Epidural injection, guided cost in St. Louis, MO
In St. Louis, MO-IL, 10 hospitals list a cash price for lower-back epidural injection, with imaging guidance: from $1,181.70 to $3,128.21, with a median of $2,180.91. The lowest listed price is at Mercy Hospital St Louis — $999.21 less than the median here. Across Missouri, the median is $1,430.40 at 45 hospitals.
- The median here, $2,180.91, is 59% above the US median of $1,369.55.
- That is 3.0× Medicare's 2026 national rate for the same service ($721.17).
- St. Louis, MO ranks 2nd of 2 metro areas in Missouri by median, cheapest first.
- 1 of 10 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 10 facilities across 9 cities for code 62323, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Jun 10, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Mercy Hospital St Louis lowest Saint Louis, MO · (314) 251-6000 Inject Interlaminar Lumbar or Sacral W Imag File of Jun 4, 2026 · source file | $1,181.70 | $1,818.00 | $3,897.00–$7,801.00 | 35% |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 IR-DI L-S INJ W IM File of Mar 30, 2026 · source file | $1,470.22 | $2,450.37 | $2,450.37 | 40% |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC INJ INTRLAMNR LUM/SAC W/GUIDE File of Mar 24, 2026 · source file | $1,808.64 | $2,512.00 | $662.13–$2,512.00 | 28% |
| Jersey Community Hospital Jerseyville, IL · (618) 498-6402 62323 ESI lumbar or sacral with fluoroscopy File of Mar 10, 2026 · source file | $2,066.00 | $2,066.00 | $189.57–$1,756.10 | — |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Inject Interlaminar Lumbar or Sacral W Imag File of Jun 10, 2026 · source file | $2,149.55 | $3,307.00 | $3,153.00–$6,631.00 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Inject Interlaminar Lumbar or Sacral W Imag File of Jun 10, 2026 · source file | $2,212.27 | $3,403.50 | $1,081.00–$1,618.00 | 35% |
| Jersey Community Hospital Jerseyville, IL · (618) 498-6402 IR Injection Lumb/Sac Interlaminar File of Mar 10, 2026 · source file | $2,418.00 | $2,418.00 | $1,564.45–$2,055.30 | — |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Inject Interlaminar Lumbar or Sacral W Imag File of Jun 10, 2026 · source file | $2,486.90 | $3,826.00 | $693.59–$883.78 | 35% |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC INJ INTRLAMNR LUM/SAC W/GUIDE File of Mar 24, 2026 · source file | $2,615.76 | $3,633.00 | $726.60–$3,633.00 | 28% |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL · (618) 234-2120 HC INJ INTRLAMNR LUM/SAC W/GUIDE File of Mar 24, 2026 · source file | $2,831.76 | $3,933.00 | $662.13–$3,933.00 | 28% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Inject Interlaminar Lumbar or Sacral W Imag File of Jun 10, 2026 · source file | $3,128.21 | $4,812.63 | $3,428.00–$8,893.00 | 35% |
Outpatient: lowest $1,181.70, median $2,180.91, highest $3,128.21 — a 2.6× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $2,066.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 7 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What epidural injection, guided is, what the price covers and why prices differ: Epidural injection, guided explained.