CPT 64461 · 1,100 hospitals reporting

Injection of anesthetic agent into thoracic vertebra using imaging guidance; single site

The same procedure costs $77 at one hospital and $16,955 at another — a 220× spread for what's billed under the same code. Median: $887.

Cheapest published

$77

Lowest published price across all reporting hospitals.

Median across 1,100 hospitals

$887

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$16,955

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

320 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
CHI HEALTH SCHUYLER	NE	$1,043	$887	$941	$1,022	5 insurers
CHI HEALTH SCHUYLER	NE	$1,043	$887	$223	$1,181	5 insurers
MERCY MEDICAL CENTER REDDING	CA	$1,747	$886	$1,572	$1,712	3 insurers
MERCY MEDICAL CENTER REDDING	CA	$1,747	$886	$209	$5,310	5 insurers
KAISER FOUNDATION HOSPITAL	HI	$2,276	$888	$565	$2,017	3 insurers
MONTEFIORE ST LUKE'S CORNWALL	NY	—	$881	—	—	5 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$2,256	$880	—	—	2 insurers
THOMAS HOSPITAL	AL	$1,793	$897	—	—	5 insurers
CHI HEALTH PLAINVIEW HOSPITAL	NE	$1,043	$876	$941	$1,022	5 insurers
CHI HEALTH PLAINVIEW HOSPITAL	NE	$1,043	$876	$636	$1,412	5 insurers
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA CLARA	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL AND REHAB CENTER	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL - SACRAMENTO	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL - FREMONT	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL-SAN JOSE	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSP SO SACRAMENTO	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA ROSA	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL - FRESNO	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL - ANTIOCH	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL - VACAVILLE	CA	$2,570	$899	$755	$2,096	3 insurers
KAISER FOUNDATION HOSPITAL - ROSEVILLE	CA	$2,570	$899	$755	$2,096	3 insurers
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY	CO	$2,608	$913	—	—	5 insurers
STEPHENS MEMORIAL HOSPITAL	TX	$856	$856	—	—	5 insurers
JOHNSON COUNTY HEALTHCARE CENTER	WY	$852	$852	—	—	0 insurers
KAISER FOUNDATION HOSPITAL - PANORAMA CITY	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL - LOS ANGELES	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL - DOWNEY	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL - SAN DIEGO	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL - WEST LA	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL, RIVERSIDE	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL - BALDWIN PARK	CA	$2,427	$849	$639	$1,728	3 insurers
KAISER FOUNDATION HOSPITAL-MORENO VALLEY	CA	$2,427	$849	$639	$1,728	3 insurers
ST LUKES HOSPITAL	MN	$1,665	$932	—	—	5 insurers
BRIDGEPORT HOSPITAL	CT	$1,865	$951	—	—	5 insurers