How much does Medicare pay for CPT 64448?

Medicare allowed an average of $67.99 per service and paid $53.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1529.63, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64448?

Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter. It was billed 14,432 times to 14,300 Medicare beneficiaries by 638 providers in 2024.

Does 64448 pay differently in an office than a hospital?

Yes. The allowed amount averaged $69.49 in an office setting and $67.98 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 64448 most?

Anesthesiology, with 13,548 services from 589 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Pain Management, Critical Care (Intensivists).

CPT 64448

Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter

$67.99Medicare-allowed amount per service, averaged across 14,432 services

Providers submitted

$1529.63

Asking price, not received

Medicare allowed

$67.99

The fee schedule figure

Medicare paid

$53.75

Balance is patient coinsurance

Providers submitted an average of $1529.63 for this code and Medicare allowed $67.99 — 22.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $53.75 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $69.49
Hospital / facility: $67.98

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 52 services were billed in an office setting and 14,380 in a facility.

Services: 14,432
Beneficiaries: 14,300
Providers billing it: 638
Total allowed: $981,232

What Medicare pays for CPT 64448

Across 14,432 services billed by 638 providers to 14,300 beneficiaries, Medicare allowed an average of $67.99 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 64448

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	13,548	13,425	$67.95	589
Certified Registered Nurse Anesthetist (CRNA)	783	775	$68.45	43
Pain Management	35	35	$71.36	2
Critical Care (Intensivists)	30	29	$68.65	2
Interventional Pain Management	20	20	$69.32	1
General Surgery	16	16	$68.42	1

64448 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	1,972	$65.88	$37.18	77
Michigan	1,958	$64.45	$31.90	87
California	1,712	$69.11	$33.03	87
Washington	1,138	$72.00	$33.21	51
Colorado	824	$69.23	$36.05	31
Indiana	771	$65.39	$38.65	28
Florida	746	$65.78	$31.62	33
South Carolina	629	$67.74	$31.33	20
Missouri	516	$68.46	$30.26	19
Pennsylvania	431	$65.90	$38.58	21
Ohio	421	$68.54	$36.18	17
New Jersey	364	$77.42	$40.34	10
New York	300	$75.18	$44.00	14
Kentucky	286	$63.60	$32.56	14
Wisconsin	245	$64.74	$28.76	14
Maryland	231	$70.48	$35.17	13
Massachusetts	190	$72.78	$32.20	11
Arizona	177	$68.42	$37.77	12
Georgia	170	$68.35	$31.95	7
Alaska	166	$87.80	$40.03	8
Virginia	151	$70.77	$33.56	7
Oregon	114	$68.72	$30.28	8
Illinois	110	$67.79	$36.10	5
North Carolina	97	$65.54	$31.43	7
District of Columbia	96	$64.12	$34.01	6
Connecticut	79	$65.50	$44.37	2
Wyoming	77	$66.53	$30.36	2
Kansas	75	$70.36	$30.12	3
Idaho	67	$66.13	$33.91	5
Minnesota	63	$68.46	$34.48	4
Louisiana	41	$67.65	$40.02	3
Tennessee	40	$60.13	$31.33	2
Oklahoma	36	$69.17	$36.83	2
New Mexico	31	$69.35	$37.48	1
Alabama	28	$64.13	$37.69	2
New Hampshire	25	$67.54	$28.72	1
Nebraska	18	$71.63	$29.28	1
Utah	15	$66.33	$27.67	1
Nevada	11	$68.91	$53.06	1
Montana	11	$69.36	$35.16	1

Related codes

64483Injection of anesthetic and/or steroid drug into sacral spine nerve ro$263.09
64493Injection of lower or sacral spine facet joint$243.14
64494Injection of lower or sacral spine facet joint$96.60
64450Injection of anesthetic agent and/or steroid into other nerve or branc$44.99
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral$58.78
64484Injection of anesthetic and/or steroid drug into sacral spine nerve ro$84.15
64490Injection of upper or middle spine facet joint$259.70
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (br$67.89
64491Injection of upper or middle spine facet joint$100.48
64445Injection of anesthetic agent and/or steroid into lower back and leg n$173.06
64405Injection of anesthetic agent and/or steroid into upper neck and back$71.75
64479Injection of anesthetic and/or steroid drug into upper or middle spine$275.58

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.