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Procedure price report · Other OR therapeutic nervous system procedures

Stripping sympathetic nerves from the radial artery

CPT 64821the billing code this page is about

Surgery that removes the sympathetic nerve fibers surrounding the radial artery at the wrist to affect blood flow to the hand.

Hospitals typically charge $2,953 cash for this outpatient procedure — the median across 243 hospitals that filed a usable cash price; the average of the middle 60% is $2,894. Most fall between $1,189 and $5,706 (20th–80th percentile).

Hospitals
243
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 243 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
$734$1,303$2,953$4,499$8,372

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($734 vs $8,372).

How the prices are spread

$534 – $713: 10 hospitals$534$713 – $951: 10 hospitals$951 – $1,269: 24 hospitals$951$1,269 – $1,694: 17 hospitals$1,694 – $2,260: 28 hospitals$1,694$2,260 – $3,016: 24 hospitals$3,016 – $4,025: 51 hospitals$3,016$4,025 – $5,371: 17 hospitals$5,371 – $7,168: 18 hospitals$5,371$7,168 – $9,565: 31 hospitals$7,168median $2,953price bands are equal on a log scale
Hospitals per price band (230 of 243 — the bands cover the 5th to 95th percentile)
FromToHospitals
$534$71310
$713$95110
$951$1,26924
$1,269$1,69417
$1,694$2,26028
$2,260$3,01624
$3,016$4,02551
$4,025$5,37117
$5,371$7,16818
$7,168$9,56531

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,953
Cash as a multiple of Medicare0.88×

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 $2,953.

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: 3 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $1,275 across 10 hospitalsIL$1,275Wisconsin: 8 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 $3,840 across 20 hospitalsNY$3,840Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,303 across 10 hospitalsOR$1,303Nevada: 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 $1,707 across 14 hospitalsIA$1,707Indiana: no hospital in the corpus filed a usable priceINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $322 across 17 hospitalsPA$322New Jersey: median $3,986 across 22 hospitalsNJ$3,986Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $9,565 across 22 hospitalsCA$9,565Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 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: 4 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,154 across 14 hospitalsOK$1,154Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $3,173 across 18 hospitalsTX$3,173Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,953. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$9,565+224%$9,565 – $9,565
New Jersey NJ22$3,986+35%$3,591 – $5,419
New York NY20$3,840+30%$3,840 – $4,084
Texas TX18$3,173+7%$2,184 – $3,173
Iowa IA14$1,707−42%$1,707 – $1,707
Oregon OR10$1,303−56%$1,303 – $2,311
Illinois IL10$1,275−57%$534 – $1,644
Oklahoma OK14$1,154−61%$1,154 – $5,613
Pennsylvania PA17$322−89%$252 – $5,486
Ohio OH9not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Vermont VT3not 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
Louisiana LA2not enough hospitals filed a usable price
North Carolina NC2not 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
Arkansas AR1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $2,953.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care215$3,173$1,189 – $5,706
Children’s2fewer than 20 hospitals
Critical access26$2,311$1,203 – $3,173
Ownership
For-profit30$2,579$734 – $5,960
Government29$1,831$1,203 – $3,840
Non-profit184$3,173$1,211 – $6,114
System affiliation
Part of a system203$3,173$1,245 – $5,960
Independent40$1,799$1,071 – $4,233

Cash price vs list price

Median list price (chargemaster)$2,889
Median cash price$2,953
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

141 hospitals filed a usable inpatient cash price for this code. The median is $1,857 and the average of the middle 60% is $2,781; most fall between $1,154 and $8,159.

Cash price percentiles, inpatient, across 141 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
$588$1,154$1,857$5,613$9,565

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($588 vs $9,565).

Of the 149 hospitals that filed this code inpatient, 141 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 1 a list price only.

How complete is this

243 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 259 hospitals that filed this code at all gave us
Usable cash price — counted243
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
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 — excluded2
Hospitals that filed this code259

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 Sympathectomy Radial Artery.

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, “Stripping sympathetic nerves from the radial artery (CPT 64821) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64821-stripping-sympathetic-nerves-from-the-radial-artery