Price Checker / CPT 64520
CPT 64520 — N block lumbar/thoracic
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$77
What Medicare pays in a hospital/ASC setting
$242
What Medicare pays in a physician's office
$29,731
Based on 19 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 64520
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Indianapolis , IN | $118,068 | $29,871 | 48656% |
| Franciscan Health Orthopedic-Carmel , IN | $94,700 | $24,906 | 39006% |
| Franciscan Health Olympia Fields , IL | $84,083 | $16,817 | 34622% |
| Franciscan Health Mooresville , IN | $76,635 | $21,918 | 31546% |
| Franciscan Health Crown Point , IN | $73,084 | $20,610 | 30080% |
| Franciscan Health Lafayette , IN | $72,863 | $18,726 | 29989% |
| Cox Barton County Hospital , MO | $1,626 | — | 8411% |
| West Feliciana Hospital , LA | $8,491 | $5,094 | 3406% |
| St. Anthony Summit Medical Center , CO | $8,061 | $3,224 | 3229% |
| Southeast Colorado Hospital District , CO | $4,641 | $3,713 | 1817% |
| Institute for Orthopaedic Surgery , OH | $3,842 | — | 1487% |
| Grande Ronde Hospital and Clinics , OR | $3,672 | $3,672 | 1416% |
| Cabinet Peaks Medical Center , MT | $3,448 | $2,414 | 1324% |
| McBride Orthopedic Hospital , OK | $2,671 | $2,671 | 1003% |
| Howard Memorial Hospital , AR | $2,606 | — | 976% |
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About CPT 64520
CPT code 64520 refers to “N block lumbar/thoracic”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $77 in a facility (hospital or ambulatory surgery center) and $242in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.