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

Nerve destruction of another peripheral nerve

CPT 64640the billing code this page is about

Injection of a nerve-destroying agent into a peripheral nerve or branch not covered by a more specific code, to interrupt pain signals; billed per nerve treated.

Hospitals typically charge $1,140 cash for this outpatient procedure — the median across 1,878 hospitals that filed a usable cash price; the average of the middle 60% is $1,223. Most fall between $518 and $2,225 (20th–80th percentile).

Hospitals
1,878
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 1,878 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
$276$610$1,140$2,001$3,270

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($276 vs $3,270).

How the prices are spread

$197 – $269: 94 hospitals$197$269 – $368: 84 hospitals$368 – $504: 99 hospitals$368$504 – $690: 162 hospitals$690 – $944: 204 hospitals$690$944 – $1,291: 360 hospitals$1,291 – $1,767: 234 hospitals$1,291$1,767 – $2,417: 238 hospitals$2,417 – $3,308: 132 hospitals$2,417$3,308 – $4,526: 92 hospitals$3,308median $1,140price bands are equal on a log scale
Hospitals per price band (1,699 of 1,878 — the bands cover the 5th to 95th percentile)
FromToHospitals
$197$26994
$269$36884
$368$50499
$504$690162
$690$944204
$944$1,291360
$1,291$1,767234
$1,767$2,417238
$2,417$3,308132
$3,308$4,52692

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,140
Cash as a multiple of Medicare1.26×

