Nerve root injection cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 23 hospitals list a cash price for lower-back nerve root steroid injection, with imaging guidance: from $1,321.90 to $4,901.00, with a median of $4,820.40. The lowest listed price is at Sequoia Hospital — $3,498.50 less than the median here. Across California, the median is $2,042.12 at 147 hospitals.
- The median here, $4,820.40, is 228% above the US median of $1,471.05.
- That is 5.3× Medicare's 2026 national rate for the same service ($903.63).
- San Francisco, CA ranks 5th of 5 metro areas in California by median, cheapest first.
- 11 of 23 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 23 facilities across 16 cities for code 64483, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Sep 30, 2026.
Lowest$1,321.90Sequoia Hospital
Median$4,820.40half of hospitals charge less
Highest$4,901.00in this market
Difference3.7×highest vs lowest
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in San Francisco-Oakland-Fremont, CA.
median
Lowest $1,321.90Highest $7,660.20
one sideboth sides
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Sequoia Hospital lowest Redwood City, CA · (650) 369-5811 ANES/STE EPI L/S SNGL INJ File of Sep 30, 2026 · source file | $1,321.90 | $3,875.00 | $164.49–$10,897.00 | 66% |
| Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL File of Apr 1, 2026 · source file | $3,365.60 | $6,010.00 | $1,076.00–$3,369.00 | 44% |
| MarinHealth Medical Center one side Greenbrae, CA · (415) 925-7900 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL File of Mar 26, 2026 · source file | $4,820.40 | $8,034.00 | $1,248.38–$8,527.68 | 40% |
| Novato Community Hospital Novato, CA · (415) 209-1300 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| Mills Health Center San Mateo, CA · (650) 696-5400 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA · (510) 204-4444 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| California Pacific Medical Center- Van Ness Campus San Francisco, CA · (415) 600-6000 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA · (510) 204-4444 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| Eden Medical Center Castro Valley, CA · (510) 537-1234 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| Sutter Delta Medical Center Antioch, CA · (925) 779-7200 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| California Pacific Medical Ctr-Davies Campus Hospital San Francisco, CA · (415) 600-6000 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL File of Apr 1, 2026 · source file | $4,901.00 | $4,901.00 | — | — |
| MarinHealth Medical Center one side Greenbrae, CA · (415) 925-7900 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL File of Mar 26, 2026 · source file | $5,106.80 | $8,511.34 | $1,248.38–$8,527.68 | 40% |
| MarinHealth Medical Center Greenbrae, CA · (415) 925-7900 NJX AA&/STRD TFRM EPI L/S 1 File of Mar 26, 2026 · source file | $5,561.40 | $9,269.00 | $1,248.38–$8,527.68 | 40% |
| MarinHealth Medical Center Greenbrae, CA · (415) 925-7900 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL File of Mar 26, 2026 · source file | $7,660.20 | $12,767.00 | $1,248.38–$8,527.68 | 40% |
| Sequoia Hospital both sides Redwood City, CA · (650) 369-5811 ANES/STE EP L/S SNG IN BI File of Sep 30, 2026 · source file | $1,861.92 | $5,458.00 | $164.49–$10,897.00 | 66% |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $1,321.90, median $4,820.40, highest $4,901.00 — a 3.7× difference within the same market.
Both sides : lowest $1,861.92, median $1,861.92, highest $1,861.92.
The two groups are not comparable and are not averaged together: a
price for both sides of the body covers twice the work. Merging them is how a single
published "median" ends up far above what one side actually costs.
As an inpatient, the same code is billed by 22 facilities here, median $4,133.30. 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 12 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 nerve root injection is, what the price covers and why prices differ: Nerve root injection explained.