How Much Does Injection Aa&/strd Ntrcost Nerve 1 Cost?
Also known as: Njx aa&/strd ntrcost nrv 1 (CPT 64420)
Injection to block the intercostal nerve between the ribs for chest wall or rib pain.
The total estimated cost of Injection Aa&/strd Ntrcost Nerve 1 (CPT 64420) is $176 to $330, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $52.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Injection Aa&/strd Ntrcost Nerve 1
What you need to know before your appointment
What to Expect
The doctor will inject numbing medication between the ribs to block pain from the intercostal nerve. Imaging guidance may be used.
How Long Does It Take?
10-20 minutes
Common Reasons Doctors Order This
Rib fracture pain, post-thoracic surgery pain, shingles pain in the chest, chest wall pain
How to Prepare
Wear loose clothing. Inform your doctor about blood thinners. Watch for any breathing difficulty after the procedure.
Procedures Commonly Done Together
These procedures are frequently performed alongside Njx aa&/strd ntrcost nrv 1
How to Reduce Your Cost for Njx aa&/strd ntrcost nrv 1
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 ($106) differs from the facility rate ($52). 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.
Payment = Total RVU (3.17) x CF ($33.40) = $106
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Njx aa&/strd ntrcost nrv 1 cost?
The Medicare facility rate for Njx aa&/strd ntrcost nrv 1 is $52. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Njx aa&/strd ntrcost nrv 1 cost without insurance?
Without insurance, the cost of Njx aa&/strd ntrcost nrv 1 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 Njx aa&/strd ntrcost nrv 1?
Most commercial health insurance plans and Medicare cover Njx aa&/strd ntrcost nrv 1 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.