Epidural injection, guided cost in Washington
In Washington, 44 hospitals publish a cash price for lower-back epidural injection, with imaging guidance: from $331.17 to $4,956.00, with a median of $1,532.05. The lowest price is at Astria Sunnyside Hospital (Sunnyside). The highest price is 15.0× the lowest.
- The median here, $1,532.05, is 12% above the US median of $1,369.55.
- That is 2.1× Medicare's 2026 national rate for the same service ($721.17).
- Washington ranks 33rd of 49 states by median, cheapest first.
- 1 of 44 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 62323. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$331.17Astria Sunnyside Hospital
Median$1,532.05half of hospitals charge less
Highest$4,956.00in Washington
Lowest saves$1,200.88vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Astria Sunnyside Hospital lowest Sunnyside · Kennewick-Richland, WA NJX INTERLAMINAR LMBR/SAC | $331.17 | $581.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA NJX INTERLAMINAR LMBR/SAC | $332.15 | $511.00 | Apr 1, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 62323 ESI lumbar or sacral with fluoroscopy | $519.30 | $692.40 | Mar 10, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $872.30 | $1,586.00 | Jan 1, 2025 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $963.90 | $1,377.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Injection of substance into lower spine canal using imaging guidance | $999.60 | $1,176.00 | Oct 7, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Injection of substance into lower spine canal using imaging guidance | $1,092.00 | $1,365.00 | Jun 29, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC INJ FOR EPI LUMB/SACR W GD | $1,113.76 | $3,863.97 | Feb 28, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Inject substance into lower spine canal | $1,124.80 | $1,406.00 | Jun 24, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,127.70 | $1,611.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,141.44 | $2,378.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,141.44 | $2,378.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,141.44 | $2,378.00 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC INJ FOR EPI LUMB/SACR W GD | $1,175.23 | $3,863.97 | Feb 28, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC INJ FOR EPI LUMB/SACR W GD | $1,179.89 | $3,863.97 | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC INJ FOR EPI LUMB/SACR W GD | $1,212.61 | $3,863.97 | Feb 28, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA NJX INTERLAM, NDL OR CATH, LMBR/SAC, W GUIDANCE - FAC | $1,269.39 | $2,489.00 | Jan 1, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC INJ FOR EPI LUMB/SACR W GD | $1,279.74 | $3,863.97 | Feb 28, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,348.20 | $1,498.00 | Aug 10, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC INJ FOR EPI LUMB/SACR W GD | $1,365.39 | $3,863.97 | Feb 28, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC INJECT SPINE, LUMBAR OR SACRAL | $1,386.40 | $1,733.00 | Mar 26, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA NJX INTERLAMINAR LMBR/SAC | $1,527.50 | $2,350.00 | Mar 21, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,536.60 | $2,364.00 | Mar 21, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,567.30 | $2,239.00 | Feb 24, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Injection of substance into lower spine canal using imaging guidance | $1,571.87 | $1,746.52 | Sep 14, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA HC INJ(S) DIAG/THERA SUBST(S),EPIDURAL/SUBARACHNOID,LUMBAR/SACRAL(CAUDAL),W/IMAGING GUIDANCE | $1,593.18 | $2,124.24 | Jun 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,655.50 | $2,365.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,661.40 | $3,195.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,661.40 | $3,195.00 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Injection of substance into lower spine canal using imaging guidance | $1,686.40 | $2,108.00 | Aug 6, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC INJ FOR EPI LUMB/SACR W GD | $1,705.36 | $3,863.97 | Feb 28, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Injection of substance into lower spine canal using imaging guidance | $1,732.86 | $3,209.00 | Aug 31, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Injection of substance into lower spine canal using imaging guidance | $1,754.40 | $2,064.00 | Jun 9, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,779.40 | $2,542.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,783.60 | $3,430.00 | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,903.30 | $2,719.00 | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC INJ INTERLAMINAR LMBR/SAC W/ FLUORO | $2,262.65 | $3,481.00 | Apr 1, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,303.70 | $3,291.00 | Mar 12, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC INJECT SPINE, LUMBAR OR SACRAL | $2,527.20 | $3,159.00 | Mar 26, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 62323 Inj Interlaminar Lumb/Sac W/ Imaging | $2,752.00 | $5,504.00 | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $2,988.05 | $4,597.00 | Mar 20, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Injection of substance into lower spine canal using imaging guidance | $3,178.40 | $3,973.00 | Oct 27, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $3,299.10 | $4,713.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Inj Intrlmin | $4,956.00 | $4,956.00 | Mar 31, 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 | 15 | $1,113.76 | $1,269.39 |
| Spokane-Spokane Valley, WA | 4 | $963.90 | $1,391.60 |
| Kennewick-Richland, WA | 3 | $331.17 | $872.30 |
| Port Townsend, WA | 2 | $1,686.40 | $2,432.40 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $2,262.65 | $2,625.35 |
| Pullman, WA | 2 | $1,092.00 | $1,423.20 |
| Aberdeen, WA | 1 | $1,732.86 | $1,732.86 |
| Bellingham, WA | 1 | $1,536.60 | $1,536.60 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $1,705.36 | $1,705.36 |
| Centralia, WA | 1 | $1,661.40 | $1,661.40 |
| Davenport, WA | 1 | $1,571.87 | $1,571.87 |
| Ellensburg, WA | 1 | $999.60 | $999.60 |
| Longview-Kelso, WA | 1 | $1,527.50 | $1,527.50 |
| Mount Vernon-Anacortes, WA | 1 | $2,527.20 | $2,527.20 |
| Olympia-Lacey-Tumwater, WA | 1 | $1,661.40 | $1,661.40 |
| Othello, WA | 1 | $1,593.18 | $1,593.18 |
| Port Angeles, WA | 1 | $1,124.80 | $1,124.80 |
| South Bend, WA | 1 | $1,567.30 | $1,567.30 |
| Shelton, WA | 1 | $519.30 | $519.30 |
| Walla Walla, WA | 1 | $1,779.40 | $1,779.40 |
| Wenatchee-East Wenatchee, WA | 1 | $1,348.20 | $1,348.20 |
| Yakima, WA | 1 | $332.15 | $332.15 |
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
- Virginia$1,685.00
- West Virginia$1,108.50
- Wisconsin$1,147.44
- Wyoming$1,272.32
Median cash price across the state's hospitals.