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

Numbing injection at low back or chest sympathetic nerves

CPT 64520the billing code this page is about

An injection of anesthetic into the sympathetic nerve chain alongside the lumbar or thoracic spine to block nerve signals.

Hospitals typically charge $1,175 cash for this outpatient procedure — the median across 1,875 hospitals that filed a usable cash price; the average of the middle 60% is $1,243. Most fall between $519 and $2,191 (20th–80th percentile).

Hospitals
1,875
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 1,875 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
$298$629$1,175$1,950$3,359

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($298 vs $3,359).

How the prices are spread

$198 – $273: 68 hospitals$198$273 – $375: 89 hospitals$375 – $517: 122 hospitals$375$517 – $712: 134 hospitals$712 – $980: 236 hospitals$712$980 – $1,349: 327 hospitals$1,349 – $1,858: 295 hospitals$1,349$1,858 – $2,559: 243 hospitals$2,559 – $3,523: 94 hospitals$2,559$3,523 – $4,851: 85 hospitals$3,523median $1,175price bands are equal on a log scale
Hospitals per price band (1,693 of 1,875 — the bands cover the 5th to 95th percentile)
FromToHospitals
$198$27368
$273$37589
$375$517122
$517$712134
$712$980236
$980$1,349327
$1,349$1,858295
$1,858$2,559243
$2,559$3,52394
$3,523$4,85185

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,175
Cash as a multiple of Medicare1.30×

