Cost analysis for CPT 64483 — Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 2.2x more than the cheapest for this procedure. AK averages $250.85 vs VT at $115.58.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $250.85 | $304.3K | 1.2K | 17 |
| CA | $243.38 | $22.4M | 92.1K | 787 |
| NV | $228.70 | $2.0M | 8.5K | 96 |
| NJ | $224.39 | $6.6M | 29.5K | 327 |
| NY | $220.11 | $7.4M | 33.4K | 410 |
| CT | $218.08 | $1.3M | 5.8K | 71 |
| DE | $217.68 | $2.2M | 10.3K | 36 |
| OR | $216.03 | $1.9M | 8.7K | 99 |
| MD | $215.06 | $7.7M | 35.9K | 241 |
| VA | $211.70 | $5.4M | 25.4K | 171 |
| AZ | $210.56 | $7.7M | 36.4K | 247 |
| FL | $210.32 | $13.9M | 66.0K | 643 |
| GA | $201.19 | $8.5M | 42.4K | 360 |
| HI | $200.97 | $45.0K | 224 | 7 |
| CO | $199.58 | $3.8M | 19.2K | 162 |
| WY | $198.84 | $703.1K | 3.5K | 24 |
| MN | $196.36 | $2.4M | 12.4K | 172 |
| SC | $194.82 | $4.2M | 21.5K | 127 |
| WA | $194.50 | $3.2M | 16.2K | 160 |
| UT | $192.68 | $1.6M | 8.4K | 101 |
| RI | $192.33 | $292.0K | 1.5K | 24 |
| PA | $190.45 | $6.3M | 33.3K | 341 |
| NC | $189.04 | $5.1M | 26.9K | 250 |
| TX | $188.33 | $12.7M | 67.2K | 693 |
| TN | $187.73 | $3.8M | 20.5K | 149 |
| IN | $185.86 | $3.4M | 18.5K | 194 |
| NM | $184.41 | $515.0K | 2.8K | 37 |
| IL | $184.38 | $5.8M | 31.6K | 281 |
| AR | $183.98 | $1.9M | 10.3K | 67 |
| MI | $183.59 | $2.6M | 14.1K | 217 |
| MA | $182.51 | $2.4M | 13.2K | 171 |
| MS | $181.56 | $2.7M | 14.8K | 73 |
| NE | $180.97 | $1.1M | 6.2K | 56 |
| VI | $180.17 | $20.7K | 115 | 3 |
| KY | $180.00 | $1.3M | 7.5K | 76 |
| NH | $179.78 | $616.8K | 3.4K | 40 |
| DC | $174.40 | $163.8K | 939 | 14 |
| MT | $173.82 | $538.7K | 3.1K | 38 |
| PR | $172.75 | $92.8K | 537 | 10 |
| LA | $168.40 | $2.9M | 17.2K | 143 |
| KS | $167.96 | $2.3M | 13.5K | 84 |
| OH | $165.39 | $4.7M | 28.5K | 266 |
| AL | $164.76 | $2.3M | 13.8K | 119 |
| ID | $163.63 | $671.7K | 4.1K | 58 |
| IA | $163.14 | $657.3K | 4.0K | 51 |
| OK | $163.00 | $1.7M | 10.7K | 95 |
| WI | $160.26 | $1.6M | 10.3K | 168 |
| MO | $148.44 | $1.7M | 11.1K | 126 |
| ND | $143.06 | $125.5K | 877 | 14 |
| ME | $126.84 | $129.9K | 1.0K | 18 |
| SD | $116.93 | $332.3K | 2.8K | 27 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Christiana Spine Ambulatory Surgical Center, Llc | Ambulatory Surgical Center | DE | $948.9K | 3.2K | $293.33 |
| Orthoarkansas Spine Institute Procedure Center Llc | Ambulatory Surgical Center | AR | $662.5K | 2.5K | $267.14 |
| Main Line Spine Surgery Center, Llc | Ambulatory Surgical Center | PA | $655.8K | 2.3K | $282.93 |
| Sequoia Surgical Center Lp | Ambulatory Surgical Center | CA | $483.2K | 1.2K | $406.09 |
| Lubbock Surgery Center, Llc | Ambulatory Surgical Center | TX | $468.3K | 1.8K | $263.24 |
| Capitol Surgical Center Llc | Ambulatory Surgical Center | MD | $444.0K | 1.4K | $306.86 |
| Mayfield Spine Surgery Center Llc | Ambulatory Surgical Center | OH | $423.7K | 1.5K | $273.52 |
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | SC | $406.4K | 1.4K | $285.61 |
| Peninsula Procedure Center, Lp | Ambulatory Surgical Center | CA | $393.1K | 925 | $424.94 |
| Northwest Surgery Center, Inc. | Ambulatory Surgical Center | CA | $392.1K | 1.4K | $282.09 |
| Ku Medwest Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | KS | $384.5K | 1.4K | $268.71 |
| Sierra Pacific Surgery Center Llc | Ambulatory Surgical Center | CA | $369.3K | 1.2K | $308.23 |
| Union Hills Pain Partners Llc | Ambulatory Surgical Center | AZ | $364.3K | 1.3K | $288.24 |
| Baptist Germantown Surgery Center, Llc | Ambulatory Surgical Center | TN | $348.4K | 1.3K | $268.80 |
| Orange Asc, Ltd | Ambulatory Surgical Center | OH | $346.1K | 1.3K | $266.88 |
| Rose Ambulatory Surgery Center Lp | Ambulatory Surgical Center | CO | $345.1K | 1.2K | $283.60 |
| Santa Monica Surgical Partners Llc | Ambulatory Surgical Center | CA | $338.1K | 1.0K | $336.78 |
| Monterey Peninsula Surgery Center Munras Ave | Ambulatory Surgical Center | CA | $333.9K | 851 | $392.35 |
| Newsouth Neurospine, Llc | Ambulatory Surgical Center | MS | $322.4K | 1.2K | $278.16 |
| Stockton Outpatient Surgery Center Llc | Ambulatory Surgical Center | CA | $321.4K | 894 | $359.48 |
The data suggests significant pricing inconsistencies for CPT 64483. With a 2.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.