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Knee nerve ablation (genicular): what insurers pay

Heat ablation of the small nerves around the knee for arthritis pain, with image guidance. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 64624: Knee Nerve Ablation (Genicular)

1134 hospitals in 77 markets. National Medicare rate $1,995, surgery center $949.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)11$1,724$2,102$2,431$1,052–$3,482
Alaska (statewide)3———$2,302–$7,480
Arizona (statewide)6$2,432$2,720$2,800$1,307–$3,622
Arkansas (statewide)9$1,835$2,421$2,512$1,634–$3,034
Atlanta GA10$3,895$4,656$4,693$3,895–$4,693
Austin TX7$3,510$4,863$4,863$2,975–$4,863
Boston MA12$3,010$3,396$3,779$1,638–$4,398
California (statewide)53$3,463$5,762$7,390$1,847–$14,309
Charlotte NC5$2,322$2,322$2,322$2,290–$2,322
Chicago IL8$4,012$4,812$6,851$3,208–$7,295
Cleveland OH11$2,984$3,326$3,788$2,362–$4,094
Colorado (statewide)16$2,390$3,916$4,604$1,132–$5,468
Columbus OH2———$7,024–$7,024
Connecticut (statewide)3———$3,027–$8,136
Dallas-Fort Worth TX14$3,313$3,853$4,600$3,220–$6,053
Denver CO15$2,447$4,007$4,464$1,132–$8,381
Detroit MI12$1,859$1,882$2,967$1,859–$9,632
Florida (statewide)57$2,450$3,804$6,172$1,151–$13,250
Georgia (statewide)42$4,056$4,634$4,922$1,784–$8,775
Hawaii (statewide)2———$2,546–$2,546
Houston TX18$2,962$3,338$5,327$2,934–$7,316
Idaho (statewide)15$3,507$4,823$4,960$1,798–$8,692
Illinois (statewide)30$2,551$4,542$5,770$1,796–$10,500
Indiana (statewide)27$2,341$4,132$6,318$1,130–$8,220
Iowa (statewide)29$2,127$2,630$3,432$1,022–$5,332
Kansas (statewide)24$2,300$2,952$3,876$1,140–$7,480
Kentucky (statewide)16$2,330$3,058$3,702$1,202–$6,295
Las Vegas NV1———$2,389–$2,389
Los Angeles CA17$3,363$3,868$5,100$2,716–$9,254
Louisiana (statewide)22$1,978$2,860$3,012$1,719–$5,215
Maine (statewide)15$8,002$9,178$9,290$4,973–$11,680
Massachusetts (statewide)7$1,884$1,884$2,472$1,884–$3,104
Miami-Fort Lauderdale FL4———$2,254–$5,670
Michigan (statewide)23$1,924$2,200$2,341$1,859–$4,761
Minneapolis-St. Paul MN12$3,450$3,834$4,507$3,226–$5,371
Minnesota (statewide)17$3,333$5,481$6,212$1,022–$8,533
Mississippi (statewide)8$2,856$3,055$3,248$2,121–$3,433
Missouri (statewide)27$2,586$2,911$4,166$1,162–$6,897
Montana (statewide)3———$3,906–$5,865
Nashville TN7$3,131$3,131$3,578$1,614–$4,092
Nebraska (statewide)16$2,750$3,047$3,372$2,032–$6,353
New Hampshire (statewide)5$5,153$6,614$7,931$3,944–$8,744
New Jersey (statewide)15$2,266$3,543$4,546$1,375–$8,538
New Mexico (statewide)5$3,847$5,983$7,014$2,266–$9,233
New York (statewide)27$2,968$3,466$4,421$1,594–$5,696
New York City8$2,968$3,100$4,130$2,968–$5,294
North Carolina (statewide)5$1,827$3,707$5,178$1,762–$5,262
North Dakota (statewide)5$3,409$4,411$4,423$2,838–$5,201
Ohio (statewide)41$2,959$4,323$5,667$978–$7,506
Oklahoma (statewide)13$1,995$2,584$4,320$1,150–$6,886
Oregon (statewide)7$5,000$6,914$7,317$4,386–$9,041
Pennsylvania (statewide)40$2,783$4,180$5,803$1,070–$8,981
Philadelphia PA11$2,925$3,038$3,429$1,375–$6,185
Phoenix AZ8$2,278$2,496$2,640$2,056–$2,640
Pittsburgh PA10$1,210$1,862$4,056$1,129–$4,915
Portland OR9$6,629$6,629$8,640$5,730–$8,640
Research Triangle NC3———$1,350–$2,044
Rhode Island (statewide)5$3,008$4,628$6,270$2,238–$8,626
Richmond VA3———$3,591–$3,700
Rio Grande Valley TX5$2,690$3,567$3,675$2,538–$3,675
Salt Lake City UT9$1,410$1,410$1,591$1,410–$1,754
San Antonio TX3———$3,025–$4,768
San Diego CA2———$4,324–$4,631
San Francisco Bay Area CA4———$3,471–$13,381
Seattle-Tacoma WA16$5,472$5,856$7,213$5,159–$7,277
South Carolina (statewide)16$5,272$7,870$10,415$2,730–$13,882
South Dakota (statewide)4———$2,543–$2,993
St. Louis MO8$3,960$5,117$6,730$2,927–$9,850
Tampa FL6$5,920$7,492$7,492$3,874–$7,492
Tennessee (statewide)30$1,992$2,724$3,103$1,202–$4,442
Texas (statewide)71$3,110$4,013$4,305$1,347–$12,159
Utah (statewide)4———$1,410–$1,906
Virginia (statewide)27$5,437$6,472$8,678$1,942–$10,066
Washington (statewide)12$4,826$5,744$6,106$3,074–$11,341
Washington DC11$3,172$3,354$5,157$2,685–$5,206
West Virginia (statewide)9$2,865$3,262$6,348$2,168–$13,000
Wisconsin (statewide)41$4,744$6,307$6,770$1,222–$8,762

