HRHospitalRates.comCompare prices

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

Abdominal wall nerve block by injection, one side

CPT 64486the billing code this page is about

A single injection of numbing medicine into the muscle layers of the abdominal wall on one side to block pain signals.

Hospitals typically charge $670 cash for this outpatient procedure — the median across 1,563 hospitals that filed a usable cash price; the average of the middle 60% is $728. Most fall between $200 and $1,644 (20th–80th percentile).

Hospitals
1,563
States
50
Filings dated
Mar 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 1,563 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
$118$255$670$1,404$2,916

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($118 vs $2,916).

How the prices are spread

$82 – $124: 94 hospitals$82$124 – $188: 118 hospitals$188 – $283: 134 hospitals$188$283 – $428: 147 hospitals$428 – $645: 185 hospitals$428$645 – $974: 247 hospitals$974 – $1,471: 185 hospitals$974$1,471 – $2,220: 169 hospitals$2,220 – $3,352: 60 hospitals$2,220$3,352 – $5,060: 68 hospitals$3,352median $670price bands are equal on a log scale
Hospitals per price band (1,407 of 1,563 — the bands cover the 5th to 95th percentile)
FromToHospitals
$82$12494
$124$188118
$188$283134
$283$428147
$428$645185
$645$974247
$974$1,471185
$1,471$2,220169
$2,220$3,35260
$3,352$5,06068

By state

The median cash price in each state, against the national median of $670.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $230 across 17 hospitalsME$230Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $405 across 11 hospitalsNH$405Washington: median $293 across 43 hospitalsWA$293Idaho: median $508 across 16 hospitalsID$508Montana: median $206 across 10 hospitalsMT$206North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $646 across 71 hospitalsMN$646Illinois: median $781 across 63 hospitalsIL$781Wisconsin: median $545 across 75 hospitalsWI$545Michigan: median $545 across 65 hospitalsMI$545New York: median $202 across 32 hospitalsNY$202Massachusetts: median $613 across 34 hospitalsMA$613Oregon: median $534 across 33 hospitalsOR$534Nevada: median $396 across 10 hospitalsNV$396Wyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,056 across 12 hospitalsSD$1,056Iowa: median $453 across 56 hospitalsIA$453Indiana: median $256 across 40 hospitalsIN$256Ohio: median $1,095 across 98 hospitalsOH$1,095Pennsylvania: median $518 across 69 hospitalsPA$518New Jersey: median $4,412 across 28 hospitalsNJ$4,412Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $717 across 89 hospitalsCA$717Utah: median $987 across 12 hospitalsUT$987Colorado: median $805 across 28 hospitalsCO$805Nebraska: median $823 across 30 hospitalsNE$823Missouri: median $485 across 37 hospitalsMO$485Kentucky: median $504 across 20 hospitalsKY$504West Virginia: median $285 across 21 hospitalsWV$285Virginia: median $740 across 39 hospitalsVA$740Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,616 across 20 hospitalsAZ$2,616New Mexico: median $256 across 14 hospitalsNM$256Kansas: median $337 across 31 hospitalsKS$337Arkansas: median $1,186 across 15 hospitalsAR$1,186Tennessee: median $401 across 22 hospitalsTN$401North Carolina: median $936 across 39 hospitalsNC$936South Carolina: median $815 across 23 hospitalsSC$815Oklahoma: median $715 across 23 hospitalsOK$715Louisiana: median $396 across 31 hospitalsLA$396Mississippi: median $252 across 28 hospitalsMS$252Alabama: median $415 across 14 hospitalsAL$415Georgia: median $1,980 across 48 hospitalsGA$1,980Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,199 across 102 hospitalsTX$1,199Florida: median $1,143 across 44 hospitalsFL$1,143
Cash price by state, most expensive first. National median $670. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$4,412+558%$565 – $6,839
Arizona AZ20$2,616+290%$302 – $4,616
Georgia GA48$1,980+195%$1,433 – $3,354
Texas TX102$1,199+79%$263 – $1,883
Arkansas AR15$1,186+77%$234 – $3,551
Florida FL44$1,143+71%$115 – $5,261
Ohio OH98$1,095+63%$636 – $2,704
South Dakota SD12$1,056+58%$297 – $1,421
Utah UT12$987+47%$888 – $987
North Carolina NC39$936+40%$291 – $1,523
Nebraska NE30$823+23%$195 – $1,225
South Carolina SC23$815+22%$297 – $10,850
Colorado CO28$805+20%$242 – $1,278
Illinois IL63$781+17%$159 – $1,629
Virginia VA39$740+10%$326 – $1,157
California CA89$717+7%$398 – $1,537
Oklahoma OK23$715+7%$233 – $978
Minnesota MN71$646−4%$263 – $1,589
Massachusetts MA34$613−9%$135 – $1,392
Michigan MI65$545−19%$118 – $764
Wisconsin WI75$545−19%$299 – $780
Oregon OR33$534−20%$198 – $2,264
Pennsylvania PA69$518−23%$68 – $810
Idaho ID16$508−24%$175 – $2,916
Kentucky KY20$504−25%$139 – $1,366
Missouri MO37$485−28%$139 – $1,651
Iowa IA56$453−32%$155 – $1,089
Alabama AL14$415−38%$200 – $2,450
New Hampshire NH11$405−40%$80 – $447
Tennessee TN22$401−40%$151 – $5,175
Louisiana LA31$396−41%$279 – $754
Nevada NV10$396−41%$218 – $1,875
Kansas KS31$337−50%$189 – $571
Washington WA43$293−56%$174 – $1,393
West Virginia WV21$285−57%$72 – $1,707
Indiana IN40$256−62%$75 – $1,431
New Mexico NM14$256−62%$155 – $2,408
Mississippi MS28$252−62%$150 – $819
Maine ME17$230−66%$137 – $2,104
Montana MT10$206−69%$182 – $670
New York NY32$202−70%$109 – $653
North Dakota ND9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not 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 $670.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,159$720$233 – $1,823
Children’s27$897$241 – $1,883
Critical access371$400$143 – $1,056
Ownership
For-profit140$975$285 – $3,000
Government265$444$158 – $1,500
Non-profit1,152$670$206 – $1,629
System affiliation
Part of a system1,310$715$230 – $1,784
Independent253$365$139 – $1,198

Cash price vs list price

Median list price (chargemaster)$1,113
Median cash price$670
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

1,152 hospitals filed a usable inpatient cash price for this code. The median is $717 and the average of the middle 60% is $774; most fall between $233 and $1,629.

Cash price percentiles, inpatient, across 1,152 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
$138$305$717$1,404$2,581

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($138 vs $2,581).

Of the 1,218 hospitals that filed this code inpatient, 1,152 gave a usable cash price; 27 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 38 a list price only.

How complete is this

1,563 of the 3,956 hospitals with a price file in our corpus (40%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,691 hospitals that filed this code at all gave us
Usable cash price — counted1,563
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded76
Hospitals that filed this code1,691

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 Other non-OR or closed therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Tap Block Unilateral by Injection(S).

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, “Abdominal wall nerve block by injection, one side (CPT 64486) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64486-abdominal-wall-nerve-block-by-injection-one-side