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

Abdominal wall nerve block by injection, both sides

CPT 64488the billing code this page is about

Injections of numbing medicine into the muscle layers of the abdominal wall on both the left and right sides.

Hospitals typically charge $940 cash for this outpatient procedure — the median across 1,563 hospitals that filed a usable cash price; the average of the middle 60% is $1,091. Most fall between $248 and $2,868 (20th–80th percentile).

Hospitals
1,563
States
49
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
$149$322$940$2,180$4,775

The most expensive tenth of hospitals charges at least 32× what the cheapest tenth charges ($149 vs $4,775).

How the prices are spread

$105 – $160: 99 hospitals$105$160 – $244: 138 hospitals$244 – $372: 127 hospitals$244$372 – $568: 117 hospitals$568 – $866: 193 hospitals$568$866 – $1,321: 181 hospitals$1,321 – $2,015: 219 hospitals$1,321$2,015 – $3,073: 162 hospitals$3,073 – $4,688: 92 hospitals$3,073$4,688 – $7,151: 89 hospitals$4,688median $940price bands are equal on a log scale
Hospitals per price band (1,417 of 1,563 — the bands cover the 5th to 95th percentile)
FromToHospitals
$105$16099
$160$244138
$244$372127
$372$568117
$568$866193
$866$1,321181
$1,321$2,015219
$2,015$3,073162
$3,073$4,68892
$4,688$7,15189

By state

The median cash price in each state, against the national median of $940.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $264 across 19 hospitalsME$264Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $497 across 15 hospitalsNH$497Washington: median $675 across 38 hospitalsWA$675Idaho: median $488 across 17 hospitalsID$488Montana: median $313 across 12 hospitalsMT$313North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $722 across 71 hospitalsMN$722Illinois: median $1,084 across 62 hospitalsIL$1,084Wisconsin: median $669 across 73 hospitalsWI$669Michigan: median $679 across 58 hospitalsMI$679New York: median $564 across 46 hospitalsNY$564Massachusetts: median $307 across 33 hospitalsMA$307Oregon: median $233 across 39 hospitalsOR$233Nevada: 8 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 $221 across 14 hospitalsSD$221Iowa: median $499 across 59 hospitalsIA$499Indiana: median $534 across 46 hospitalsIN$534Ohio: median $915 across 98 hospitalsOH$915Pennsylvania: median $699 across 53 hospitalsPA$699New Jersey: median $4,881 across 28 hospitalsNJ$4,881Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $828 across 90 hospitalsCA$828Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,382 across 36 hospitalsCO$1,382Nebraska: median $674 across 31 hospitalsNE$674Missouri: median $1,098 across 33 hospitalsMO$1,098Kentucky: median $1,449 across 24 hospitalsKY$1,449West Virginia: median $1,329 across 16 hospitalsWV$1,329Virginia: median $1,157 across 35 hospitalsVA$1,157Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,870 across 17 hospitalsAZ$3,870New Mexico: median $263 across 17 hospitalsNM$263Kansas: median $323 across 27 hospitalsKS$323Arkansas: median $1,544 across 16 hospitalsAR$1,544Tennessee: median $715 across 26 hospitalsTN$715North Carolina: median $2,030 across 42 hospitalsNC$2,030South Carolina: median $1,059 across 30 hospitalsSC$1,059Oklahoma: median $942 across 29 hospitalsOK$942Louisiana: median $574 across 27 hospitalsLA$574Mississippi: median $400 across 28 hospitalsMS$400Alabama: median $746 across 10 hospitalsAL$746Georgia: median $2,991 across 47 hospitalsGA$2,991Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,664 across 99 hospitalsTX$1,664Florida: median $2,136 across 39 hospitalsFL$2,136
Cash price by state, most expensive first. National median $940. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$4,881+419%$1,148 – $6,839
Arizona AZ17$3,870+312%$1,971 – $25,560
Georgia GA47$2,991+218%$2,139 – $4,862
Florida FL39$2,136+127%$1,492 – $6,416
North Carolina NC42$2,030+116%$492 – $3,110
Texas TX99$1,664+77%$831 – $2,996
Arkansas AR16$1,544+64%$365 – $4,094
Kentucky KY24$1,449+54%$348 – $3,360
Colorado CO36$1,382+47%$575 – $1,937
West Virginia WV16$1,329+41%$269 – $1,577
Virginia VA35$1,157+23%$704 – $1,408
Missouri MO33$1,098+17%$126 – $4,084
Illinois IL62$1,084+15%$240 – $3,440
South Carolina SC30$1,059+13%$212 – $6,432
Oklahoma OK29$9420%$116 – $1,435
Ohio OH98$915−3%$542 – $2,868
California CA90$828−12%$434 – $1,940
Alabama AL10$746−21%$210 – $1,998
Minnesota MN71$722−23%$294 – $1,341
Tennessee TN26$715−24%$173 – $6,382
Pennsylvania PA53$699−26%$92 – $1,644
Michigan MI58$679−28%$96 – $1,349
Washington WA38$675−28%$320 – $2,571
Nebraska NE31$674−28%$180 – $1,594
Wisconsin WI73$669−29%$346 – $1,179
Louisiana LA27$574−39%$335 – $1,376
New York NY46$564−40%$142 – $4,595
Indiana IN46$534−43%$124 – $12,769
Iowa IA59$499−47%$228 – $1,571
New Hampshire NH15$497−47%$101 – $797
Idaho ID17$488−48%$226 – $4,775
Mississippi MS28$400−57%$162 – $1,859
Kansas KS27$323−66%$209 – $627
Montana MT12$313−67%$150 – $968
Massachusetts MA33$307−67%$176 – $1,772
Maine ME19$264−72%$149 – $4,450
New Mexico NM17$263−72%$203 – $3,262
Oregon OR39$233−75%$173 – $1,502
South Dakota SD14$221−77%$105 – $1,522
Alaska AK9not enough hospitals filed a usable price
Connecticut CT9not enough hospitals filed a usable price
North Dakota ND9not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD1not 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 $940.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,154$1,104$301 – $3,047
Children’s25$1,483$275 – $3,029
Critical access377$483$178 – $1,620
Ownership
For-profit143$1,461$340 – $6,382
Government274$649$212 – $2,139
Non-profit1,139$925$254 – $2,619
System affiliation
Part of a system1,300$1,032$276 – $2,991
Independent263$436$175 – $1,772

Cash price vs list price

Median list price (chargemaster)$1,482
Median cash price$940
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

1,131 hospitals filed a usable inpatient cash price for this code. The median is $962 and the average of the middle 60% is $1,090; most fall between $278 and $2,362.

Cash price percentiles, inpatient, across 1,131 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
$166$400$962$2,009$3,440

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($166 vs $3,440).

Of the 1,203 hospitals that filed this code inpatient, 1,131 gave a usable cash price; 31 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 1 gave an estimate, and 39 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 1,707 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 here64
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded4
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded72
Hospitals that filed this code1,707

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 Bilateral 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, both sides (CPT 64488) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64488-abdominal-wall-nerve-block-by-injection-both-sides