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Procedure price report · Decompression peripheral nerve

Nerve fiber separation using an operating microscope

CPT 64727the billing code this page is about

An add-on surgical step, billed with the main nerve operation, in which the surgeon uses a microscope to free scarred nerve bundles inside the nerve itself.

Hospitals typically charge $806 cash for this outpatient procedure — the median across 352 hospitals that filed a usable cash price; the average of the middle 60% is $1,054. Most fall between $324 and $2,405 (20th–80th percentile).

Hospitals
352
States
45
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 352 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
$254$338$806$2,272$6,452

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($254 vs $6,452).

How the prices are spread

$184 – $279: 29 hospitals$184$279 – $424: 73 hospitals$424 – $645: 44 hospitals$424$645 – $980: 38 hospitals$980 – $1,489: 13 hospitals$980$1,489 – $2,264: 45 hospitals$2,264 – $3,442: 32 hospitals$2,264$3,442 – $5,232: 21 hospitals$5,232 – $7,953: 12 hospitals$5,232$7,953 – $12,089: 13 hospitals$7,953median $806price bands are equal on a log scale
Hospitals per price band (320 of 352 — the bands cover the 5th to 95th percentile)
FromToHospitals
$184$27929
$279$42473
$424$64544
$645$98038
$980$1,48913
$1,489$2,26445
$2,264$3,44232
$3,442$5,23221
$5,232$7,95312
$7,953$12,08913

By state

The median cash price in each state, against the national median of $806.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $2,418 across 10 hospitalsID$2,418Montana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $449 across 16 hospitalsIL$449Wisconsin: median $973 across 16 hospitalsWI$973Michigan: median $338 across 26 hospitalsMI$338New York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $449 across 17 hospitalsIA$449Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $806 across 15 hospitalsOH$806Pennsylvania: median $134 across 17 hospitalsPA$134New Jersey: median $5,419 across 20 hospitalsNJ$5,419Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,831 across 46 hospitalsCA$1,831Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $264 across 12 hospitalsWV$264Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $295 across 11 hospitalsOK$295Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $1,632 across 22 hospitalsTX$1,632Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $806. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ20$5,419+572%$3,986 – $7,982
Idaho ID10$2,418+200%$656 – $3,466
California CA46$1,831+127%$1,831 – $2,272
Texas TX22$1,632+102%$1,063 – $2,272
Wisconsin WI16$973+21%$973 – $1,702
Ohio OH15$8060%$425 – $1,124
Iowa IA17$449−44%$449 – $449
Illinois IL16$449−44%$362 – $1,356
Michigan MI26$338−58%$223 – $618
Oklahoma OK11$295−63%$295 – $295
West Virginia WV12$264−67%$165 – $1,720
Pennsylvania PA17$134−83%$110 – $826
New York NY9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not 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 $806.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care274$940$324 – $3,329
Children’s10fewer than 20 hospitals
Critical access67$506$296 – $1,632
Ownership
For-profit37$2,194$362 – $4,608
Government43$471$296 – $3,475
Non-profit271$806$311 – $2,272
System affiliation
Part of a system271$897$324 – $2,338
Independent81$557$323 – $2,418

Cash price vs list price

Median list price (chargemaster)$1,056
Median cash price$806
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

200 hospitals filed a usable inpatient cash price for this code. The median is $532 and the average of the middle 60% is $898; most fall between $324 and $2,198.

Cash price percentiles, inpatient, across 200 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
$275$351$532$1,831$2,272

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($275 vs $2,272).

Of the 225 hospitals that filed this code inpatient, 200 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 16 a list price only.

How complete is this

352 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 413 hospitals that filed this code at all gave us
Usable cash price — counted352
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) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded29
Hospitals that filed this code413

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Decompression peripheral nerve family.

Hospitals file this code under descriptions such as Internal Neurolysis Req Operating Microscope.

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 fiber separation using an operating microscope (CPT 64727) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64727-nerve-fiber-separation-using-an-operating-microscope