 across 69 hospitalsIA$565Indiana: median $1,127 across 47 hospitalsIN$1,127Ohio: median $1,453 across 105 hospitalsOH$1,453Pennsylvania: median $834 across 70 hospitalsPA$834New Jersey: median $924 across 40 hospitalsNJ$924Connecticut: median $1,179 across 12 hospitalsCT$1,179Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,682 across 110 hospitalsCA$1,682Utah: 6 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,017 across 49 hospitalsCO$1,017Nebraska: median $718 across 40 hospitalsNE$718Missouri: median $875 across 49 hospitalsMO$875Kentucky: median $859 across 27 hospitalsKY$859West Virginia: median $903 across 22 hospitalsWV$903Virginia: median $859 across 36 hospitalsVA$859Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,038 across 25 hospitalsAZ$2,038New Mexico: median $832 across 10 hospitalsNM$832Kansas: median $817 across 55 hospitalsKS$817Arkansas: median $653 across 13 hospitalsAR$653Tennessee: median $394 across 29 hospitalsTN$394North Carolina: median $993 across 54 hospitalsNC$993South Carolina: median $1,009 across 33 hospitalsSC$1,009Oklahoma: median $661 across 29 hospitalsOK$661Louisiana: median $800 across 25 hospitalsLA$800Mississippi: median $413 across 27 hospitalsMS$413Alabama: median $675 across 17 hospitalsAL$675Georgia: median $1,667 across 47 hospitalsGA$1,667Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,031 across 104 hospitalsTX$1,031Florida: median $1,219 across 56 hospitalsFL$1,219
Cash price by state, most expensive first. National median $993. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ25$2,038+105%$352 – $3,568
California CA110$1,682+69%$756 – $1,882
Georgia GA47$1,667+68%$981 – $1,944
Ohio OH105$1,453+46%$679 – $2,463
Alaska AK10$1,257+27%$680 – $3,161
Florida FL56$1,219+23%$977 – $1,981
Connecticut CT12$1,179+19%$816 – $1,451
Wisconsin WI81$1,157+16%$680 – $1,440
Illinois IL75$1,135+14%$389 – $1,784
Indiana IN47$1,127+13%$469 – $1,620
Washington WA44$1,117+12%$397 – $2,028
Massachusetts MA37$1,104+11%$320 – $1,952
Idaho ID20$1,037+4%$184 – $1,886
Texas TX104$1,031+4%$913 – $1,375
Colorado CO49$1,017+2%$657 – $1,333
South Carolina SC33$1,009+2%$817 – $2,626
North Carolina NC54$9930%$877 – $1,266
Michigan MI66$971−2%$138 – $1,253
New Jersey NJ40$924−7%$767 – $5,255
Oregon OR32$921−7%$397 – $2,855
West Virginia WV22$903−9%$677 – $1,397
Missouri MO49$875−12%$345 – $1,480
Virginia VA36$859−13%$313 – $1,160
Kentucky KY27$859−14%$603 – $1,606
Pennsylvania PA70$834−16%$418 – $1,491
New Mexico NM10$832−16%$155 – $2,043
Minnesota MN72$824−17%$401 – $1,601
New York NY56$820−17%$403 – $1,656
Kansas KS55$817−18%$307 – $1,313
Louisiana LA25$800−19%$378 – $1,215
Nebraska NE40$718−28%$482 – $1,135
Maine ME13$704−29%$88 – $1,469
Alabama AL17$675−32%$240 – $973
Oklahoma OK29$661−33%$431 – $1,343
Arkansas AR13$653−34%$370 – $965
South Dakota SD10$626−37%$626 – $704
Iowa IA69$565−43%$357 – $1,300
Montana MT13$456−54%$123 – $902
Mississippi MS27$413−58%$304 – $614
Tennessee TN29$394−60%$313 – $711
New Hampshire NH12$377−62%$96 – $1,132
Hawaii HI9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Utah UT6not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Vermont VT4not 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 $993.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,331$1,031$621 – $1,882
Children’s19fewer than 20 hospitals
Critical access442$796$271 – $1,437
Ownership
For-profit152$1,031$524 – $2,511
Government326$815$287 – $1,463
Non-profit1,314$1,031$542 – $1,826
System affiliation
Part of a system1,491$1,017$535 – $1,826
Independent307$872$266 – $1,565

Cash price vs list price

Median list price (chargemaster)$1,800
Median cash price$993
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

1,244 hospitals filed a usable inpatient cash price for this code. The median is $1,057 and the average of the middle 60% is $1,116; most fall between $565 and $1,879.

Cash price percentiles, inpatient, across 1,244 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
$326$679$1,057$1,709$2,552

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($326 vs $2,552).

Of the 1,319 hospitals that filed this code inpatient, 1,244 gave a usable cash price; 32 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 43 a list price only.

How complete is this

1,798 of the 3,956 hospitals with a price file in our corpus (45%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,917 hospitals that filed this code at all gave us
Usable cash price — counted1,798
Cash price carrying a plausibility flag — shown on the compare tool, excluded here66
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded50
Hospitals that filed this code1,917

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 Genicular Nrv Branches 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, “Knee nerve block (genicular nerve branches) (CPT 64454) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64454-knee-nerve-block-genicular-nerve-branches