HRHospitalRates.comCompare prices

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

Numbing injection at the nerve bundle behind the nose

CPT 64505the billing code this page is about

An injection of anesthetic at the sphenopalatine ganglion, a nerve cluster deep behind the nose, used to block facial or head pain.

Hospitals typically charge $457 cash for this outpatient procedure — the median across 1,525 hospitals that filed a usable cash price; the average of the middle 60% is $488. Most fall between $242 and $829 (20th–80th percentile).

Hospitals
1,525
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

Cash price percentiles, outpatient, across 1,525 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
$170$281$457$763$1,222

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($170 vs $1,222).

How the prices are spread

$114 – $149: 44 hospitals$114$149 – $195: 91 hospitals$195 – $255: 120 hospitals$195$255 – $333: 172 hospitals$333 – $435: 206 hospitals$333$435 – $568: 226 hospitals$568 – $742: 183 hospitals$568$742 – $969: 163 hospitals$969 – $1,267: 96 hospitals$969$1,267 – $1,655: 73 hospitals$1,267median $457price bands are equal on a log scale
Hospitals per price band (1,374 of 1,525 — the bands cover the 5th to 95th percentile)
FromToHospitals
$114$14944
$149$19591
$195$255120
$255$333172
$333$435206
$435$568226
$568$742183
$742$969163
$969$1,26796
$1,267$1,65573

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$457
Cash as a multiple of Medicare1.46×

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 $457.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $325 across 14 hospitalsME$325Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $240 across 13 hospitalsNH$240Washington: median $451 across 53 hospitalsWA$451Idaho: median $702 across 15 hospitalsID$702Montana: median $218 across 13 hospitalsMT$218North Dakota: median $303 across 10 hospitalsND$303Minnesota: median $380 across 53 hospitalsMN$380Illinois: median $453 across 58 hospitalsIL$453Wisconsin: median $504 across 56 hospitalsWI$504Michigan: median $304 across 56 hospitalsMI$304New York: median $349 across 50 hospitalsNY$349Massachusetts: median $563 across 34 hospitalsMA$563Oregon: median $420 across 36 hospitalsOR$420Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $380 across 11 hospitalsSD$380Iowa: median $361 across 46 hospitalsIA$361Indiana: median $319 across 36 hospitalsIN$319Ohio: median $486 across 86 hospitalsOH$486Pennsylvania: median $384 across 63 hospitalsPA$384New Jersey: median $1,263 across 36 hospitalsNJ$1,263Connecticut: median $633 across 13 hospitalsCT$633Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $796 across 77 hospitalsCA$796Utah: median $430 across 25 hospitalsUT$430Colorado: median $602 across 42 hospitalsCO$602Nebraska: median $330 across 36 hospitalsNE$330Missouri: median $473 across 39 hospitalsMO$473Kentucky: median $313 across 16 hospitalsKY$313West Virginia: median $443 across 25 hospitalsWV$443Virginia: median $533 across 40 hospitalsVA$533Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $439 across 12 hospitalsAZ$439New Mexico: median $182 across 10 hospitalsNM$182Kansas: median $492 across 37 hospitalsKS$492Arkansas: median $190 across 13 hospitalsAR$190Tennessee: median $281 across 16 hospitalsTN$281North Carolina: median $309 across 43 hospitalsNC$309South Carolina: median $885 across 26 hospitalsSC$885Oklahoma: median $295 across 29 hospitalsOK$295Louisiana: median $182 across 24 hospitalsLA$182Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,167 across 51 hospitalsGA$1,167Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $547 across 88 hospitalsTX$547Florida: median $675 across 53 hospitalsFL$675
Cash price by state, most expensive first. National median $457. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ36$1,263+177%$348 – $5,110
Georgia GA51$1,167+156%$743 – $1,196
South Carolina SC26$885+94%$475 – $1,398
California CA77$796+74%$375 – $1,887
Idaho ID15$702+54%$192 – $818
Florida FL53$675+48%$432 – $735
Connecticut CT13$633+39%$342 – $925
Colorado CO42$602+32%$289 – $1,282
Massachusetts MA34$563+23%$379 – $1,052
Texas TX88$547+20%$306 – $788
Virginia VA40$533+17%$189 – $800
Wisconsin WI56$504+10%$452 – $695
Kansas KS37$492+8%$230 – $840
Ohio OH86$486+6%$257 – $1,324
Missouri MO39$473+4%$201 – $845
Illinois IL58$453−1%$200 – $913
Washington WA53$451−1%$278 – $678
West Virginia WV25$443−3%$237 – $610
Arizona AZ12$439−4%$215 – $477
Utah UT25$430−6%$430 – $506
Oregon OR36$420−8%$309 – $640
Pennsylvania PA63$384−16%$201 – $928
South Dakota SD11$380−17%$373 – $784
Minnesota MN53$380−17%$262 – $639
Iowa IA46$361−21%$224 – $710
New York NY50$349−23%$189 – $639
Nebraska NE36$330−28%$225 – $475
Maine ME14$325−29%$164 – $834
Indiana IN36$319−30%$220 – $590
Kentucky KY16$313−31%$173 – $577
North Carolina NC43$309−32%$244 – $550
Michigan MI56$304−33%$103 – $696
North Dakota ND10$303−34%$180 – $552
Oklahoma OK29$295−35%$129 – $747
Tennessee TN16$281−39%$188 – $384
New Hampshire NH13$240−48%$86 – $332
Montana MT13$218−52%$140 – $484
Arkansas AR13$190−58%$173 – $468
Louisiana LA24$182−60%$61 – $450
New Mexico NM10$182−60%$158 – $370
Alaska AK9not enough hospitals filed a usable price
Alabama AL9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Delaware DE2not 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 $457.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,130$481$256 – $892
Children’s34$678$285 – $1,327
Critical access356$391$209 – $627
Ownership
For-profit123$458$237 – $899
Government252$371$233 – $715
Non-profit1,145$475$245 – $874
System affiliation
Part of a system1,272$467$251 – $845
Independent253$439$213 – $754

Cash price vs list price

Median list price (chargemaster)$776
Median cash price$457
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

1,109 hospitals filed a usable inpatient cash price for this code. The median is $504 and the average of the middle 60% is $529; most fall between $251 and $887.

Cash price percentiles, inpatient, across 1,109 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
$181$291$504$796$1,324

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($181 vs $1,324).

Of the 1,182 hospitals that filed this code inpatient, 1,109 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 45 a list price only.

How complete is this

1,525 of the 3,956 hospitals with a price file in our corpus (39%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,624 hospitals that filed this code at all gave us
Usable cash price — counted1,525
Cash price carrying a plausibility flag — shown on the compare tool, excluded here52
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded46
Hospitals that filed this code1,624

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

Hospitals file this code under descriptions such as Injection Anes Agent Sphenopalatine Ganglion.

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, “Numbing injection at the nerve bundle behind the nose (CPT 64505) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64505-numbing-injection-at-the-nerve-bundle-behind-the-nose