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Procedure price report · Other OR therapeutic nervous system procedures

Single-strand nerve graft in hand or foot, over 4 cm

CPT 64891the billing code this page is about

Bridging a gap in a nerve of the hand or foot with one strand of donor nerve longer than 4 centimeters.

Hospitals typically charge $4,456 cash for this outpatient procedure — the median across 180 hospitals that filed a usable cash price; the average of the middle 60% is $4,994. Most fall between $1,599 and $11,775 (20th–80th percentile).

Hospitals
180
States
34
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 180 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
$1,093$2,001$4,456$10,417$12,533

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,093 vs $12,533).

How the prices are spread

$656 – $884: 2 hospitals$656$884 – $1,193: 13 hospitals$1,193 – $1,608: 15 hospitals$1,193$1,608 – $2,169: 13 hospitals$2,169 – $2,926: 25 hospitals$2,169$2,926 – $3,946: 6 hospitals$3,946 – $5,322: 14 hospitals$3,946$5,322 – $7,178: 16 hospitals$7,178 – $9,681: 21 hospitals$7,178$9,681 – $13,057: 38 hospitals$9,681median $4,456price bands are equal on a log scale
Hospitals per price band (163 of 180 — the bands cover the 5th to 95th percentile)
FromToHospitals
$656$8842
$884$1,19313
$1,193$1,60815
$1,608$2,16913
$2,169$2,92625
$2,926$3,9466
$3,946$5,32214
$5,322$7,17816
$7,178$9,68121
$9,681$13,05738

Against Medicare

Medicare pays (OPPS 2026, national rate)$8,966
Median cash price$4,456
Cash as a multiple of Medicare0.50×

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 $4,456.

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 $2,105 across 10 hospitalsIL$2,105Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,829 across 14 hospitalsIA$2,829Indiana: no hospital in the corpus filed a usable priceINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $743 across 18 hospitalsPA$743New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,533 across 21 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: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 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: 1 hospital 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: 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 $1,599 across 12 hospitalsOK$1,599Louisiana: 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: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,456. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA21$12,533+181%$12,533 – $12,533
New York NY19$7,578+70%$7,578 – $10,417
New Jersey NJ22$6,311+42%$4,881 – $7,095
Iowa IA14$2,829−37%$2,829 – $2,829
Illinois IL10$2,105−53%$892 – $2,813
Oklahoma OK12$1,599−64%$1,599 – $1,599
Pennsylvania PA18$743−83%$464 – $12,067
Michigan MI7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Kentucky KY2not 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
Kansas KS1not 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
New Mexico NM1not 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 $4,456.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care165$4,627$1,599 – $10,972
Children’s3fewer than 20 hospitals
Critical access12fewer than 20 hospitals
Ownership
For-profit21$3,996$892 – $10,701
Government24$2,467$1,879 – $7,578
Non-profit135$5,192$1,599 – $12,533
System affiliation
Part of a system145$5,419$1,599 – $12,067
Independent35$2,741$1,744 – $7,786

Cash price vs list price

Median list price (chargemaster)$4,057
Median cash price$4,456
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

106 hospitals filed a usable inpatient cash price for this code. The median is $2,829 and the average of the middle 60% is $5,760; most fall between $1,259 and $12,533.

Cash price percentiles, inpatient, across 106 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
$892$1,599$2,829$12,533$12,533

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($892 vs $12,533).

Of the 114 hospitals that filed this code inpatient, 106 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

180 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 192 hospitals that filed this code at all gave us
Usable cash price — counted180
Cash price carrying a plausibility flag — shown on the compare tool, excluded here9
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 code192

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.

Related procedures

Part of the Other OR therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Nerve Graft 1 Strand Hand/Foot >4 Cm.

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, “Single-strand nerve graft in hand or foot, over 4 cm (CPT 64891) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64891-single-strand-nerve-graft-in-hand-or-foot-over-4-cm