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Procedure price report · Other OR therapeutic nervous system procedures

Removal of a nerve growth from each additional finger or toe

CPT 64778the billing code this page is about

Add-on charge billed once for each extra digit treated during the same neuroma removal surgery.

Hospitals typically charge $483 cash for this outpatient procedure — the median across 210 hospitals that filed a usable cash price; the average of the middle 60% is $1,016. Most fall between $276 and $2,335 (20th–80th percentile).

Hospitals
210
States
38
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 210 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
$196$295$483$2,291$4,535

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($196 vs $4,535).

How the prices are spread

$144 – $208: 14 hospitals$144$208 – $300: 33 hospitals$300 – $434: 31 hospitals$300$434 – $628: 23 hospitals$628 – $908: 17 hospitals$628$908 – $1,313: 6 hospitals$1,313 – $1,898: 14 hospitals$1,313$1,898 – $2,745: 32 hospitals$2,745 – $3,970: 6 hospitals$2,745$3,970 – $5,741: 14 hospitals$3,970median $483price bands are equal on a log scale
Hospitals per price band (190 of 210 — the bands cover the 5th to 95th percentile)
FromToHospitals
$144$20814
$208$30033
$300$43431
$434$62823
$628$90817
$908$1,3136
$1,313$1,89814
$1,898$2,74532
$2,745$3,9706
$3,970$5,74114

By state

The median cash price in each state, against the national median of $483.

Alaska: 1 hospital 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: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $336 across 12 hospitalsIL$336Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $274 across 11 hospitalsMI$274New York: 8 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $450 across 14 hospitalsIA$450Indiana: no hospital in the corpus filed a usable priceINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $131 across 16 hospitalsPA$131New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,335 across 22 hospitalsCA$2,335Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 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 10 hospitalsOK$295Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $1,833 across 18 hospitalsTX$1,833Florida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $483. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ13$5,110+958%$3,986 – $5,855
California CA22$2,335+383%$2,335 – $2,335
Texas TX18$1,833+279%$1,833 – $1,833
Iowa IA14$450−7%$450 – $450
Illinois IL12$336−30%$144 – $461
Oklahoma OK10$295−39%$295 – $295
Michigan MI11$274−43%$233 – $274
Pennsylvania PA16$131−73%$110 – $746
Idaho ID8not enough hospitals filed a usable price
New York NY8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Mississippi MS1not 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 $483.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care175$518$288 – $2,335
Children’s7fewer than 20 hospitals
Critical access28$450$276 – $2,854
Ownership
For-profit24$656$206 – $3,162
Government23$354$296 – $1,111
Non-profit163$491$288 – $2,335
System affiliation
Part of a system168$614$274 – $2,335
Independent42$353$296 – $2,194

Cash price vs list price

Median list price (chargemaster)$715
Median cash price$483
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

147 hospitals filed a usable inpatient cash price for this code. The median is $524 and the average of the middle 60% is $1,027; most fall between $295 and $2,335.

Cash price percentiles, inpatient, across 147 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
$221$301$524$1,833$2,335

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($221 vs $2,335).

Of the 160 hospitals that filed this code inpatient, 147 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 6 a list price only.

How complete is this

210 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 243 hospitals that filed this code at all gave us
Usable cash price — counted210
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded16
Hospitals that filed this code243

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Excision Neuroma Digital Nrv Ea Addl Digit.

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, “Removal of a nerve growth from each additional finger or toe (CPT 64778) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64778-removal-of-a-nerve-growth-from-each-additional-finger-or-toe