Steroid injection cost in Washington without insurance
In Washington, the median cash price for Joint injection (cortisone shot) is $565.50 across 27 hospitals, from $80.50 to $1,455.70. The lowest is at Providence St Joseph Hospital (Chewelah) and 1 other hospital. The US median is $416.40.
Steroid injections, often called cortisone shots, treat joint, tendon and spine pain. They are billed by where the needle goes and whether imaging guides it. A shot in a knee or shoulder in a doctor's office is at the low end, while spine injections under X-ray in a hospital cost much more. The steroid itself is often a separate charge.
Collected Sep 23, 2026 One price per hospital: its lowest outpatient cash price for the code
Steroid injection prices in Washington by type
20610 is an injection into a large joint such as the knee or shoulder and is used in the state table; 20605 and 20600 are medium and small joints; 20550 and 20552 are tendon and trigger point injections; 62321 to 62323 and 64483 are epidural injections; 64493 is a facet joint injection; 64635 is radiofrequency ablation; 64405 is an occipital nerve block; and 64615 is Botox for migraine.
| Procedure | Hospitals | Range | Median | US median |
|---|---|---|---|---|
| Joint injection (cortisone shot) Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound · code 20610 | 27 | $80.50–$1,455.70 | $565.50 | $416.40 |
| Joint injection (medium joint) Joint injection or drainage, medium joint (wrist, elbow, ankle) · code 20605 | 27 | $70.75–$1,455.70 | $517.40 | $372.57 |
| Joint injection (small joint) Joint injection or drainage, small joint (fingers, toes) · code 20600 | 27 | $69.16–$1,455.70 | $427.05 | $347.10 |
| Tendon sheath injection Injection into a tendon sheath or ligament (for example trigger finger) · code 20550 | 30 | $70.70–$1,526.72 | $315.45 | $394.73 |
| Trigger point injection Trigger point injections, 1 or 2 muscles · code 20552 | 34 | $70.75–$1,455.70 | $318.54 | $361.23 |
| Epidural injection, guided Lower-back epidural injection, with imaging guidance · code 62323 | 29 | $180.70–$4,956.00 | $1,386.40 | $1,256.58 |
| Epidural steroid injection Lower-back epidural injection, without imaging guidance · code 62322 | 26 | $176.40–$4,766.61 | $1,225.79 | $1,177.23 |
| Neck epidural injection Epidural steroid injection, neck or mid back, with imaging guidance · code 62321 | 27 | $207.50–$3,332.70 | $1,518.30 | $1,256.54 |
| Nerve root injection Lower-back nerve root steroid injection, with imaging guidance · code 64483 | 20 | $216.24–$4,562.57 | $1,757.00 | $1,447.72 |
| Lumbar facet injection Facet joint injection, lower back, one level, with imaging guidance · code 64493 | 19 | $176.49–$5,438.50 | $2,472.00 | $1,490.00 |
| Lumbar radiofrequency ablation Radiofrequency ablation of facet joint nerves, lower back, one level · code 64635 | 10 | $374.44–$7,870.20 | $2,728.32 | $2,492.33 |
| Occipital nerve block Occipital nerve block (injection for headaches) · code 64405 | 24 | $93.80–$950.60 | $669.90 | $515.00 |
| Botox for migraine Botox injections for chronic migraine · code 64615 | 12 | $117.65–$1,942.20 | $389.61 | $489.00 |
Outpatient cash prices in Washington. Each hospital counts once, at its lowest cash price for the code; prices for both sides of the body and inpatient prices are not mixed in. Pick a procedure to compare every hospital in the state.
Lowest Joint injection (cortisone shot) prices in Washington
- Providence St Joseph Hospital, Chewelah$80.50
- Providence St Mary Medical Center, Walla Walla$80.50
- East Adams Rural Healthcare, Ritzville$87.45
- Providence Mount Carmel Hospital, Colville$96.60
- Legacy Salmon Creek Medical Center, Vancouver$118.95
Steroid injection cost by metro area in Washington
Steroid injection cost in other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Vermont
- Virginia
- West Virginia
- Wisconsin
- Wyoming
Paying cash: what to do
- Ask whether the price includes the medicine and any ultrasound or X-ray guidance.
- Orthopedic, sports medicine and pain management offices often charge less than hospitals.
- Doctors usually limit steroid shots to a few a year in one spot, so ask how many you might need.