CPT 64510 Surgery - Nervous

How Much Does N Block Stellate Ganglion Cost?

Also known as: N block stellate ganglion (CPT 64510)

Stellate ganglion nerve block in the neck.

The total estimated cost of N Block Stellate Ganglion (CPT 64510) is $235 to $440, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $70.

Total Estimated Cost of Care

$235 — $440

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$70
Hospital Facility Fee
$209
Anesthesia (est.)
$14
Important: The physician fee of $70 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$70
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$154
Non-facility setting

Patient Guide: N Block Stellate Ganglion

What you need to know before your appointment

What to Expect

Using imaging guidance, the doctor injects medication near the stellate ganglion (a cluster of nerves in the neck) to block sympathetic nerve signals.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Complex regional pain syndrome (CRPS), phantom limb pain, PTSD (investigational), upper extremity pain syndromes

How to Prepare

Arrange a driver. You may have temporary droopy eyelid, hoarse voice, and warm arm on the injected side. These effects resolve in hours.

Procedures Commonly Done Together

These procedures are frequently performed alongside N block stellate ganglion

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How to Reduce Your Cost for N block stellate ganglion

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($154) differs from the facility rate ($70). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.19
Work RVU
0.79
Practice Expense RVU
0.11
Malpractice RVU
4.61
Total RVU

Payment = Total RVU (4.61) x CF ($33.40) = $154

Frequently Asked Questions

How much does N block stellate ganglion cost?

The Medicare facility rate for N block stellate ganglion is $70. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does N block stellate ganglion cost without insurance?

Without insurance, the cost of N block stellate ganglion can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover N block stellate ganglion?

Most commercial health insurance plans and Medicare cover N block stellate ganglion when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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