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

Destruction of pelvic nerve bundle for pain

CPT 64681the billing code this page is about

Injection of a nerve-destroying agent into the superior hypogastric plexus, a nerve network in front of the lower spine, to treat pelvic pain.

Hospitals typically charge $1,452 cash for this outpatient procedure — the median across 612 hospitals that filed a usable cash price; the average of the middle 60% is $1,590. Most fall between $669 and $2,900 (20th–80th percentile).

Hospitals
612
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 612 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
$443$762$1,452$2,563$3,666

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($443 vs $3,666).

How the prices are spread

$309 – $408: 24 hospitals$309$408 – $538: 52 hospitals$538 – $711: 26 hospitals$538$711 – $938: 53 hospitals$938 – $1,239: 78 hospitals$938$1,239 – $1,636: 86 hospitals$1,636 – $2,160: 67 hospitals$1,636$2,160 – $2,852: 72 hospitals$2,852 – $3,766: 73 hospitals$2,852$3,766 – $4,972: 22 hospitals$3,766median $1,452price bands are equal on a log scale
Hospitals per price band (553 of 612 — the bands cover the 5th to 95th percentile)
FromToHospitals
$309$40824
$408$53852
$538$71126
$711$93853
$938$1,23978
$1,239$1,63686
$1,636$2,16067
$2,160$2,85272
$2,852$3,76673
$3,766$4,97222

Against Medicare

Medicare pays (OPPS 2026, national rate)$904
Median cash price$1,452
Cash as a multiple of Medicare1.61×

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 $1,452.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,033 across 17 hospitalsWA$1,033Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $715 across 22 hospitalsIL$715Wisconsin: median $1,316 across 16 hospitalsWI$1,316Michigan: median $1,172 across 32 hospitalsMI$1,172New York: median $1,054 across 33 hospitalsNY$1,054Massachusetts: median $3,666 across 12 hospitalsMA$3,666Oregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 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 $1,368 across 16 hospitalsIA$1,368Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,708 across 42 hospitalsOH$2,708Pennsylvania: median $1,044 across 29 hospitalsPA$1,044New Jersey: median $4,350 across 32 hospitalsNJ$4,350Connecticut: 5 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 $3,173 across 48 hospitalsCA$3,173Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,344 across 21 hospitalsCO$1,344Nebraska: median $485 across 11 hospitalsNE$485Missouri: median $1,230 across 15 hospitalsMO$1,230Kentucky: median $929 across 10 hospitalsKY$929West Virginia: median $1,002 across 10 hospitalsWV$1,002Virginia: 7 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: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 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 $1,457 across 23 hospitalsNC$1,457South Carolina: median $1,447 across 11 hospitalsSC$1,447Oklahoma: median $400 across 15 hospitalsOK$400Louisiana: median $645 across 13 hospitalsLA$645Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,635 across 13 hospitalsGA$1,635Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,013 across 48 hospitalsTX$2,013Florida: median $1,500 across 26 hospitalsFL$1,500
Cash price by state, most expensive first. National median $1,452. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ32$4,350+200%$986 – $6,839
Massachusetts MA12$3,666+153%$2,028 – $4,368
California CA48$3,173+119%$2,054 – $3,338
Ohio OH42$2,708+87%$1,544 – $3,714
Texas TX48$2,013+39%$1,173 – $2,381
Georgia GA13$1,635+13%$534 – $3,667
Florida FL26$1,500+3%$1,336 – $3,281
North Carolina NC23$1,4570%$739 – $2,900
South Carolina SC11$1,4470%$1,447 – $2,742
Iowa IA16$1,368−6%$1,368 – $1,368
Colorado CO21$1,344−7%$443 – $1,563
Wisconsin WI16$1,316−9%$1,081 – $1,478
Missouri MO15$1,230−15%$711 – $1,990
Michigan MI32$1,172−19%$530 – $1,636
New York NY33$1,054−27%$592 – $2,188
Pennsylvania PA29$1,044−28%$143 – $1,917
Washington WA17$1,033−29%$715 – $2,542
West Virginia WV10$1,002−31%$725 – $1,130
Kentucky KY10$929−36%$522 – $3,575
Illinois IL22$715−51%$498 – $1,450
Louisiana LA13$645−56%$407 – $957
Nebraska NE11$485−67%$135 – $669
Oklahoma OK15$400−72%$400 – $2,552
Alabama AL9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,452.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care537$1,478$698 – $2,900
Children’s5fewer than 20 hospitals
Critical access66$1,172$506 – $2,039
Ownership
For-profit50$1,276$522 – $2,430
Government90$1,055$517 – $2,676
Non-profit468$1,478$711 – $3,126
System affiliation
Part of a system539$1,500$698 – $2,900
Independent73$1,032$463 – $2,563

Cash price vs list price

Median list price (chargemaster)$2,430
Median cash price$1,452
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

440 hospitals filed a usable inpatient cash price for this code. The median is $1,540 and the average of the middle 60% is $1,718; most fall between $728 and $2,900.

Cash price percentiles, inpatient, across 440 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
$522$832$1,540$2,707$3,575

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($522 vs $3,575).

Of the 460 hospitals that filed this code inpatient, 440 gave a usable cash price; 7 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

612 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 658 hospitals that filed this code at all gave us
Usable cash price — counted612
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) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded13
Hospitals that filed this code658

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 Nulyt W/Worad Mntr Suprior Hypogstr Plexus.

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, “Destruction of pelvic nerve bundle for pain (CPT 64681) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64681-destruction-of-pelvic-nerve-bundle-for-pain