CPT 64520 Surgery - Nervous
N block lumbar/thoracic Cost
Body System: Nervous
Medicare Facility Rate
$77
CMS PFS CY2026
Medicare Non-Facility Rate
$242
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.32
Work RVU
0.86
Facility PE RVU
0.12
Malpractice RVU
7.25
Total RVU
Frequently Asked Questions
How much does N block lumbar/thoracic cost?
The Medicare facility rate is $77. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does N block lumbar/thoracic cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $77.