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 $1,175.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $972 across 18 hospitalsME$972Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $762 across 14 hospitalsNH$762Washington: median $1,207 across 50 hospitalsWA$1,207Idaho: median $1,955 across 19 hospitalsID$1,955Montana: median $678 across 13 hospitalsMT$678North Dakota: median $915 across 10 hospitalsND$915Minnesota: median $1,031 across 74 hospitalsMN$1,031Illinois: median $1,058 across 71 hospitalsIL$1,058Wisconsin: median $1,197 across 74 hospitalsWI$1,197Michigan: median $955 across 68 hospitalsMI$955New York: median $1,054 across 58 hospitalsNY$1,054Massachusetts: median $1,614 across 39 hospitalsMA$1,614Oregon: median $1,064 across 30 hospitalsOR$1,064Nevada: median $1,820 across 11 hospitalsNV$1,820Wyoming: median $490 across 10 hospitalsWY$490South Dakota: median $612 across 10 hospitalsSD$612Iowa: median $801 across 52 hospitalsIA$801Indiana: median $568 across 39 hospitalsIN$568Ohio: median $1,802 across 117 hospitalsOH$1,802Pennsylvania: median $1,293 across 70 hospitalsPA$1,293New Jersey: median $1,188 across 48 hospitalsNJ$1,188Connecticut: median $1,385 across 16 hospitalsCT$1,385Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,404 across 128 hospitalsCA$2,404Utah: median $1,245 across 28 hospitalsUT$1,245Colorado: median $1,068 across 49 hospitalsCO$1,068Nebraska: median $682 across 24 hospitalsNE$682Missouri: median $911 across 51 hospitalsMO$911Kentucky: median $1,137 across 24 hospitalsKY$1,137West Virginia: median $848 across 24 hospitalsWV$848Virginia: median $950 across 44 hospitalsVA$950Maryland: 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 $495 across 21 hospitalsAZ$495New Mexico: median $1,354 across 10 hospitalsNM$1,354Kansas: median $680 across 53 hospitalsKS$680Arkansas: median $928 across 21 hospitalsAR$928Tennessee: median $552 across 31 hospitalsTN$552North Carolina: median $1,262 across 50 hospitalsNC$1,262South Carolina: median $1,806 across 29 hospitalsSC$1,806Oklahoma: median $838 across 35 hospitalsOK$838Louisiana: median $533 across 31 hospitalsLA$533Mississippi: median $531 across 29 hospitalsMS$531Alabama: median $806 across 19 hospitalsAL$806Georgia: median $1,824 across 51 hospitalsGA$1,824Hawaii: median $800 across 11 hospitalsHI$800Texas: median $1,432 across 115 hospitalsTX$1,432Florida: median $2,038 across 62 hospitalsFL$2,038
Cash price by state, most expensive first. National median $1,175. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA128$2,404+105%$965 – $6,901
Florida FL62$2,038+74%$1,196 – $4,242
Idaho ID19$1,955+66%$429 – $2,430
Georgia GA51$1,824+55%$1,300 – $2,421
Nevada NV11$1,820+55%$868 – $2,886
South Carolina SC29$1,806+54%$1,121 – $1,882
Ohio OH117$1,802+53%$896 – $2,989
Massachusetts MA39$1,614+37%$879 – $2,172
Texas TX115$1,432+22%$1,032 – $2,191
Connecticut CT16$1,385+18%$845 – $2,656
New Mexico NM10$1,354+15%$496 – $1,534
Pennsylvania PA70$1,293+10%$878 – $2,543
North Carolina NC50$1,262+7%$746 – $2,118
Utah UT28$1,245+6%$1,093 – $1,464
Washington WA50$1,207+3%$494 – $2,120
Wisconsin WI74$1,197+2%$484 – $1,554
New Jersey NJ48$1,188+1%$985 – $5,110
Kentucky KY24$1,137−3%$629 – $2,901
Colorado CO49$1,068−9%$624 – $2,080
Oregon OR30$1,064−9%$399 – $2,553
Illinois IL71$1,058−10%$446 – $2,191
New York NY58$1,054−10%$506 – $2,403
Minnesota MN74$1,031−12%$471 – $1,856
Maine ME18$972−17%$340 – $1,400
Michigan MI68$955−19%$103 – $1,216
Virginia VA44$950−19%$753 – $1,776
Arkansas AR21$928−21%$474 – $2,277
North Dakota ND10$915−22%$561 – $1,555
Missouri MO51$911−22%$683 – $1,928
West Virginia WV24$848−28%$127 – $1,784
Oklahoma OK35$838−29%$270 – $1,244
Alabama AL19$806−31%$213 – $1,271
Iowa IA52$801−32%$374 – $1,607
Hawaii HI11$800−32%$280 – $1,835
New Hampshire NH14$762−35%$85 – $1,068
Nebraska NE24$682−42%$248 – $1,485
Kansas KS53$680−42%$261 – $1,059
Montana MT13$678−42%$389 – $1,207
South Dakota SD10$612−48%$141 – $908
Indiana IN39$568−52%$342 – $1,690
Tennessee TN31$552−53%$402 – $1,077
Louisiana LA31$533−55%$341 – $863
Mississippi MS29$531−55%$294 – $756
Arizona AZ21$495−58%$420 – $1,078
Wyoming WY10$490−58%$235 – $1,845
Rhode Island RI8not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD4not 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 $1,175.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,430$1,260$629 – $2,327
Children’s21$1,054$475 – $1,907
Critical access417$800$343 – $1,672
Ownership
For-profit168$1,355$789 – $2,496
Government329$921$346 – $1,789
Non-profit1,371$1,219$552 – $2,277
System affiliation
Part of a system1,537$1,230$552 – $2,306
Independent338$912$348 – $1,824

Cash price vs list price

Median list price (chargemaster)$2,123
Median cash price$1,175
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

1,363 hospitals filed a usable inpatient cash price for this code. The median is $1,293 and the average of the middle 60% is $1,378; most fall between $624 and $2,335.

Cash price percentiles, inpatient, across 1,363 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
$370$750$1,293$2,118$3,533

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($370 vs $3,533).

Of the 1,443 hospitals that filed this code inpatient, 1,363 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 47 a list price only.

How complete is this

1,875 of the 3,956 hospitals with a price file in our corpus (47%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,012 hospitals that filed this code at all gave us
Usable cash price — counted1,875
Cash price carrying a plausibility flag — shown on the compare tool, excluded here68
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded65
Hospitals that filed this code2,012

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 PR Inject Nerv Blck,Paravert Sympath.

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 low back or chest sympathetic nerves (CPT 64520) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64520-numbing-injection-at-low-back-or-chest-sympathetic-nerves