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

Numbing injection at the pelvic nerve plexus

CPT 64517the billing code this page is about

An injection of anesthetic into the superior hypogastric plexus, a nerve network in front of the lower spine, to block pelvic pain signals.

Hospitals typically charge $1,388 cash for this outpatient procedure — the median across 1,336 hospitals that filed a usable cash price; the average of the middle 60% is $1,446. Most fall between $632 and $2,446 (20th–80th percentile).

Hospitals
1,336
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 1,336 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
$353$781$1,388$2,296$3,658

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($353 vs $3,658).

How the prices are spread

$221 – $299: 45 hospitals$221$299 – $405: 63 hospitals$405 – $549: 69 hospitals$405$549 – $743: 84 hospitals$743 – $1,007: 145 hospitals$743$1,007 – $1,365: 181 hospitals$1,365 – $1,849: 215 hospitals$1,365$1,849 – $2,505: 217 hospitals$2,505 – $3,395: 100 hospitals$2,505$3,395 – $4,600: 90 hospitals$3,395median $1,388price bands are equal on a log scale
Hospitals per price band (1,209 of 1,336 — the bands cover the 5th to 95th percentile)
FromToHospitals
$221$29945
$299$40563
$405$54969
$549$74384
$743$1,007145
$1,007$1,365181
$1,365$1,849215
$1,849$2,505217
$2,505$3,395100
$3,395$4,60090

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,388
Cash as a multiple of Medicare1.54×

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 $1,388.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,357 across 33 hospitalsWA$1,357Idaho: median $1,956 across 14 hospitalsID$1,956Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,121 across 44 hospitalsMN$1,121Illinois: median $988 across 52 hospitalsIL$988Wisconsin: median $852 across 60 hospitalsWI$852Michigan: median $1,034 across 53 hospitalsMI$1,034New York: median $1,103 across 47 hospitalsNY$1,103Massachusetts: median $2,053 across 23 hospitalsMA$2,053Oregon: median $1,750 across 18 hospitalsOR$1,750Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $478 across 26 hospitalsIA$478Indiana: median $1,513 across 32 hospitalsIN$1,513Ohio: median $2,134 across 87 hospitalsOH$2,134Pennsylvania: median $1,278 across 63 hospitalsPA$1,278New Jersey: median $3,786 across 38 hospitalsNJ$3,786Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,732 across 79 hospitalsCA$2,732Utah: median $1,237 across 26 hospitalsUT$1,237Colorado: median $1,037 across 38 hospitalsCO$1,037Nebraska: median $586 across 14 hospitalsNE$586Missouri: median $1,331 across 30 hospitalsMO$1,331Kentucky: median $1,374 across 16 hospitalsKY$1,374West Virginia: median $848 across 17 hospitalsWV$848Virginia: median $1,161 across 34 hospitalsVA$1,161Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $646 across 12 hospitalsAZ$646New Mexico: median $1,433 across 11 hospitalsNM$1,433Kansas: median $958 across 35 hospitalsKS$958Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $353 across 16 hospitalsTN$353North Carolina: median $1,560 across 29 hospitalsNC$1,560South Carolina: median $1,139 across 23 hospitalsSC$1,139Oklahoma: median $999 across 25 hospitalsOK$999Louisiana: median $632 across 20 hospitalsLA$632Mississippi: median $706 across 11 hospitalsMS$706Alabama: median $1,157 across 15 hospitalsAL$1,157Georgia: median $2,442 across 51 hospitalsGA$2,442Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,912 across 99 hospitalsTX$1,912Florida: median $1,946 across 60 hospitalsFL$1,946
Cash price by state, most expensive first. National median $1,388. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ38$3,786+173%$985 – $5,855
California CA79$2,732+97%$1,568 – $4,082
Georgia GA51$2,442+76%$1,790 – $4,393
Ohio OH87$2,134+54%$1,593 – $3,658
Massachusetts MA23$2,053+48%$900 – $4,329
Idaho ID14$1,956+41%$409 – $2,430
Florida FL60$1,946+40%$449 – $3,406
Texas TX99$1,912+38%$1,160 – $2,462
Oregon OR18$1,750+26%$352 – $3,354
North Carolina NC29$1,560+12%$667 – $2,353
Indiana IN32$1,513+9%$789 – $1,740
New Mexico NM11$1,433+3%$1,150 – $1,714
Kentucky KY16$1,374−1%$929 – $3,575
Washington WA33$1,357−2%$390 – $2,120
Missouri MO30$1,331−4%$730 – $2,011
Pennsylvania PA63$1,278−8%$904 – $2,756
Utah UT26$1,237−11%$1,237 – $1,456
Virginia VA34$1,161−16%$461 – $1,472
Alabama AL15$1,157−17%$626 – $1,781
South Carolina SC23$1,139−18%$993 – $2,032
Minnesota MN44$1,121−19%$885 – $2,296
New York NY47$1,103−21%$572 – $2,403
Colorado CO38$1,037−25%$812 – $2,463
Michigan MI53$1,034−25%$215 – $1,813
Oklahoma OK25$999−28%$649 – $1,815
Illinois IL52$988−29%$446 – $2,965
Kansas KS35$958−31%$424 – $1,800
Wisconsin WI60$852−39%$635 – $1,478
West Virginia WV17$848−39%$131 – $1,207
Mississippi MS11$706−49%$503 – $756
Arizona AZ12$646−53%$426 – $1,085
Louisiana LA20$632−54%$309 – $901
Nebraska NE14$586−58%$238 – $1,423
Iowa IA26$478−66%$355 – $1,275
Tennessee TN16$353−75%$212 – $997
Arkansas AR8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not 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 $1,388.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,083$1,426$668 – $2,633
Children’s19fewer than 20 hospitals
Critical access229$1,066$378 – $2,114
Ownership
For-profit123$1,505$665 – $2,442
Government193$1,054$422 – $2,025
Non-profit1,015$1,456$662 – $2,640
System affiliation
Part of a system1,152$1,430$665 – $2,553
Independent184$1,032$402 – $2,032

Cash price vs list price

Median list price (chargemaster)$2,455
Median cash price$1,388
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

1,011 hospitals filed a usable inpatient cash price for this code. The median is $1,478 and the average of the middle 60% is $1,556; most fall between $687 and $2,542.

Cash price percentiles, inpatient, across 1,011 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
$383$867$1,478$2,353$3,658

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($383 vs $3,658).

Of the 1,062 hospitals that filed this code inpatient, 1,011 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 34 a list price only.

How complete is this

1,336 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,405 hospitals that filed this code at all gave us
Usable cash price — counted1,336
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
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 — excluded30
Hospitals that filed this code1,405

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 Superior Hypogastric Plexus.

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 pelvic nerve plexus (CPT 64517) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64517-numbing-injection-at-the-pelvic-nerve-plexus