Epidural injection, guided cost in Washington, DC
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 13 hospitals list a cash price for lower-back epidural injection, with imaging guidance: from $688.00 to $1,710.00, with a median of $1,607.87. The lowest listed price is at Jefferson Medical Center — $919.87 less than the median here. Across District of Columbia, the median is $1,362.32 at 3 hospitals.
- The median here, $1,607.87, is 17% above the US median of $1,369.55.
- That is 2.2× Medicare's 2026 national rate for the same service ($721.17).
- Every hospital here lists a cash price below its full list price.
Cash prices at 13 facilities across 11 cities for code 62323, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Dec 30, 2024 and Jul 14, 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Jefferson Medical Center lowest Ranson, WV · (304) 728-1600 NJX INTERLAMINAR LMBR/SAC File of Jul 12, 2026 · source file | $688.00 | $1,376.00 | — | 50% |
| Mary Washington Hospital Fredericksburg, VA · (540) 741-1100 Njx interlaminar lmbr/sac File of Dec 30, 2024 · source file | $908.50 | $1,817.00 | $240.00–$4,450.00 | 50% |
| Stafford Hospital Stafford, VA · (540) 741-9000 Njx interlaminar lmbr/sac File of Dec 30, 2024 · source file | $908.50 | $1,817.00 | $240.00–$4,450.00 | 50% |
| Children's National Hospital Washington, DC · (202) 476-5000 IR Njx Interlaminar Crv Sac File of Apr 2, 2026 · source file | $935.50 | $1,871.00 | $286.20–$4,902.00 | 50% |
| MedStar Washington Hospital Center Washington, DC · (202) 877-7000 IR ESI LUMB SACR WITH IMAGING+1 more line at this price File of Apr 1, 2026 · source file | $1,362.32 | $2,095.88 | $607.81–$3,175.00 | 35% |
| MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 CT INJ LUMBAR SAC+2 more lines at this price File of Apr 1, 2026 · source file | $1,458.46 | $2,243.79 | $628.26–$6,474.00 | 35% |
| Fauquier Health Warrenton, VA · (540) 316-5000 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluorosc File of Jul 14, 2026 · source file | $1,607.87 | $4,019.68 | $3,765.00 | 60% |
| Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Njx Interlaminar Lmbr/Sac, Img File of Apr 1, 2026 · source file | $1,685.00 | $3,370.00 | — | 50% |
| Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG File of Apr 1, 2026 · source file | $1,710.00 | $3,420.00 | $692.52–$2,678.00 | 50% |
| Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG File of Apr 1, 2026 · source file | $1,710.00 | $3,420.00 | $692.52–$2,678.00 | 50% |
| Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG File of Apr 1, 2026 · source file | $1,710.00 | $3,420.00 | $692.52–$2,678.00 | 50% |
| Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG File of Apr 1, 2026 · source file | $1,710.00 | $3,420.00 | $692.52–$2,678.00 | 50% |
| Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG File of Apr 1, 2026 · source file | $1,710.00 | $3,420.00 | $692.52–$2,678.00 | 50% |
Outpatient: lowest $688.00, median $1,607.87, highest $1,710.00 — a 2.5× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $1,685.00. 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 11 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.