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

Trigeminal nerve destruction using imaging guidance

CPT 64610the billing code this page is about

Injection of a nerve-destroying agent into the second and third divisions of the trigeminal nerve at the base of the skull, performed while imaging is used to guide the needle.

Hospitals typically charge $2,685 cash for this outpatient procedure — the median across 492 hospitals that filed a usable cash price; the average of the middle 60% is $3,248. Most fall between $1,390 and $5,925 (20th–80th percentile).

Hospitals
492
States
46
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 492 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
$845$1,620$2,685$5,197$7,560

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($845 vs $7,560).

How the prices are spread

$616 – $811: 23 hospitals$616$811 – $1,067: 19 hospitals$1,067 – $1,404: 38 hospitals$1,067$1,404 – $1,847: 30 hospitals$1,847 – $2,431: 86 hospitals$1,847$2,431 – $3,199: 47 hospitals$3,199 – $4,209: 53 hospitals$3,199$4,209 – $5,539: 60 hospitals$5,539 – $7,289: 59 hospitals$5,539$7,289 – $9,591: 29 hospitals$7,289median $2,685price bands are equal on a log scale
Hospitals per price band (444 of 492 — the bands cover the 5th to 95th percentile)
FromToHospitals
$616$81123
$811$1,06719
$1,067$1,40438
$1,404$1,84730
$1,847$2,43186
$2,431$3,19947
$3,199$4,20953
$4,209$5,53960
$5,539$7,28959
$7,289$9,59129

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,995
Median cash price$2,685
Cash as a multiple of Medicare1.35×

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 $2,685.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 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 $6,866 across 13 hospitalsWA$6,866Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,140 across 28 hospitalsIL$2,140Wisconsin: median $2,263 across 16 hospitalsWI$2,263Michigan: median $2,189 across 15 hospitalsMI$2,189New York: median $2,311 across 27 hospitalsNY$2,311Massachusetts: median $6,063 across 10 hospitalsMA$6,063Oregon: median $2,295 across 11 hospitalsOR$2,295Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,866 across 15 hospitalsIA$1,866Indiana: median $1,620 across 21 hospitalsIN$1,620Ohio: median $2,192 across 21 hospitalsOH$2,192Pennsylvania: median $2,817 across 22 hospitalsPA$2,817New Jersey: median $4,350 across 28 hospitalsNJ$4,350Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,754 across 44 hospitalsCA$3,754Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,589 across 14 hospitalsCO$2,589Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,650 across 16 hospitalsMO$2,650Kentucky: median $1,732 across 10 hospitalsKY$1,732West Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $4,786 across 11 hospitalsNC$4,786South Carolina: median $12,826 across 15 hospitalsSC$12,826Oklahoma: median $790 across 13 hospitalsOK$790Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $4,536 across 15 hospitalsGA$4,536Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,614 across 29 hospitalsTX$4,614Florida: median $2,858 across 16 hospitalsFL$2,858
Cash price by state, most expensive first. National median $2,685. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC15$12,826+378%$3,060 – $12,826
Washington WA13$6,866+156%$1,139 – $6,866
Massachusetts MA10$6,063+126%$3,022 – $6,063
North Carolina NC11$4,786+78%$4,786 – $4,786
Texas TX29$4,614+72%$3,244 – $7,941
Georgia GA15$4,536+69%$4,536 – $5,197
New Jersey NJ28$4,350+62%$2,163 – $6,311
California CA44$3,754+40%$3,611 – $5,925
Florida FL16$2,858+6%$1,960 – $6,099
Pennsylvania PA22$2,817+5%$312 – $3,380
Missouri MO16$2,650−1%$1,238 – $6,115
Colorado CO14$2,589−4%$2,589 – $7,188
New York NY27$2,311−14%$1,995 – $2,717
Oregon OR11$2,295−15%$1,390 – $2,573
Wisconsin WI16$2,263−16%$2,035 – $2,966
Ohio OH21$2,192−18%$1,278 – $7,560
Michigan MI15$2,189−18%$939 – $2,685
Illinois IL28$2,140−20%$983 – $4,208
Iowa IA15$1,866−31%$1,866 – $1,866
Kentucky KY10$1,732−36%$795 – $7,841
Indiana IN21$1,620−40%$822 – $2,190
Oklahoma OK13$790−71%$790 – $3,022
Tennessee TN9not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Utah UT1not 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 $2,685.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care439$3,022$1,390 – $5,925
Children’s5fewer than 20 hospitals
Critical access47$2,190$1,139 – $4,208
Ownership
For-profit43$3,022$861 – $5,634
Government72$2,396$1,480 – $4,786
Non-profit376$2,685$1,390 – $5,925
System affiliation
Part of a system423$3,060$1,480 – $5,925
Independent69$1,877$939 – $3,611

Cash price vs list price

Median list price (chargemaster)$4,818
Median cash price$2,685
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

327 hospitals filed a usable inpatient cash price for this code. The median is $3,316 and the average of the middle 60% is $3,473; most fall between $1,341 and $5,925.

Cash price percentiles, inpatient, across 327 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
$790$1,511$3,316$5,925$7,560

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($790 vs $7,560).

Of the 356 hospitals that filed this code inpatient, 327 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

492 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 536 hospitals that filed this code at all gave us
Usable cash price — counted492
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded12
Hospitals that filed this code536

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 Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor.

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, “Trigeminal nerve destruction using imaging guidance (CPT 64610) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64610-trigeminal-nerve-destruction-using-imaging-guidance