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

Nerve destruction of a nerve between the toes

CPT 64632the billing code this page is about

Injection of a nerve-destroying agent into a common digital nerve in the ball of the foot, as done for nerve pain between the toes.

Hospitals typically charge $364 cash for this outpatient procedure — the median across 620 hospitals that filed a usable cash price; the average of the middle 60% is $389. Most fall between $154 and $763 (20th–80th percentile).

Hospitals
620
States
47
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 620 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
$104$188$364$647$920

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($104 vs $920).

How the prices are spread

$77 – $106: 35 hospitals$77$106 – $147: 52 hospitals$147 – $202: 49 hospitals$147$202 – $277: 66 hospitals$277 – $382: 85 hospitals$277$382 – $525: 95 hospitals$525 – $722: 80 hospitals$525$722 – $994: 71 hospitals$994 – $1,368: 21 hospitals$994$1,368 – $1,882: 5 hospitals$1,368median $364price bands are equal on a log scale
Hospitals per price band (559 of 620 — the bands cover the 5th to 95th percentile)
FromToHospitals
$77$10635
$106$14752
$147$20249
$202$27766
$277$38285
$382$52595
$525$72280
$722$99471
$994$1,36821
$1,368$1,8825

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$364
Cash as a multiple of Medicare1.16×

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 $364.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 3 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: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $490 across 10 hospitalsID$490Montana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $151 across 13 hospitalsMN$151Illinois: median $220 across 25 hospitalsIL$220Wisconsin: median $297 across 36 hospitalsWI$297Michigan: median $135 across 29 hospitalsMI$135New York: median $349 across 27 hospitalsNY$349Massachusetts: median $917 across 17 hospitalsMA$917Oregon: median $168 across 17 hospitalsOR$168Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $220 across 26 hospitalsIA$220Indiana: median $121 across 14 hospitalsIN$121Ohio: median $488 across 36 hospitalsOH$488Pennsylvania: median $443 across 31 hospitalsPA$443New Jersey: median $592 across 31 hospitalsNJ$592Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $799 across 44 hospitalsCA$799Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $384 across 13 hospitalsKY$384West Virginia: median $353 across 21 hospitalsWV$353Virginia: median $499 across 20 hospitalsVA$499Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $350 across 12 hospitalsKS$350Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $877 across 13 hospitalsNC$877South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $112 across 12 hospitalsOK$112Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $661 across 15 hospitalsGA$661Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $455 across 38 hospitalsTX$455Florida: median $485 across 15 hospitalsFL$485
Cash price by state, most expensive first. National median $364. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA17$917+152%$452 – $917
North Carolina NC13$877+141%$563 – $877
California CA44$799+119%$541 – $823
Georgia GA15$661+81%$661 – $814
New Jersey NJ31$592+62%$327 – $5,110
Virginia VA20$499+37%$158 – $647
Idaho ID10$490+34%$132 – $818
Ohio OH36$488+34%$306 – $1,540
Florida FL15$485+33%$352 – $485
Texas TX38$455+25%$454 – $578
Pennsylvania PA31$443+22%$46 – $629
Kentucky KY13$384+5%$121 – $1,185
West Virginia WV21$353−3%$70 – $427
Kansas KS12$350−4%$185 – $1,882
New York NY27$349−4%$199 – $364
Wisconsin WI36$297−18%$246 – $391
Iowa IA26$220−40%$197 – $259
Illinois IL25$220−40%$121 – $600
Oregon OR17$168−54%$167 – $302
Minnesota MN13$151−59%$109 – $234
Michigan MI29$135−63%$92 – $391
Indiana IN14$121−67%$108 – $592
Oklahoma OK12$112−69%$112 – $112
Washington WA9not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Alaska AK1not 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 $364.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care461$422$171 – $799
Children’s5fewer than 20 hospitals
Critical access151$250$121 – $600
Ownership
For-profit50$455$122 – $656
Government108$326$172 – $779
Non-profit459$383$154 – $768
System affiliation
Part of a system508$391$167 – $813
Independent112$280$132 – $687

Cash price vs list price

Median list price (chargemaster)$572
Median cash price$364
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

426 hospitals filed a usable inpatient cash price for this code. The median is $454 and the average of the middle 60% is $436; most fall between $166 and $818.

Cash price percentiles, inpatient, across 426 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
$112$199$454$687$918

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($112 vs $918).

Of the 455 hospitals that filed this code inpatient, 426 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

620 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 675 hospitals that filed this code at all gave us
Usable cash price — counted620
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded18
Hospitals that filed this code675

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 Dstrj Neurolytic Plantar Common Digital Nerve.

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 nerve between the toes (CPT 64632) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64632-nerve-destruction-of-a-nerve-between-the-toes