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Akron Children'S HospitalOhio (statewide)$9780.5×12025-11-11
Madison County Health Care SystemIowa (statewide)$1,0220.5×22026-09-23
Madison HospitalMinnesota (statewide)$1,0220.5×22026-09-23
Usa Health University HospitalAlabama (statewide)$1,0520.6×12026-04-30
Upmc HorizonPennsylvania (statewide)$1,0700.6×12026-03-06
Upmc MckeesportPennsylvania (statewide)$1,0860.6×22026-03-06
Upmc MercyPittsburgh PA$1,1290.6×22026-03-06
Community Hospital Of Bremen IncIndiana (statewide)$1,1300.6×22026-01-01
Nationwide Children'S HospitalOhio (statewide)$1,1300.6×12026-04-01
Adventhealth PorterDenver CO$1,1320.6×82026-04-01
Adventhealth AvistaColorado (statewide)$1,1320.5×82026-04-01
Adventhealth ParkerDenver CO$1,1320.6×82026-04-01
Ann & Robert H Lurie Childrens Hospital Of ChicagoIllinois (statewide)$10,5005.0×32026-04-01
Mcleod Loris HospitalSouth Carolina (statewide)$10,5145.8×22026-07-20
Mcleod Health ClarendonSouth Carolina (statewide)$10,5145.8×22026-07-20
Mary Bridge Children'S HospitalWashington (statewide)$11,3415.0×52026-08-27
Mainehealth Lincoln HospitalMaine (statewide)$11,6806.1×12025-09-09
Methodist Dallas Medical CenterTexas (statewide)$12,1596.2×12026-03-20
Prisma Health Laurens County HospitalSouth Carolina (statewide)$12,9436.9×12026-03-01
Logan Regional Medical CenterWest Virginia (statewide)$13,0006.9×12026-04-01
Holy Cross HospitalFlorida (statewide)$13,2506.5×222026-03-31
Stanford Health CareSan Francisco Bay Area CA$13,3814.7×42026-04-01
Beaufort County Memorial HospitalSouth Carolina (statewide)$13,8827.6×12026-01-01
Mission Community HospitalCalifornia (statewide)$14,3095.7×12026-09-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for knee nerve ablation (genicular)?

Across 1134 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 64624, hospital outpatient is $3,746, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,646 to $5,399. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for knee nerve ablation (genicular)?

Medicare's national hospital outpatient rate for CPT 64624 is $1,995 and its surgery-center rate is $949, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for knee nerve ablation (genicular)?

Lowest medians: Akron Children'S Hospital ($978), Madison County Health Care System ($1,022), Madison Hospital ($1,022). Highest: Mission Community Hospital ($14,309), Beaufort County Memorial Hospital ($13,882), Stanford Health Care ($13,381). Coverage: every hospital whose price file we could read.