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Procedure price report · Other OR therapeutic nervous system procedures

Nerve cutting to improve blood flow in one finger or toe

CPT 64820the billing code this page is about

Cutting the sympathetic nerve fibers along the small arteries of a digit to relieve blood vessel spasm; the charge applies to each digit treated.

Hospitals typically charge $2,290 cash for this outpatient procedure — the median across 246 hospitals that filed a usable cash price; the average of the middle 60% is $2,578. Most fall between $1,319 and $5,383 (20th–80th percentile).

Hospitals
246
States
40
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 246 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
$814$1,694$2,290$4,000$7,106

The most expensive tenth of hospitals charges at least 8.7× what the cheapest tenth charges ($814 vs $7,106).

How the prices are spread

$561 – $723: 9 hospitals$561$723 – $932: 8 hospitals$932 – $1,202: 5 hospitals$932$1,202 – $1,549: 26 hospitals$1,549 – $1,997: 48 hospitals$1,549$1,997 – $2,574: 39 hospitals$2,574 – $3,318: 23 hospitals$2,574$3,318 – $4,277: 20 hospitals$4,277 – $5,513: 13 hospitals$4,277$5,513 – $7,106: 33 hospitals$5,513median $2,290price bands are equal on a log scale
Hospitals per price band (224 of 246 — the bands cover the 5th to 95th percentile)
FromToHospitals
$561$7239
$723$9328
$932$1,2025
$1,202$1,54926
$1,549$1,99748
$1,997$2,57439
$2,574$3,31823
$3,318$4,27720
$4,277$5,51313
$5,513$7,10633

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,995
Median cash price$2,290
Cash as a multiple of Medicare1.15×

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 $2,290.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,385 across 12 hospitalsIL$1,385Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $2,311 across 19 hospitalsNY$2,311Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,809 across 14 hospitalsIA$1,809Indiana: no hospital in the corpus filed a usable priceINOhio: median $2,702 across 11 hospitalsOH$2,702Pennsylvania: median $319 across 17 hospitalsPA$319New Jersey: median $2,606 across 28 hospitalsNJ$2,606Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,106 across 28 hospitalsCA$7,106Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,265 across 13 hospitalsOK$1,265Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $1,966 across 21 hospitalsTX$1,966Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,290. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA28$7,106+210%$7,106 – $7,106
Ohio OH11$2,702+18%$1,838 – $2,792
New Jersey NJ28$2,606+14%$2,163 – $5,339
New York NY19$2,311+1%$2,311 – $2,438
Texas TX21$1,966−14%$1,966 – $2,184
Iowa IA14$1,809−21%$1,809 – $1,809
Illinois IL12$1,385−39%$561 – $1,858
Oklahoma OK13$1,265−45%$1,265 – $3,981
Pennsylvania PA17$319−86%$250 – $3,301
Michigan MI7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not 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
New Mexico NM1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
Wyoming WY1not 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 $2,290.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care219$2,311$1,313 – $5,634
Children’s5fewer than 20 hospitals
Critical access22$1,765$1,540 – $4,165
Ownership
For-profit33$2,194$1,265 – $5,634
Government26$2,258$1,289 – $2,396
Non-profit187$2,290$1,450 – $5,383
System affiliation
Part of a system208$2,311$1,540 – $5,419
Independent38$1,694$1,133 – $2,702

Cash price vs list price

Median list price (chargemaster)$3,152
Median cash price$2,290
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

140 hospitals filed a usable inpatient cash price for this code. The median is $1,966 and the average of the middle 60% is $2,626; most fall between $1,263 and $6,307.

Cash price percentiles, inpatient, across 140 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
$597$1,265$1,966$5,383$7,106

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($597 vs $7,106).

Of the 149 hospitals that filed this code inpatient, 140 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 2 a list price only.

How complete is this

246 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 272 hospitals that filed this code at all gave us
Usable cash price — counted246
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded3
Hospitals that filed this code272

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 OR therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as PR Sympathectomy,Digital Arteries, Ea.

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 cutting to improve blood flow in one finger or toe (CPT 64820) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64820-nerve-cutting-to-improve-blood-flow-in-one-finger-or-toe