HRHospitalRates.comCompare prices

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

Continuous abdominal wall nerve block, both sides

CPT 64489the billing code this page is about

Numbing medicine delivered by continuous infusion through catheters placed in the abdominal wall muscle layer on both sides, including any imaging guidance.

Hospitals typically charge $1,217 cash for this outpatient procedure — the median across 549 hospitals that filed a usable cash price; the average of the middle 60% is $1,393. Most fall between $337 and $3,051 (20th–80th percentile).

Hospitals
549
States
44
Filings dated
Jun 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 549 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
$189$467$1,217$2,868$4,595

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($189 vs $4,595).

How the prices are spread

$127 – $184: 27 hospitals$127$184 – $267: 43 hospitals$267 – $387: 23 hospitals$267$387 – $562: 49 hospitals$562 – $816: 46 hospitals$562$816 – $1,185: 46 hospitals$1,185 – $1,720: 68 hospitals$1,185$1,720 – $2,496: 71 hospitals$2,496 – $3,624: 64 hospitals$2,496$3,624 – $5,261: 60 hospitals$3,624median $1,217price bands are equal on a log scale
Hospitals per price band (497 of 549 — the bands cover the 5th to 95th percentile)
FromToHospitals
$127$18427
$184$26743
$267$38723
$387$56249
$562$81646
$816$1,18546
$1,185$1,72068
$1,720$2,49671
$2,496$3,62464
$3,624$5,26160

By state

The median cash price in each state, against the national median of $1,217.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,819 across 22 hospitalsMN$1,819Illinois: median $230 across 18 hospitalsIL$230Wisconsin: median $885 across 10 hospitalsWI$885Michigan: median $764 across 14 hospitalsMI$764New York: median $4,595 across 21 hospitalsNY$4,595Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,282 across 12 hospitalsOR$1,282Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $691 across 16 hospitalsIA$691Indiana: median $200 across 23 hospitalsIN$200Ohio: median $915 across 54 hospitalsOH$915Pennsylvania: median $572 across 15 hospitalsPA$572New Jersey: median $4,881 across 19 hospitalsNJ$4,881Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $521 across 43 hospitalsCA$521Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,790 across 11 hospitalsCO$1,790Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $1,322 across 13 hospitalsKY$1,322West Virginia: median $3,495 across 16 hospitalsWV$3,495Virginia: median $1,408 across 12 hospitalsVA$1,408Maryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $609 across 12 hospitalsTN$609North Carolina: median $3,163 across 13 hospitalsNC$3,163South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $130 across 11 hospitalsOK$130Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $3,038 across 25 hospitalsGA$3,038Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,541 across 57 hospitalsTX$1,541Florida: median $1,856 across 25 hospitalsFL$1,856
Cash price by state, most expensive first. National median $1,217. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ19$4,881+301%$3,782 – $6,311
New York NY21$4,595+278%$278 – $4,595
West Virginia WV16$3,495+187%$2,913 – $3,942
North Carolina NC13$3,163+160%$359 – $3,163
Georgia GA25$3,038+150%$2,358 – $4,862
Florida FL25$1,856+53%$948 – $5,261
Minnesota MN22$1,819+49%$1,385 – $2,200
Colorado CO11$1,790+47%$1,029 – $1,790
Texas TX57$1,541+27%$412 – $3,767
Virginia VA12$1,408+16%$895 – $2,218
Kentucky KY13$1,322+9%$230 – $1,700
Oregon OR12$1,282+5%$765 – $1,971
Ohio OH54$915−25%$610 – $2,408
Wisconsin WI10$885−27%$700 – $1,280
Michigan MI14$764−37%$102 – $1,601
Iowa IA16$691−43%$691 – $1,784
Tennessee TN12$609−50%$239 – $609
Pennsylvania PA15$572−53%$106 – $1,381
California CA43$521−57%$521 – $1,217
Illinois IL18$230−81%$222 – $1,827
Indiana IN23$200−84%$127 – $1,848
Oklahoma OK11$130−89%$130 – $130
Kansas KS9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Wyoming WY1not 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 $1,217.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care460$1,322$450 – $3,376
Children’s13fewer than 20 hospitals
Critical access75$649$203 – $1,819
Ownership
For-profit47$942$230 – $3,038
Government79$1,856$244 – $3,163
Non-profit422$1,217$370 – $3,038
System affiliation
Part of a system478$1,381$449 – $3,305
Independent71$450$203 – $1,199

Cash price vs list price

Median list price (chargemaster)$1,602
Median cash price$1,217
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

425 hospitals filed a usable inpatient cash price for this code. The median is $1,217 and the average of the middle 60% is $1,299; most fall between $397 and $2,868.

Cash price percentiles, inpatient, across 425 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
$214$521$1,217$2,358$3,745

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($214 vs $3,745).

Of the 456 hospitals that filed this code inpatient, 425 gave a usable cash price; 12 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

549 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 616 hospitals that filed this code at all gave us
Usable cash price — counted549
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded37
Hospitals that filed this code616

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 Continuous Infusion(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, “Continuous abdominal wall nerve block, both sides (CPT 64489) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64489-continuous-abdominal-wall-nerve-block-both-sides