Epidural injection, guided cost in Virginia
In Virginia, 43 hospitals publish a cash price for lower-back epidural injection, with imaging guidance: from $447.90 to $3,570.00, with a median of $1,685.00. The lowest price is at Johnston Memorial Hospital (Abingdon) and 3 other hospitals. The highest price is 8.0× the lowest.
- The median here, $1,685.00, is 23% above the US median of $1,369.55.
- That is 2.3× Medicare's 2026 national rate for the same service ($721.17).
- Virginia ranks 37th of 49 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Outpatient cash prices, one line per hospital — its lowest listed price for code 62323. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 29, 2026. See them on a map
Lowest$447.90Johnston Memorial Hospital + 3 more
Median$1,685.00half of hospitals charge less
Highest$3,570.00in Virginia
Lowest saves$1,237.10vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Johnston Memorial Hospital lowest Abingdon · Kingsport-Bristol, TN-VA HC INJ LUMBAR/SACRAL W IMG GUID | $447.90 | $2,986.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital lowest Big Stone Gap · Big Stone Gap, VA HC INJ LUMBAR/SACRAL W IMG GUID | $447.90 | $2,986.00 | Mar 23, 2026 source file |
| Russell County Hospital lowest Lebanon · Lebanon, VA HC INJ LUMBAR/SACRAL W IMG GUID | $447.90 | $2,986.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital lowest Marion · Marion, VA HC INJ LUMBAR/SACRAL W IMG GUID | $447.90 | $2,986.00 | Mar 23, 2026 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $671.70 | $2,239.00 | Apr 1, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $672.00 | $2,240.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Njx interlaminar lmbr/sac | $908.50 | $1,817.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Njx interlaminar lmbr/sac | $908.50 | $1,817.00 | Dec 30, 2024 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $954.52 | $1,590.87 | Jul 1, 2026 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB SP INJ INTERLAMINAR LUMB/SACRL W IMG | $980.00 | $2,800.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB SP INJ INTERLAMINAR LUMB/SACRL W IMG | $980.00 | $2,800.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB SP INJ INTERLAMINAR LUMB/SACRL W IMG | $980.00 | $2,800.00 | Apr 17, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Inj Spine Lum/Sac/Caud W/ Img | $1,143.98 | $2,287.95 | Mar 11, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Njx Interlaminar Lmbr/Sac, Img | $1,157.50 | $2,315.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Njx Interlaminar Lmbr/Sac, Img | $1,157.50 | $2,315.00 | Apr 1, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,159.80 | $1,933.00 | Apr 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV 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 | $1,607.87 | $4,019.68 | Jul 14, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Njx Interlaminar Lmbr/Sac, Img | $1,636.00 | $3,272.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,647.60 | $5,492.00 | Apr 1, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Lumbar Inj Diag Or Ther | $1,671.00 | $3,342.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Njx Interlaminar Lmbr/Sac, Img | $1,685.00 | $3,370.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Njx Interlaminar Lmbr/Sac, Img | $1,685.00 | $3,370.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Njx Interlaminar Lmbr/Sac, Img | $1,685.00 | $3,370.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Njx Interlaminar Lmbr/Sac, Img | $1,685.00 | $3,370.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Njx Interlaminar Lmbr/Sac, Img | $1,685.00 | $3,370.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Njx Interlaminar Lmbr/Sac, Img | $1,685.00 | $3,370.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Njx Interlaminar Lmbr/Sac, Img | $1,685.00 | $3,370.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Njx Interlaminar Lmbr/Sac, Img | $1,685.00 | $3,370.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG | $1,710.00 | $3,420.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG | $1,710.00 | $3,420.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG | $1,710.00 | $3,420.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG | $1,710.00 | $3,420.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG | $1,710.00 | $3,420.00 | Apr 1, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,089.20 | $3,482.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,089.20 | $3,482.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,089.20 | $3,482.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,089.20 | $3,482.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,158.20 | $3,597.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,158.20 | $3,597.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,158.20 | $3,597.00 | Apr 1, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC INJ SUB LOWSPINE W/IMG | $2,681.36 | $2,979.29 | Mar 17, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA 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 | $2,744.67 | $6,861.68 | Jul 14, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA 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 | $3,570.00 | $8,924.99 | Jul 10, 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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $954.52 | $1,685.00 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 9 | $908.50 | $1,710.00 |
| Richmond, VA | 5 | $1,647.60 | $2,089.20 |
| Roanoke, VA | 3 | $672.00 | $980.00 |
| Big Stone Gap, VA | 1 | $447.90 | $447.90 |
| Blacksburg-Christiansburg-Radford, VA | 1 | $980.00 | $980.00 |
| Bluefield, WV-VA | 1 | $2,744.67 | $2,744.67 |
| Charlottesville, VA | 1 | $1,157.50 | $1,157.50 |
| Emporia, VA | 1 | $671.70 | $671.70 |
| Galax, VA | 1 | $3,570.00 | $3,570.00 |
| Harrisonburg, VA | 1 | $1,157.50 | $1,157.50 |
| Kilmarnock, VA | 1 | $1,159.80 | $1,159.80 |
| Kingsport-Bristol, TN-VA | 1 | $447.90 | $447.90 |
| Lebanon, VA | 1 | $447.90 | $447.90 |
| Marion, VA | 1 | $447.90 | $447.90 |
| South Boston, VA | 1 | $1,636.00 | $1,636.00 |
| Suffolk, VA | 1 | $1,685.00 | $1,685.00 |
| Staunton-Stuarts Draft, VA | 1 | $1,671.00 | $1,671.00 |
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 injection, guided is, what the price covers and why prices differ: Epidural injection, guided explained.
Lower-back epidural injection, with imaging guidance in other states
- Alabama$1,352.66
- Alaska$2,536.19
- Arizona$1,368.39
- Arkansas$750.00
- California$2,220.40
- Colorado$1,486.40
- Connecticut$2,892.08
- Delaware$2,303.71
- District of Columbia$1,362.32, 3 hospitals
- Florida$2,353.05
- Georgia$1,343.25
- Hawaii$656.25
- Idaho$1,395.45
- Illinois$1,444.15
- Indiana$1,286.25
- Iowa$1,260.80
- Kansas$1,198.45
- Kentucky$904.54
- Louisiana$708.66
- Maine$929.68
- Maryland$2,109.36, 2 hospitals
- Massachusetts$1,744.50
- Michigan$1,030.00
- Minnesota$1,187.55
- Mississippi$472.75
- Missouri$1,430.40
- Montana$612.38
- Nebraska$1,315.80
- Nevada$482.00
- New Hampshire$1,007.33
- New Jersey$2,403.56
- New Mexico$1,595.67
- New York$1,491.75
- North Carolina$1,211.91
- North Dakota$1,112.10
- Ohio$2,036.45
- Oklahoma$731.96
- Oregon$1,580.28
- Pennsylvania$2,094.60
- Puerto Rico$2,100.00, 2 hospitals
- Rhode Island$2,678.00
- South Carolina$1,452.00
- South Dakota$1,729.60
- Tennessee$491.92
- Texas$1,675.50
- Utah$1,261.35
- Vermont$2,078.00
- Washington$1,532.05
- West Virginia$1,108.50
- Wisconsin$1,147.44
- Wyoming$1,272.32
Median cash price across the state's hospitals.