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

Numbing injection at the neck sympathetic nerve bundle

CPT 64510the billing code this page is about

An injection of anesthetic into the stellate ganglion, a sympathetic nerve cluster in the lower neck, to block nerve signals to the head, neck, or arm.

Hospitals typically charge $1,161 cash for this outpatient procedure — the median across 1,702 hospitals that filed a usable cash price; the average of the middle 60% is $1,223. Most fall between $512 and $2,215 (20th–80th percentile).

Hospitals
1,702
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 1,702 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
$256$602$1,161$1,927$2,995

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($256 vs $2,995).

How the prices are spread

$161 – $222: 61 hospitals$161$222 – $306: 79 hospitals$306 – $422: 82 hospitals$306$422 – $582: 115 hospitals$582 – $802: 137 hospitals$582$802 – $1,105: 247 hospitals$1,105 – $1,524: 276 hospitals$1,105$1,524 – $2,101: 244 hospitals$2,101 – $2,896: 198 hospitals$2,101$2,896 – $3,993: 100 hospitals$2,896median $1,161price bands are equal on a log scale
Hospitals per price band (1,539 of 1,702 — the bands cover the 5th to 95th percentile)
FromToHospitals
$161$22261
$222$30679
$306$42282
$422$582115
$582$802137
$802$1,105247
$1,105$1,524276
$1,524$2,101244
$2,101$2,896198
$2,896$3,993100

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,161
Cash as a multiple of Medicare1.28×

