Lumbar facet injection cost in St. Louis, MO
In St. Louis, MO-IL, 7 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $865.15 to $4,018.88, with a median of $1,042.60. The lowest listed price is at Mercy Hospital Jefferson — $177.45 less than the median here. Across Missouri, the median is $970.45 at 19 hospitals.
Cash prices at 7 facilities across 5 cities for code 64493, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
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 | File date |
|---|---|---|---|---|---|
| Mercy Hospital Jefferson lowest Festus, MO Inj Paravert F Jnt L/S 1st Lev | $865.15 | $1,331.00 | $3,428.00–$8,893.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Inj Paravert F Jnt L/S 1st Lev | $912.60 | $1,404.00 | $3,153.00–$6,631.00 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Inj Paravert F Jnt L/S 1st Lev | $951.60 | $1,464.00 | $3,199.00–$7,801.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Inj Paravert F Jnt L/S 1st Lev | $1,042.60 | $1,604.00 | $2,087.00–$3,194.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Hchg Inj Paravert F Jnt L/S 1 Lev Bil Pf | $1,879.15 | $2,891.00 | $187.92–$2,891.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Inj Paravert F Jnt L/S 1 Lev Pf | $1,879.15 | $2,891.00 | $187.92–$2,891.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Inj Paravert F Jnt L/S 1st Lev Bil | $2,223.65 | $3,421.00 | $3,897.00–$7,801.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Inj Paravert F Jnt L/S 1st Lev Bil | $2,277.36 | $3,503.63 | $1,138.44–$1,679.88 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Inj Paravert F Jnt L/S 1st Lev Bil | $2,559.75 | $3,938.07 | $869.07–$1,993.28 | 35% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC INJ PARAVERT FACET LUMBAR/SACRA;SINGLE | $2,921.76 | $4,058.00 | $662.13–$4,058.00 | 28% | — source file |
| Mercy Hospital Washington Washington, MO Inj Paravert F Jnt L/S 1st Lev Bil | $3,337.46 | $5,134.56 | $869.07–$1,107.38 | 35% | — source file |
| Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 INJ PARAVERT F JNT L/S 1 LEV | $4,018.88 | $4,018.88 | $78.31–$1,513.49 | — | — source file |
| Mercy Hospital Jefferson Festus, MO Inj Paravert F Jnt L/S 1st Lev Bil | $4,555.85 | $7,009.00 | $1,368.00–$3,631.00 | 35% | — source file |
Outpatient: lowest $865.15, median $1,042.60, highest $4,018.88 — a 4.6× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $2,921.76. 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 6 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 5 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 it is
This injection puts numbing medicine or a steroid into or near a facet joint of the lower back, using imaging to guide the needle.
What the price covers
The price usually covers the injection and imaging guidance. The steroid or other medicine may be billed separately.