Procedure price report · Other OR therapeutic nervous system procedures

Repair of facial nerve at skull base, graft if needed

CPT code CPT 64865the billing code this page is about

Surgical stitching of the facial nerve where it runs deep beneath the temple and skull base, with or without using a piece of nerve as a graft.

Hospitals typically charge $4,264 cash for this outpatient procedure — the median across 202 hospitals that filed a usable cash price; the average of the middle 60% is $4,395. Most fall between $1,843 and $7,578 (20th–80th percentile).

Hospitals
202
States
35
Filings dated
Jun 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 202 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
$1,185$2,180$4,264$7,542$12,533

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,185 vs $12,533).

How the prices are spread

$815 – $1,075: 9 hospitals$815$1,075 – $1,419: 8 hospitals$1,419 – $1,873: 14 hospitals$1,419$1,873 – $2,472: 17 hospitals$2,472 – $3,262: 24 hospitals$2,472$3,262 – $4,305: 21 hospitals$4,305 – $5,681: 30 hospitals$4,305$5,681 – $7,497: 15 hospitals$7,497 – $9,894: 19 hospitals$7,497$9,894 – $13,057: 25 hospitals$9,894median $4,264price bands are equal on a log scale
Hospitals per price band (182 of 202 — the bands cover the 5th to 95th percentile)
FromToHospitals
$815$1,0759
$1,075$1,4198
$1,419$1,87314
$1,873$2,47217
$2,472$3,26224
$3,262$4,30521
$4,305$5,68130
$5,681$7,49715
$7,497$9,89419
$9,894$13,05725

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,490
Median cash price$4,264
Cash as a multiple of Medicare1.22×

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 $4,264.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 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: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,944 across 11 hospitalsIL$1,944Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $2,502 across 11 hospitalsMI$2,502New York: median $7,578 across 19 hospitalsNY$7,578Massachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 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: no hospital in the corpus filed a usable priceSDIowa: median $2,709 across 14 hospitalsIA$2,709Indiana: no hospital in the corpus filed a usable priceINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $815 across 18 hospitalsPA$815New Jersey: median $5,855 across 22 hospitalsNJ$5,855Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,533 across 23 hospitalsCA$12,533Utah: 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: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital 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: 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 $1,784 across 12 hospitalsOK$1,784Louisiana: 2 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: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,620 across 16 hospitalsTX$4,620Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,264. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA23$12,533+194%$12,533 – $12,533
New York NY19$7,578+78%$3,490 – $7,578
New Jersey NJ22$5,855+37%$4,627 – $7,088
Texas TX16$4,620+8%$4,620 – $4,859
Iowa IA14$2,709−36%$2,709 – $2,709
Michigan MI11$2,502−41%$2,180 – $4,697
Illinois IL11$1,944−54%$832 – $2,766
Oklahoma OK12$1,784−58%$1,784 – $1,784
Pennsylvania PA18$815−81%$664 – $10,827
Ohio OH7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Virginia VA1not 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 $4,264.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care182$4,271$1,843 – $7,578
Children’s5fewer than 20 hospitals
Critical access15fewer than 20 hospitals
Ownership
For-profit21$3,913$832 – $7,654
Government27$2,520$1,944 – $7,578
Non-profit154$4,445$1,874 – $10,827
System affiliation
Part of a system166$4,620$1,839 – $7,654
Independent36$2,672$1,874 – $4,928

Cash price vs list price

Median list price (chargemaster)$4,271
Median cash price$4,264
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

123 hospitals filed a usable inpatient cash price for this code. The median is $2,709 and the average of the middle 60% is $5,456; most fall between $1,784 and $12,533.

Cash price percentiles, inpatient, across 123 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
$888$1,784$2,709$7,156$12,533

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($888 vs $12,533).

Of the 132 hospitals that filed this code inpatient, 123 gave a usable cash price; 8 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

202 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 215 hospitals that filed this code at all gave us
Usable cash price — counted202
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
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 code215

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 5, 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.

Hospitals file this code under descriptions such as Suture Facial Nerve Infratemporal W/WO Graft.

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, “Repair of facial nerve at skull base, graft if needed (CPT 64865) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64865-repair-of-facial-nerve-at-skull-base-graft-if-needed