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

Nerve destruction of a rib nerve

CPT 64620the billing code this page is about

Injection of a nerve-destroying agent into an intercostal nerve running along a rib to interrupt chest wall pain signals.

Hospitals typically charge $1,275 cash for this outpatient procedure — the median across 1,122 hospitals that filed a usable cash price; the average of the middle 60% is $1,419. Most fall between $601 and $2,646 (20th–80th percentile).

Hospitals
1,122
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 1,122 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
$354$708$1,275$2,370$3,748

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($354 vs $3,748).

How the prices are spread

$250 – $335: 39 hospitals$250$335 – $448: 61 hospitals$448 – $600: 65 hospitals$448$600 – $803: 88 hospitals$803 – $1,076: 161 hospitals$803$1,076 – $1,440: 143 hospitals$1,440 – $1,928: 125 hospitals$1,440$1,928 – $2,581: 152 hospitals$2,581 – $3,456: 96 hospitals$2,581$3,456 – $4,627: 81 hospitals$3,456median $1,275price bands are equal on a log scale
Hospitals per price band (1,011 of 1,122 — the bands cover the 5th to 95th percentile)
FromToHospitals
$250$33539
$335$44861
$448$60065
$600$80388
$803$1,076161
$1,076$1,440143
$1,440$1,928125
$1,928$2,581152
$2,581$3,45696
$3,456$4,62781

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,275
Cash as a multiple of Medicare1.41×

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 $1,275.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals 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 $1,387 across 34 hospitalsWA$1,387Idaho: median $1,244 across 15 hospitalsID$1,244Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,031 across 22 hospitalsMN$1,031Illinois: median $1,180 across 54 hospitalsIL$1,180Wisconsin: median $957 across 46 hospitalsWI$957Michigan: median $1,035 across 49 hospitalsMI$1,035New York: median $1,054 across 37 hospitalsNY$1,054Massachusetts: median $2,764 across 20 hospitalsMA$2,764Oregon: median $697 across 21 hospitalsOR$697Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $608 across 25 hospitalsIA$608Indiana: median $1,275 across 28 hospitalsIN$1,275Ohio: median $2,415 across 76 hospitalsOH$2,415Pennsylvania: median $1,045 across 40 hospitalsPA$1,045New Jersey: median $1,189 across 35 hospitalsNJ$1,189Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $2,300 across 70 hospitalsCA$2,300Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $768 across 35 hospitalsCO$768Nebraska: median $547 across 18 hospitalsNE$547Missouri: median $1,406 across 36 hospitalsMO$1,406Kentucky: median $1,137 across 19 hospitalsKY$1,137West Virginia: median $909 across 21 hospitalsWV$909Virginia: median $1,371 across 30 hospitalsVA$1,371Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $833 across 24 hospitalsKS$833Arkansas: median $1,115 across 10 hospitalsAR$1,115Tennessee: median $712 across 15 hospitalsTN$712North Carolina: median $1,257 across 34 hospitalsNC$1,257South Carolina: median $1,585 across 23 hospitalsSC$1,585Oklahoma: median $838 across 25 hospitalsOK$838Louisiana: median $537 across 12 hospitalsLA$537Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $968 across 11 hospitalsAL$968Georgia: median $2,001 across 37 hospitalsGA$2,001Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,048 across 65 hospitalsTX$2,048Florida: median $1,107 across 48 hospitalsFL$1,107
Cash price by state, most expensive first. National median $1,275. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA20$2,764+117%$1,263 – $2,966
Ohio OH76$2,415+89%$1,313 – $3,993
California CA70$2,300+80%$1,532 – $4,133
Texas TX65$2,048+61%$1,577 – $2,441
Georgia GA37$2,001+57%$1,101 – $2,661
South Carolina SC23$1,585+24%$1,416 – $1,652
Missouri MO36$1,406+10%$376 – $3,748
Washington WA34$1,387+9%$605 – $2,754
Virginia VA30$1,371+8%$424 – $1,913
Indiana IN28$1,2750%$587 – $2,000
North Carolina NC34$1,257−1%$708 – $1,477
Idaho ID15$1,244−2%$449 – $2,430
New Jersey NJ35$1,189−7%$986 – $4,881
Illinois IL54$1,180−7%$438 – $2,723
Kentucky KY19$1,137−11%$890 – $3,575
Arkansas AR10$1,115−13%$461 – $1,184
Florida FL48$1,107−13%$1,009 – $3,096
New York NY37$1,054−17%$546 – $2,615
Pennsylvania PA40$1,045−18%$130 – $1,985
Michigan MI49$1,035−19%$337 – $3,596
Minnesota MN22$1,031−19%$696 – $1,859
Alabama AL11$968−24%$593 – $2,790
Wisconsin WI46$957−25%$885 – $1,829
West Virginia WV21$909−29%$189 – $1,131
Oklahoma OK25$838−34%$293 – $2,552
Kansas KS24$833−35%$313 – $1,507
Colorado CO35$768−40%$624 – $1,846
Tennessee TN15$712−44%$291 – $712
Oregon OR21$697−45%$387 – $2,400
Iowa IA25$608−52%$521 – $1,260
Nebraska NE18$547−57%$413 – $1,335
Louisiana LA12$537−58%$309 – $957
Arizona AZ9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
North Dakota ND6not 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 WY6not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,275.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care913$1,383$656 – $2,723
Children’s17fewer than 20 hospitals
Critical access186$923$433 – $2,254
Ownership
For-profit106$1,320$662 – $2,246
Government175$1,054$509 – $1,819
Non-profit835$1,368$605 – $2,787
System affiliation
Part of a system954$1,339$645 – $2,754
Independent168$1,031$417 – $2,023

Cash price vs list price

Median list price (chargemaster)$2,420
Median cash price$1,275
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

804 hospitals filed a usable inpatient cash price for this code. The median is $1,577 and the average of the middle 60% is $1,634; most fall between $656 and $2,790.

Cash price percentiles, inpatient, across 804 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
$387$838$1,577$2,542$3,907

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($387 vs $3,907).

Of the 857 hospitals that filed this code inpatient, 804 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

1,122 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,193 hospitals that filed this code at all gave us
Usable cash price — counted1,122
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded32
Hospitals that filed this code1,193

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 Dest,Intercostal,Neurolytic.

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, “Nerve destruction of a rib nerve (CPT 64620) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64620-nerve-destruction-of-a-rib-nerve