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

Muscle-relaxing nerve block injection, trunk, 1 to 5 muscles

CPT 64646the billing code this page is about

Injection of a nerve-blocking drug into one to five muscles of the trunk to reduce muscle spasm or stiffness.

Hospitals typically charge $820 cash for this outpatient procedure — the median across 1,300 hospitals that filed a usable cash price; the average of the middle 60% is $859. Most fall between $365 and $1,632 (20th–80th percentile).

Hospitals
1,300
States
50
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 1,300 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
$229$440$820$1,403$2,479

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($229 vs $2,479).

How the prices are spread

$162 – $221: 60 hospitals$162$221 – $303: 78 hospitals$303 – $414: 89 hospitals$303$414 – $567: 126 hospitals$567 – $777: 206 hospitals$567$777 – $1,063: 198 hospitals$1,063 – $1,455: 165 hospitals$1,063$1,455 – $1,992: 122 hospitals$1,992 – $2,727: 78 hospitals$1,992$2,727 – $3,734: 53 hospitals$2,727median $820price bands are equal on a log scale
Hospitals per price band (1,175 of 1,300 — the bands cover the 5th to 95th percentile)
FromToHospitals
$162$22160
$221$30378
$303$41489
$414$567126
$567$777206
$777$1,063198
$1,063$1,455165
$1,455$1,992122
$1,992$2,72778
$2,727$3,73453

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$820
Cash as a multiple of Medicare1.14×

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 $820.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 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 $763 across 39 hospitalsWA$763Idaho: median $937 across 13 hospitalsID$937Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $633 across 48 hospitalsMN$633Illinois: median $791 across 50 hospitalsIL$791Wisconsin: median $644 across 65 hospitalsWI$644Michigan: median $733 across 56 hospitalsMI$733New York: median $838 across 57 hospitalsNY$838Massachusetts: median $1,118 across 34 hospitalsMA$1,118Oregon: median $561 across 25 hospitalsOR$561Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $374 across 30 hospitalsIA$374Indiana: median $347 across 28 hospitalsIN$347Ohio: median $1,237 across 90 hospitalsOH$1,237Pennsylvania: median $834 across 53 hospitalsPA$834New Jersey: median $2,358 across 41 hospitalsNJ$2,358Connecticut: median $625 across 10 hospitalsCT$625Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,731 across 78 hospitalsCA$1,731Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $706 across 17 hospitalsCO$706Nebraska: median $340 across 23 hospitalsNE$340Missouri: median $539 across 36 hospitalsMO$539Kentucky: median $1,185 across 19 hospitalsKY$1,185West Virginia: median $546 across 18 hospitalsWV$546Virginia: median $953 across 29 hospitalsVA$953Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $969 across 14 hospitalsAZ$969New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $656 across 20 hospitalsKS$656Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $263 across 20 hospitalsTN$263North Carolina: median $823 across 36 hospitalsNC$823South Carolina: median $1,263 across 28 hospitalsSC$1,263Oklahoma: median $371 across 21 hospitalsOK$371Louisiana: median $515 across 20 hospitalsLA$515Mississippi: median $362 across 16 hospitalsMS$362Alabama: median $457 across 10 hospitalsAL$457Georgia: median $1,194 across 40 hospitalsGA$1,194Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $966 across 72 hospitalsTX$966Florida: median $1,186 across 60 hospitalsFL$1,186
Cash price by state, most expensive first. National median $820. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ41$2,358+188%$767 – $5,110
California CA78$1,731+111%$910 – $2,005
South Carolina SC28$1,263+54%$696 – $1,462
Ohio OH90$1,237+51%$510 – $3,106
Georgia GA40$1,194+46%$1,011 – $1,895
Florida FL60$1,186+45%$743 – $1,977
Kentucky KY19$1,185+45%$628 – $3,298
Massachusetts MA34$1,118+36%$580 – $2,046
Arizona AZ14$969+18%$319 – $969
Texas TX72$966+18%$723 – $1,075
Virginia VA29$953+16%$255 – $1,147
Idaho ID13$937+14%$319 – $1,886
New York NY57$838+2%$350 – $4,595
Pennsylvania PA53$834+2%$258 – $1,305
North Carolina NC36$8230%$369 – $867
Illinois IL50$791−3%$300 – $1,544
Washington WA39$763−7%$309 – $1,142
Michigan MI56$733−11%$129 – $971
Colorado CO17$706−14%$486 – $1,039
Kansas KS20$656−20%$203 – $1,600
Wisconsin WI65$644−21%$421 – $988
Minnesota MN48$633−23%$495 – $733
Connecticut CT10$625−24%$504 – $1,582
Oregon OR25$561−32%$297 – $3,463
West Virginia WV18$546−33%$123 – $905
Missouri MO36$539−34%$326 – $896
Louisiana LA20$515−37%$242 – $784
Alabama AL10$457−44%$285 – $1,160
Iowa IA30$374−54%$220 – $819
Oklahoma OK21$371−55%$190 – $1,412
Mississippi MS16$362−56%$236 – $614
Indiana IN28$347−58%$232 – $1,001
Nebraska NE23$340−59%$278 – $514
Tennessee TN20$263−68%$169 – $596
Montana MT8not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Delaware DE1not 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 $820.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,037$865$416 – $1,706
Children’s55$916$428 – $3,074
Critical access201$549$256 – $1,085
Ownership
For-profit99$823$310 – $1,174
Government179$695$326 – $1,160
Non-profit1,015$846$375 – $1,727
System affiliation
Part of a system1,107$834$411 – $1,706
Independent193$605$272 – $1,316

Cash price vs list price

Median list price (chargemaster)$1,389
Median cash price$820
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

921 hospitals filed a usable inpatient cash price for this code. The median is $915 and the average of the middle 60% is $923; most fall between $421 and $1,632.

Cash price percentiles, inpatient, across 921 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
$278$506$915$1,459$2,074

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($278 vs $2,074).

Of the 973 hospitals that filed this code inpatient, 921 gave a usable cash price; 24 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

1,300 of the 3,956 hospitals with a price file in our corpus (33%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,379 hospitals that filed this code at all gave us
Usable cash price — counted1,300
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
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 — excluded32
Hospitals that filed this code1,379

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 Chemodenervation of Trunk Muscle 1-5 Muscles.

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, “Muscle-relaxing nerve block injection, trunk, 1 to 5 muscles (CPT 64646) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64646-muscle-relaxing-nerve-block-injection-trunk-1-to-5-muscles