Cost analysis for CPT 64721 — Release and/or relocation of hand nerve
Average Medicare Payment
$395.59
2023 data
Total Payments (2023)
$51.6M
Services (2023)
121.0K
Price Change (2014–2023)
+7.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $366.71 | $44.6M | 114.3K | — |
| 2015 | $366.31 | $45.2M | 115.9K | -0.1% |
| 2016 | $362.35 | $46.5M | 120.7K | -1.1% |
| 2017 | $371.68 | $48.5M | 121.4K | +2.6% |
| 2018 | $373.21 | $50.5M | 125.8K | +0.4% |
| 2019 | $377.36 | $52.9M | 131.0K | +1.1% |
| 2020 | $388.36 | $43.4M | 104.5K | +2.9% |
| 2021 | $393.06 | $47.5M | 113.1K | +1.2% |
| 2022 | $390.89 | $48.5M | 115.5K | -0.6% |
| 2023 | $395.59 | $51.6M | 121.0K | +1.2% |
The most expensive state pays 1.8x more than the cheapest for this procedure. AK averages $559.19 vs SD at $303.08.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $559.19 | $155.5K | 278 | 8 |
| CA | $505.53 | $4.3M | 8.6K | 244 |
| CT | $499.01 | $681.2K | 1.4K | 42 |
| NJ | $494.82 | $1.5M | 3.0K | 89 |
| HI | $489.96 | $77.4K | 158 | 4 |
| MD | $486.76 | $1.4M | 2.8K | 61 |
| OR | $475.07 | $594.3K | 1.3K | 36 |
| DE | $464.61 | $529.7K | 1.1K | 18 |
| CO | $463.67 | $1.3M | 2.9K | 77 |
| IL | $456.98 | $2.8M | 6.2K | 138 |
| NY | $453.97 | $1.7M | 3.7K | 109 |
| WA | $449.64 | $1.4M | 3.2K | 73 |
| NH | $447.05 | $521.3K | 1.2K | 27 |
| WY | $441.92 | $281.1K | 636 | 23 |
| AZ | $441.64 | $1.7M | 3.8K | 72 |
| RI | $437.05 | $214.2K | 490 | 12 |
| GA | $431.31 | $1.2M | 2.9K | 97 |
| NV | $428.28 | $538.3K | 1.3K | 27 |
| IA | $428.10 | $1.0M | 2.4K | 51 |
| MS | $427.27 | $581.1K | 1.4K | 32 |
| UT | $427.13 | $332.7K | 779 | 28 |
| FL | $422.55 | $3.3M | 7.9K | 188 |
| ME | $422.40 | $203.6K | 482 | 15 |
| PA | $419.95 | $2.6M | 6.3K | 155 |
| VA | $417.79 | $1.4M | 3.4K | 92 |
| MN | $416.93 | $728.8K | 1.7K | 70 |
| IN | $415.42 | $1.6M | 3.9K | 99 |
| MI | $413.76 | $1.3M | 3.1K | 103 |
| TN | $406.18 | $1.5M | 3.8K | 91 |
| DC | $405.38 | $88.4K | 218 | 7 |
| MT | $404.14 | $471.6K | 1.2K | 23 |
| SC | $402.81 | $1.3M | 3.2K | 64 |
| MA | $402.42 | $1.4M | 3.4K | 77 |
| MO | $400.50 | $1.1M | 2.8K | 72 |
| AL | $400.44 | $804.1K | 2.0K | 55 |
| NE | $399.03 | $579.0K | 1.5K | 33 |
| NC | $397.02 | $1.7M | 4.3K | 120 |
| TX | $392.76 | $1.9M | 4.8K | 147 |
| OH | $391.73 | $1.8M | 4.6K | 130 |
| ND | $387.53 | $212.4K | 548 | 13 |
| LA | $382.18 | $552.6K | 1.4K | 43 |
| WI | $381.75 | $998.7K | 2.6K | 81 |
| ID | $379.73 | $356.9K | 940 | 23 |
| NM | $371.06 | $182.2K | 491 | 17 |
| WV | $365.86 | $146.0K | 399 | 13 |
| KS | $361.96 | $586.0K | 1.6K | 46 |
| VT | $361.86 | $105.3K | 291 | 8 |
| KY | $360.93 | $484.7K | 1.3K | 41 |
| AR | $359.42 | $600.2K | 1.7K | 46 |
| OK | $316.95 | $363.2K | 1.1K | 43 |
| SD | $303.08 | $199.7K | 659 | 21 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Santa Rosa Surgery Center L P | Ambulatory Surgical Center | CA | $190.9K | 214 | $891.86 |
| Healthcare Enterprises Llc | Ambulatory Surgical Center | MA | $174.6K | 259 | $673.94 |
| Orthoarizona Surgery Center Gilbert, Llc | Ambulatory Surgical Center | AZ | $149.5K | 240 | $622.96 |
| Deer Pointe Surgical Center, Llc | Ambulatory Surgical Center | MD | $139.3K | 223 | $624.79 |
| Riva Road Surgical Center, Llc | Ambulatory Surgical Center | MD | $134.6K | 223 | $603.45 |
| El Dorado Surgery Center Lp | Ambulatory Surgical Center | AZ | $134.2K | 230 | $583.53 |
| First State Surgery Center, Llc | Ambulatory Surgical Center | DE | $132.5K | 204 | $649.34 |
| Sequoia Surgical Center Lp | Ambulatory Surgical Center | CA | $131.1K | 138 | $950.06 |
| Noc Surgery Center Llc | Ambulatory Surgical Center | NE | $129.1K | 200 | $645.43 |
| Illinois Sports Medicine & Orthopedic Surgery Center, Llc | Ambulatory Surgical Center | IL | $128.1K | 200 | $640.46 |
| Bryn Mawr Surgery Center Llc | Ambulatory Surgical Center | PA | $123.4K | 193 | $639.29 |
| Rockford Orthopedic Surgery Center, Llc | Ambulatory Surgical Center | IL | $122.9K | 210 | $585.08 |
| Orthopaedic Outpatient Surgery Center, Llc | Ambulatory Surgical Center | IA | $121.9K | 210 | $580.36 |
| New Britain Surgery Center Llc | Ambulatory Surgical Center | PA | $121.3K | 186 | $652.33 |
| E-Asc Llc | Ambulatory Surgical Center | OH | $119.3K | 207 | $576.32 |
| Orthopaedic Surgery Center Of Asheville, Lp | Ambulatory Surgical Center | NC | $118.3K | 222 | $532.76 |
| Phoenix Orthopaedic Ambulatory Center, Llc | Ambulatory Surgical Center | AZ | $116.7K | 191 | $610.83 |
| Beltway Surgery Centers Llc | Ambulatory Surgical Center | IN | $116.5K | 209 | $557.28 |
| Knoxville Orthopaedic Surgery Center Llc | Ambulatory Surgical Center | TN | $116.2K | 214 | $542.76 |
| Carolina Bone & Joint Surgery Center | Ambulatory Surgical Center | SC | $115.2K | 195 | $590.63 |
Based on the data, CPT 64721 shows a 1.8x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 7.9% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
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.