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

Chest wall nerve block beside the spine, one site

CPT 64461the billing code this page is about

A single injection of numbing medicine beside the thoracic spine to block pain in the chest wall; this code covers one injection site.

Hospitals typically charge $1,007 cash for this outpatient procedure — the median across 1,188 hospitals that filed a usable cash price; the average of the middle 60% is $1,017. Most fall between $403 and $1,826 (20th–80th percentile).

Hospitals
1,188
States
48
Filings dated
Feb 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 1,188 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
$218$515$1,007$1,545$2,446

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($218 vs $2,446).

How the prices are spread

$142 – $196: 50 hospitals$142$196 – $270: 48 hospitals$270 – $372: 66 hospitals$270$372 – $512: 70 hospitals$512 – $706: 119 hospitals$512$706 – $974: 166 hospitals$974 – $1,343: 240 hospitals$974$1,343 – $1,851: 151 hospitals$1,851 – $2,551: 111 hospitals$1,851$2,551 – $3,517: 58 hospitals$2,551median $1,007price bands are equal on a log scale
Hospitals per price band (1,079 of 1,188 — the bands cover the 5th to 95th percentile)
FromToHospitals
$142$19650
$196$27048
$270$37266
$372$51270
$512$706119
$706$974166
$974$1,343240
$1,343$1,851151
$1,851$2,551111
$2,551$3,51758

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$1,007
Cash as a multiple of Medicare1.40×

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 $1,007.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $856 across 10 hospitalsME$856Vermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $582 across 10 hospitalsNH$582Washington: median $1,038 across 40 hospitalsWA$1,038Idaho: median $1,886 across 10 hospitalsID$1,886Montana: median $615 across 10 hospitalsMT$615North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $700 across 45 hospitalsMN$700Illinois: median $676 across 36 hospitalsIL$676Wisconsin: median $964 across 47 hospitalsWI$964Michigan: median $655 across 35 hospitalsMI$655New York: median $820 across 33 hospitalsNY$820Massachusetts: median $1,581 across 26 hospitalsMA$1,581Oregon: median $454 across 25 hospitalsOR$454Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,522 across 11 hospitalsSD$1,522Iowa: median $330 across 38 hospitalsIA$330Indiana: median $783 across 32 hospitalsIN$783Ohio: median $1,589 across 74 hospitalsOH$1,589Pennsylvania: median $810 across 47 hospitalsPA$810New Jersey: median $2,774 across 31 hospitalsNJ$2,774Connecticut: median $1,100 across 10 hospitalsCT$1,100Rhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,826 across 72 hospitalsCA$1,826Utah: median $401 across 24 hospitalsUT$401Colorado: median $1,007 across 40 hospitalsCO$1,007Nebraska: median $585 across 18 hospitalsNE$585Missouri: median $914 across 26 hospitalsMO$914Kentucky: median $730 across 16 hospitalsKY$730West Virginia: median $846 across 12 hospitalsWV$846Virginia: median $1,344 across 37 hospitalsVA$1,344Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,292 across 10 hospitalsNM$1,292Kansas: median $572 across 29 hospitalsKS$572Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $320 across 19 hospitalsTN$320North Carolina: median $1,053 across 38 hospitalsNC$1,053South Carolina: median $1,162 across 24 hospitalsSC$1,162Oklahoma: median $131 across 18 hospitalsOK$131Louisiana: median $805 across 19 hospitalsLA$805Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,244 across 37 hospitalsGA$1,244Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,046 across 83 hospitalsTX$1,046Florida: median $1,149 across 37 hospitalsFL$1,149
Cash price by state, most expensive first. National median $1,007. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ31$2,774+175%$757 – $5,110
Idaho ID10$1,886+87%$598 – $1,886
California CA72$1,826+81%$1,098 – $3,312
Ohio OH74$1,589+58%$802 – $3,106
Massachusetts MA26$1,581+57%$839 – $2,191
South Dakota SD11$1,522+51%$968 – $1,615
Virginia VA37$1,344+33%$672 – $1,418
New Mexico NM10$1,292+28%$638 – $1,962
Georgia GA37$1,244+23%$1,010 – $2,446
South Carolina SC24$1,162+15%$1,162 – $1,450
Florida FL37$1,149+14%$634 – $2,252
Connecticut CT10$1,100+9%$671 – $2,049
North Carolina NC38$1,053+5%$605 – $1,482
Texas TX83$1,046+4%$1,000 – $2,247
Washington WA40$1,038+3%$278 – $1,621
Colorado CO40$1,0070%$723 – $1,527
Wisconsin WI47$964−4%$655 – $1,283
Missouri MO26$914−9%$190 – $1,467
Maine ME10$856−15%$523 – $1,210
West Virginia WV12$846−16%$84 – $1,730
New York NY33$820−19%$375 – $1,390
Pennsylvania PA47$810−20%$469 – $1,416
Louisiana LA19$805−20%$290 – $1,226
Indiana IN32$783−22%$171 – $1,247
Kentucky KY16$730−28%$614 – $2,781
Minnesota MN45$700−31%$227 – $1,163
Illinois IL36$676−33%$194 – $1,911
Michigan MI35$655−35%$142 – $1,403
Montana MT10$615−39%$245 – $1,183
Nebraska NE18$585−42%$275 – $1,015
New Hampshire NH10$582−42%$110 – $831
Kansas KS29$572−43%$278 – $1,020
Oregon OR25$454−55%$205 – $1,886
Utah UT24$401−60%$329 – $491
Iowa IA38$330−67%$230 – $991
Tennessee TN19$320−68%$269 – $1,039
Oklahoma OK18$131−87%$131 – $515
Arizona AZ9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,007.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care906$1,039$501 – $1,906
Children’s21$969$352 – $1,986
Critical access254$666$230 – $1,271
Ownership
For-profit93$1,021$489 – $1,751
Government190$819$226 – $1,482
Non-profit898$1,021$454 – $1,834
System affiliation
Part of a system1,007$1,021$475 – $1,854
Independent181$741$201 – $1,366

Cash price vs list price

Median list price (chargemaster)$1,745
Median cash price$1,007
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

874 hospitals filed a usable inpatient cash price for this code. The median is $1,041 and the average of the middle 60% is $1,084; most fall between $475 and $1,886.

Cash price percentiles, inpatient, across 874 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
$241$604$1,041$1,720$2,479

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($241 vs $2,479).

Of the 927 hospitals that filed this code inpatient, 874 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 30 a list price only.

How complete is this

1,188 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,261 hospitals that filed this code at all gave us
Usable cash price — counted1,188
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
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 — excluded28
Hospitals that filed this code1,261

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 Pvb Thoracic Single Injection Site W/Img Gid.

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, “Chest wall nerve block beside the spine, one site (CPT 64461) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64461-chest-wall-nerve-block-beside-the-spine-one-site