Procedure price report · Insertion of catheter or spinal stimulator and injection into spinal canal
Neck or upper back nerve root injection, each extra level
CPT code CPT 64480the billing code this page is about
Add-on charge for each additional cervical or thoracic spinal level injected near the nerve root during the same visit; billed in addition to the first level.
Hospitals typically charge $756 cash for this outpatient procedure — the median across 1,605 hospitals that filed a usable cash price; the average of the middle 60% is $800. Most fall between $287 and $1,541 (20th–80th percentile).
- Hospitals
- 1,605
- 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
| 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|
| $162 | $341 | $756 | $1,320 | $2,198 |
The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($162 vs $2,198).
How the prices are spread
| From | To | Hospitals |
|---|---|---|
| $102 | $141 | 59 |
| $141 | $197 | 64 |
| $197 | $274 | 103 |
| $274 | $381 | 148 |
| $381 | $530 | 147 |
| $530 | $738 | 176 |
| $738 | $1,027 | 237 |
| $1,027 | $1,429 | 236 |
| $1,429 | $1,989 | 170 |
| $1,989 | $2,769 | 110 |
By state
The median cash price in each state, against the national median of $756.
| State | Hospitals | Median | vs national | 20th–80th |
|---|---|---|---|---|
| South Carolina SC | 17 | $2,060 | +172% | $746 – $2,489 |
| Georgia GA | 57 | $1,577 | +109% | $807 – $1,824 |
| California CA | 119 | $1,364 | +80% | $537 – $2,205 |
| Kentucky KY | 25 | $1,284 | +70% | $192 – $2,256 |
| New York NY | 49 | $1,222 | +62% | $186 – $4,595 |
| New Jersey NJ | 36 | $1,188 | +57% | $177 – $5,339 |
| Ohio OH | 115 | $1,162 | +54% | $755 – $1,946 |
| Florida FL | 53 | $1,106 | +46% | $251 – $1,460 |
| Texas TX | 114 | $1,026 | +36% | $686 – $1,682 |
| Colorado CO | 49 | $918 | +21% | $530 – $1,790 |
| New Mexico NM | 10 | $811 | +7% | $206 – $1,489 |
| Alabama AL | 17 | $776 | +3% | $315 – $1,102 |
| Missouri MO | 48 | $770 | +2% | $264 – $1,113 |
| Illinois IL | 68 | $769 | +2% | $242 – $1,546 |
| Massachusetts MA | 26 | $738 | −2% | $167 – $1,307 |
| Connecticut CT | 16 | $724 | −4% | $621 – $1,480 |
| Washington WA | 35 | $713 | −6% | $270 – $1,111 |
| Pennsylvania PA | 50 | $664 | −12% | $231 – $1,363 |
| North Carolina NC | 47 | $647 | −14% | $337 – $1,126 |
| Idaho ID | 18 | $638 | −16% | $283 – $1,602 |
| Virginia VA | 32 | $629 | −17% | $341 – $978 |
| Kansas KS | 35 | $600 | −21% | $316 – $756 |
| Arizona AZ | 28 | $591 | −22% | $432 – $3,896 |
| Michigan MI | 57 | $586 | −22% | $148 – $1,369 |
| Wisconsin WI | 63 | $586 | −22% | $306 – $1,131 |
| North Dakota ND | 10 | $575 | −24% | $111 – $778 |
| Nebraska NE | 37 | $536 | −29% | $401 – $986 |
| Oklahoma OK | 24 | $501 | −34% | $102 – $932 |
| Iowa IA | 42 | $480 | −36% | $257 – $955 |
| Tennessee TN | 30 | $388 | −49% | $319 – $668 |
| Montana MT | 12 | $370 | −51% | $95 – $941 |
| Minnesota MN | 43 | $362 | −52% | $93 – $769 |
| South Dakota SD | 11 | $355 | −53% | $355 – $1,239 |
| Utah UT | 26 | $351 | −54% | $298 – $351 |
| Arkansas AR | 12 | $331 | −56% | $248 – $850 |
| Mississippi MS | 10 | $299 | −60% | $115 – $409 |
| West Virginia WV | 19 | $279 | −63% | $64 – $895 |
| Maine ME | 10 | $247 | −67% | $100 – $872 |
| Louisiana LA | 21 | $245 | −68% | $113 – $394 |
| Oregon OR | 25 | $244 | −68% | $181 – $424 |
| Indiana IN | 34 | $214 | −72% | $158 – $842 |
| New Hampshire NH | 9 | not enough hospitals filed a usable price | ||
| Wyoming WY | 9 | not enough hospitals filed a usable price | ||
| Nevada NV | 8 | not enough hospitals filed a usable price | ||
| Rhode Island RI | 7 | not enough hospitals filed a usable price | ||
| Hawaii HI | 6 | not enough hospitals filed a usable price | ||
| Vermont VT | 5 | not enough hospitals filed a usable price | ||
| Alaska AK | 4 | not enough hospitals filed a usable price | ||
| Maryland MD | 4 | not enough hospitals filed a usable price | ||
| Delaware DE | 3 | not 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 $756.
| Segment | Hospitals | Median | 20th–80th |
|---|---|---|---|
| Hospital type | |||
| Acute care | 1,243 | $845 | $329 – $1,585 |
| Children’s | 26 | $726 | $331 – $1,843 |
| Critical access | 327 | $502 | $225 – $1,046 |
| Ownership | |||
| For-profit | 146 | $864 | $316 – $1,908 |
| Government | 273 | $652 | $252 – $1,144 |
| Non-profit | 1,177 | $774 | $298 – $1,546 |
| System affiliation | |||
| Part of a system | 1,322 | $805 | $313 – $1,577 |
| Independent | 283 | $549 | $202 – $1,221 |
Cash price vs list price
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
1,185 hospitals filed a usable inpatient cash price for this code. The median is $850 and the average of the middle 60% is $865; most fall between $319 and $1,575.
| 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|
| $196 | $367 | $850 | $1,369 | $2,107 |
The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($196 vs $2,107).
Of the 1,270 hospitals that filed this code inpatient, 1,185 gave a usable cash price; 33 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 51 a list price only.
How complete is this
1,605 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.
| Usable cash price — counted | 1,605 |
|---|---|
| Cash price carrying a plausibility flag — shown on the compare tool, excluded here | 64 |
| A number the filing itself marks as not a price (a placeholder, a ratio) — excluded | 1 |
| An estimate rather than a filed cash price — excluded | 2 |
| A list price only, no cash figure — excluded | 99 |
| Hospitals that filed this code | 1,771 |
Sections not shown for this setting
- Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
- 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 Njx Aa&/Strd Tfrml Epi Cervical/Thoracic Ea Addl
.
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, “Neck or upper back nerve root injection, each extra level (CPT 64480) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64480-neck-or-upper-back-nerve-root-injection-each-extra-level