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 $1,140.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $836 across 11 hospitalsME$836Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $810 across 12 hospitalsNH$810Washington: median $1,261 across 39 hospitalsWA$1,261Idaho: median $945 across 20 hospitalsID$945Montana: median $658 across 13 hospitalsMT$658North Dakota: median $915 across 11 hospitalsND$915Minnesota: median $1,110 across 72 hospitalsMN$1,110Illinois: median $1,135 across 78 hospitalsIL$1,135Wisconsin: median $943 across 85 hospitalsWI$943Michigan: median $1,034 across 60 hospitalsMI$1,034New York: median $1,054 across 55 hospitalsNY$1,054Massachusetts: median $1,689 across 29 hospitalsMA$1,689Oregon: median $658 across 39 hospitalsOR$658Nevada: median $962 across 10 hospitalsNV$962Wyoming: median $539 across 12 hospitalsWY$539South Dakota: median $696 across 12 hospitalsSD$696Iowa: median $683 across 68 hospitalsIA$683Indiana: median $568 across 41 hospitalsIN$568Ohio: median $2,003 across 108 hospitalsOH$2,003Pennsylvania: median $1,045 across 81 hospitalsPA$1,045New Jersey: median $1,216 across 47 hospitalsNJ$1,216Connecticut: median $1,221 across 14 hospitalsCT$1,221Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,711 across 113 hospitalsCA$1,711Utah: median $1,140 across 28 hospitalsUT$1,140Colorado: median $1,071 across 48 hospitalsCO$1,071Nebraska: median $817 across 45 hospitalsNE$817Missouri: median $1,148 across 54 hospitalsMO$1,148Kentucky: median $1,627 across 35 hospitalsKY$1,627West Virginia: median $1,002 across 26 hospitalsWV$1,002Virginia: median $1,110 across 35 hospitalsVA$1,110Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $580 across 16 hospitalsAZ$580New Mexico: median $1,197 across 11 hospitalsNM$1,197Kansas: median $653 across 53 hospitalsKS$653Arkansas: median $650 across 14 hospitalsAR$650Tennessee: median $538 across 30 hospitalsTN$538North Carolina: median $1,017 across 44 hospitalsNC$1,017South Carolina: median $1,426 across 35 hospitalsSC$1,426Oklahoma: median $838 across 33 hospitalsOK$838Louisiana: median $516 across 31 hospitalsLA$516Mississippi: median $563 across 27 hospitalsMS$563Alabama: median $912 across 15 hospitalsAL$912Georgia: median $2,518 across 56 hospitalsGA$2,518Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,600 across 114 hospitalsTX$1,600Florida: median $1,614 across 65 hospitalsFL$1,614
Cash price by state, most expensive first. National median $1,140. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA56$2,518+121%$1,740 – $3,270
Ohio OH108$2,003+76%$1,032 – $3,993
California CA113$1,711+50%$813 – $2,262
Massachusetts MA29$1,689+48%$903 – $2,579
Kentucky KY35$1,627+43%$585 – $4,526
Florida FL65$1,614+42%$1,248 – $3,371
Texas TX114$1,600+40%$1,114 – $2,334
South Carolina SC35$1,426+25%$724 – $2,317
Washington WA39$1,261+11%$438 – $2,091
Connecticut CT14$1,221+7%$630 – $5,004
New Jersey NJ47$1,216+7%$1,025 – $5,319
New Mexico NM11$1,197+5%$785 – $1,628
Missouri MO54$1,148+1%$612 – $2,676
Utah UT28$1,1400%$1,140 – $1,341
Illinois IL78$1,1350%$446 – $3,118
Virginia VA35$1,110−3%$538 – $1,268
Minnesota MN72$1,110−3%$236 – $1,560
Colorado CO48$1,071−6%$653 – $2,270
New York NY55$1,054−8%$441 – $2,001
Pennsylvania PA81$1,045−8%$684 – $1,917
Michigan MI60$1,034−9%$207 – $2,002
North Carolina NC44$1,017−11%$741 – $1,305
West Virginia WV26$1,002−12%$435 – $1,784
Nevada NV10$962−16%$439 – $1,303
Idaho ID20$945−17%$313 – $2,430
Wisconsin WI85$943−17%$588 – $1,290
North Dakota ND11$915−20%$363 – $1,566
Alabama AL15$912−20%$438 – $1,401
Oklahoma OK33$838−26%$197 – $1,662
Maine ME11$836−27%$534 – $1,614
Nebraska NE45$817−28%$482 – $1,256
New Hampshire NH12$810−29%$77 – $1,050
South Dakota SD12$696−39%$599 – $1,215
Iowa IA68$683−40%$403 – $1,662
Oregon OR39$658−42%$402 – $2,145
Montana MT13$658−42%$276 – $969
Kansas KS53$653−43%$248 – $1,507
Arkansas AR14$650−43%$307 – $1,312
Arizona AZ16$580−49%$415 – $1,255
Indiana IN41$568−50%$320 – $1,510
Mississippi MS27$563−51%$363 – $906
Wyoming WY12$539−53%$308 – $1,141
Tennessee TN30$538−53%$330 – $624
Louisiana LA31$516−55%$298 – $1,020
Hawaii HI7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Delaware DE2not 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 $1,140.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,396$1,229$619 – $2,374
Children’s30$702$512 – $3,089
Critical access446$808$323 – $1,600
Ownership
For-profit177$1,244$654 – $2,697
Government343$952$386 – $1,718
Non-profit1,352$1,193$557 – $2,300
System affiliation
Part of a system1,536$1,210$578 – $2,317
Independent342$859$329 – $1,795

Cash price vs list price

Median list price (chargemaster)$2,086
Median cash price$1,140
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

1,271 hospitals filed a usable inpatient cash price for this code. The median is $1,248 and the average of the middle 60% is $1,371; most fall between $602 and $2,317.

Cash price percentiles, inpatient, across 1,271 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
$330$741$1,248$2,145$3,096

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($330 vs $3,096).

Of the 1,356 hospitals that filed this code inpatient, 1,271 gave a usable cash price; 32 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 53 a list price only.

How complete is this

1,878 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 2,011 hospitals that filed this code at all gave us
Usable cash price — counted1,878
Cash price carrying a plausibility flag — shown on the compare tool, excluded here67
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 — excluded64
Hospitals that filed this code2,011

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 Destruct by Neuro Agent; Other Periph 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 another peripheral nerve (CPT 64640) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64640-nerve-destruction-of-another-peripheral-nerve