Epidural steroid injection cost in Washington
In Washington, 37 hospitals publish a cash price for lower-back epidural injection, without imaging guidance: from $176.40 to $4,766.61, with a median of $1,141.44. The lowest price is at Providence Mount Carmel Hospital (Colville) and 1 other hospital. The highest price is 27.0× the lowest.
- The median here, $1,141.44, is 8% below the US median of $1,235.75.
- That is 1.3× Medicare's 2026 national rate for the same service ($903.63).
- Washington ranks 23rd of 47 states by median, cheapest first.
- 2 of 37 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 62322. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$176.40Providence Mount Carmel Hospital + 1 more
Median$1,141.44half of hospitals charge less
Highest$4,766.61in Washington
Lowest saves$965.04vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Providence Mount Carmel Hospital lowest Colville · Spokane-Spokane Valley, WA HC PR 62322 INJ INTERLAMINAR LMBR/SAC W/O IMG | $176.40 | $252.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital lowest Chewelah · Spokane-Spokane Valley, WA HC PR 62322 INJ INTERLAMINAR LMBR/SAC W/O IMG | $176.40 | $252.00 | Apr 1, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC 62322 INJ INTERLAMINAR LUMB/SAC W/O IMAGING | $231.18 | $398.59 | Apr 14, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Injection of substance into lower spine canal | $271.15 | $319.00 | Oct 7, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Injection of substance into lower spine canal | $411.68 | $664.00 | May 18, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 62311 Injection single lumbar or sacral | $519.35 | $799.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $542.30 | $986.00 | Jan 1, 2025 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Injection of substance into lower spine canal | $674.40 | $843.00 | Jun 29, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC INJ EPIDURAL LUMB/SACR WO | $846.46 | $2,936.62 | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC INJ EPIDURAL LUMB/SACR WO | $893.17 | $2,936.62 | Feb 28, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC INJ EPIDURAL LUMB/SACR WO | $896.72 | $2,936.62 | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC INJ EPIDURAL LUMB/SACR WO | $921.58 | $2,936.62 | Feb 28, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC INJ EPIDURAL LUMB/SACR WO | $972.61 | $2,936.62 | Feb 28, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Injection of substance into lower spine canal | $992.06 | $1,322.75 | Jul 1, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC INJ EPIDURAL LUMB/SACR WO | $1,037.70 | $2,936.62 | Feb 28, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA NJX INTERLAM, NDL OR CATH, LMBR/SAC, WO GUIDANCE - FAC | $1,104.66 | $2,166.00 | Jan 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Injection of substance into lower spine canal | $1,124.80 | $1,406.00 | Jun 24, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,141.44 | $2,378.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,141.44 | $2,378.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,141.44 | $2,378.00 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 62322 Inj Interlaminar Lumb/Sac W/O Imaging | $1,155.50 | $2,311.00 | Apr 1, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC INJ EPIDURAL LUMB/SACR WO | $1,296.08 | $2,936.62 | Feb 28, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Injection of substance into lower spine canal | $1,509.60 | $1,887.00 | Aug 6, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,607.90 | $2,297.00 | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL | $1,645.15 | $2,531.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA NJX INTERLAMINAR LMBR/SAC | $1,645.15 | $2,531.00 | Mar 21, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Injection of substance into lower spine canal | $1,652.40 | $1,944.00 | Jun 9, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA NJX INTERLAMINAR LMBR/SAC | $1,695.85 | $2,609.00 | Mar 21, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Injection of substance into lower spine canal | $1,825.60 | $2,282.00 | Oct 27, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,903.30 | $2,719.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,918.70 | $2,741.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,968.72 | $3,786.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,968.72 | $3,786.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $2,071.30 | $2,959.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Injection of Substance Into Spinal Canal of Lower Back or Sacrum | $2,230.60 | $2,230.60 | Mar 31, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC INJECT LUMBAR SPINE | $2,240.00 | $2,800.00 | Mar 26, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA NJX INTERLAMINAR LMBR/SAC | $4,766.61 | $4,766.61 | Mar 18, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
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
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 13 | $231.18 | $1,037.70 |
| Spokane-Spokane Valley, WA | 5 | $176.40 | $1,607.90 |
| Centralia, WA | 2 | $411.68 | $1,190.20 |
| Kennewick-Richland, WA | 2 | $542.30 | $1,230.50 |
| Port Townsend, WA | 2 | $1,509.60 | $1,667.60 |
| Pullman, WA | 2 | $674.40 | $1,163.40 |
| Bellingham, WA | 1 | $1,695.85 | $1,695.85 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $1,296.08 | $1,296.08 |
| Ellensburg, WA | 1 | $271.15 | $271.15 |
| Longview-Kelso, WA | 1 | $1,645.15 | $1,645.15 |
| Mount Vernon-Anacortes, WA | 1 | $2,240.00 | $2,240.00 |
| Olympia-Lacey-Tumwater, WA | 1 | $1,968.72 | $1,968.72 |
| Othello, WA | 1 | $992.06 | $992.06 |
| Port Angeles, WA | 1 | $1,124.80 | $1,124.80 |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $1,645.15 | $1,645.15 |
| Walla Walla, WA | 1 | $2,071.30 | $2,071.30 |
| Yakima, WA | 1 | $519.35 | $519.35 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What epidural steroid injection is, what the price covers and why prices differ: Epidural steroid injection explained.
Lower-back epidural injection, without imaging guidance in other states
- Alabama$1,127.00
- Alaska$1,748.55
- Arizona$1,085.38
- Arkansas$614.28
- California$1,790.10
- Colorado$1,223.50
- Connecticut$1,861.75
- Delaware$2,220.96, 3 hospitals
- District of Columbia$1,431.17, 3 hospitals
- Florida$2,198.30
- Georgia$1,660.80
- Hawaii$1,192.45
- Idaho$1,284.83
- Illinois$1,455.00
- Indiana$1,413.60
- Iowa$916.30
- Kansas$817.00
- Kentucky$801.97
- Louisiana$391.24
- Maine$905.55
- Maryland$232.00, 1 hospital
- Massachusetts$1,411.50
- Michigan$1,125.00
- Minnesota$1,109.60
- Mississippi$520.00
- Missouri$1,114.20
- Montana$422.40
- Nebraska$777.46
- Nevada$936.00
- New Hampshire$891.38
- New Jersey$1,979.00
- New Mexico$1,099.98
- New York$1,455.10
- North Carolina$1,226.50
- North Dakota$1,046.05
- Ohio$1,623.75
- Oklahoma$625.48
- Oregon$1,563.58
- Pennsylvania$1,917.23
- Puerto Rico$2,100.00, 3 hospitals
- Rhode Island$2,700.00
- South Carolina$1,577.40
- South Dakota$1,316.70
- Tennessee$691.58
- Texas$1,231.38
- Utah$1,555.68, 3 hospitals
- Vermont$1,747.16
- Virginia$1,503.35
- West Virginia$1,157.50
- Wisconsin$824.85
- Wyoming$914.38
Median cash price across the state's hospitals.