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 $1,161.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $972 across 15 hospitalsME$972Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $548 across 11 hospitalsNH$548Washington: median $1,491 across 49 hospitalsWA$1,491Idaho: median $1,100 across 18 hospitalsID$1,100Montana: median $433 across 13 hospitalsMT$433North Dakota: median $425 across 12 hospitalsND$425Minnesota: median $1,161 across 57 hospitalsMN$1,161Illinois: median $1,025 across 68 hospitalsIL$1,025Wisconsin: median $985 across 72 hospitalsWI$985Michigan: median $1,102 across 61 hospitalsMI$1,102New York: median $1,054 across 48 hospitalsNY$1,054Massachusetts: median $1,602 across 35 hospitalsMA$1,602Oregon: median $1,024 across 36 hospitalsOR$1,024Nevada: median $962 across 11 hospitalsNV$962Wyoming: median $559 across 11 hospitalsWY$559South Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $519 across 47 hospitalsIA$519Indiana: median $916 across 34 hospitalsIN$916Ohio: median $1,964 across 98 hospitalsOH$1,964Pennsylvania: median $1,276 across 56 hospitalsPA$1,276New Jersey: median $1,188 across 41 hospitalsNJ$1,188Connecticut: median $2,153 across 13 hospitalsCT$2,153Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,039 across 123 hospitalsCA$2,039Utah: median $1,100 across 26 hospitalsUT$1,100Colorado: median $926 across 49 hospitalsCO$926Nebraska: median $554 across 28 hospitalsNE$554Missouri: median $1,067 across 50 hospitalsMO$1,067Kentucky: median $1,290 across 23 hospitalsKY$1,290West Virginia: median $848 across 20 hospitalsWV$848Virginia: median $1,161 across 36 hospitalsVA$1,161Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $681 across 12 hospitalsAZ$681New Mexico: median $1,489 across 12 hospitalsNM$1,489Kansas: median $756 across 47 hospitalsKS$756Arkansas: median $579 across 13 hospitalsAR$579Tennessee: median $552 across 29 hospitalsTN$552North Carolina: median $1,262 across 43 hospitalsNC$1,262South Carolina: median $1,806 across 32 hospitalsSC$1,806Oklahoma: median $1,037 across 38 hospitalsOK$1,037Louisiana: median $509 across 27 hospitalsLA$509Mississippi: median $573 across 23 hospitalsMS$573Alabama: median $649 across 15 hospitalsAL$649Georgia: median $1,646 across 43 hospitalsGA$1,646Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,305 across 115 hospitalsTX$1,305Florida: median $2,144 across 54 hospitalsFL$2,144
Cash price by state, most expensive first. National median $1,161. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT13$2,153+85%$1,579 – $3,557
Florida FL54$2,144+85%$1,260 – $2,846
California CA123$2,039+76%$749 – $4,952
Ohio OH98$1,964+69%$1,004 – $3,900
South Carolina SC32$1,806+56%$1,377 – $2,462
Georgia GA43$1,646+42%$1,435 – $3,352
Massachusetts MA35$1,602+38%$932 – $2,172
Washington WA49$1,491+28%$418 – $2,120
New Mexico NM12$1,489+28%$1,039 – $1,534
Texas TX115$1,305+12%$686 – $1,574
Kentucky KY23$1,290+11%$322 – $2,531
Pennsylvania PA56$1,276+10%$892 – $2,813
North Carolina NC43$1,262+9%$559 – $1,371
New Jersey NJ41$1,188+2%$1,025 – $5,255
Virginia VA36$1,1610%$552 – $1,403
Minnesota MN57$1,1610%$360 – $1,919
Michigan MI61$1,102−5%$260 – $2,171
Idaho ID18$1,100−5%$305 – $2,430
Utah UT26$1,100−5%$1,100 – $1,294
Missouri MO50$1,067−8%$380 – $2,038
New York NY48$1,054−9%$437 – $2,349
Oklahoma OK38$1,037−11%$172 – $1,595
Illinois IL68$1,025−12%$334 – $2,388
Oregon OR36$1,024−12%$263 – $2,539
Wisconsin WI72$985−15%$728 – $1,315
Maine ME15$972−16%$286 – $1,391
Nevada NV11$962−17%$363 – $1,948
Colorado CO49$926−20%$612 – $1,563
Indiana IN34$916−21%$272 – $1,436
West Virginia WV20$848−27%$79 – $1,549
Kansas KS47$756−35%$302 – $1,473
Arizona AZ12$681−41%$383 – $1,419
Alabama AL15$649−44%$251 – $1,213
Arkansas AR13$579−50%$275 – $1,355
Mississippi MS23$573−51%$520 – $932
Wyoming WY11$559−52%$223 – $1,171
Nebraska NE28$554−52%$380 – $1,220
Tennessee TN29$552−52%$537 – $737
New Hampshire NH11$548−53%$77 – $1,017
Iowa IA47$519−55%$307 – $1,243
Louisiana LA27$509−56%$309 – $1,422
Montana MT13$433−63%$355 – $1,934
North Dakota ND12$425−63%$195 – $1,555
South Dakota SD9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Delaware DE3not 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 $1,161.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,298$1,260$584 – $2,398
Children’s22$749$264 – $1,927
Critical access375$897$272 – $1,661
Ownership
For-profit169$1,276$649 – $2,299
Government281$894$300 – $1,661
Non-profit1,245$1,216$548 – $2,312
System affiliation
Part of a system1,408$1,216$552 – $2,281
Independent294$868$256 – $1,933

Cash price vs list price

Median list price (chargemaster)$2,133
Median cash price$1,161
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

1,256 hospitals filed a usable inpatient cash price for this code. The median is $1,294 and the average of the middle 60% is $1,339; most fall between $570 and $2,420.

Cash price percentiles, inpatient, across 1,256 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
$300$704$1,294$2,124$3,149

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($300 vs $3,149).

Of the 1,325 hospitals that filed this code inpatient, 1,256 gave a usable cash price; 31 carried a plausibility flag, 0 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

1,702 of the 3,956 hospitals with a price file in our corpus (43%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,812 hospitals that filed this code at all gave us
Usable cash price — counted1,702
Cash price carrying a plausibility flag — shown on the compare tool, excluded here69
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded39
Hospitals that filed this code1,812

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 Njx Anes Stellate Ganglion Crv Sympathetic.

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 neck sympathetic nerve bundle (CPT 64510) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64510-numbing-injection-at-the-neck-sympathetic-nerve-bundle