Lower-back nerve root steroid injection, with imaging guidance cost in Missouri
In Missouri, 23 hospitals publish a cash price for Lower-back nerve root steroid injection, with imaging guidance: from $170.40 to $4,018.88, with a median of $1,494.36. The lowest price is at John Fitzgibbon Memorial Hospital INC (Marshall). The highest price is 23.6× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 64483. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.
Lowest$170.40John Fitzgibbon Memorial Hospital INC
Median$1,494.36half pay less
Highest$4,018.88in Missouri
Lowest saves$1,323.96vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| John Fitzgibbon Memorial Hospital INC lowest Marshall · Marshall, MO Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $170.40 | $213.00 | Feb 2, 2026 source file |
| Mercy Hospital Stoddard Bernie · Bernie, MO Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $294.75 | $393.00 | Jun 12, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $294.75 | $393.00 | Jun 12, 2026 source file |
| Boone Hospital Center Columbia · Columbia, MO INJ FORAMEN EPIDURAL L/S-CF | $336.60 | $561.00 | Apr 1, 2026 source file |
| Children's Mercy Hospital Kansas City · Kansas City, MO-KS INJ(S) FORAMEN EPIDURAL L/S | $381.60 | $795.00 | — source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $636.75 | $849.00 | Jun 12, 2026 source file |
| Mercy Hospital Perry Perryville · Perryville, MO Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | Jun 12, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS Inj Epi/Lumb/Sacral Sngl Level Pf | $843.05 | $1,297.00 | — source file |
| St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $881.00 | $4,658.58 | Mar 17, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL Inj Epi/Lumb/Sacral Sngl Level | $913.25 | $1,405.00 | — source file |
| Curators of the University of Missouri Columbia · Columbia, MO INJECTION ANES/STEROID; EPIDURAL, LUMBAR/SACRAL, SINGLE-MCLN | $1,476.00 | $2,460.00 | Dec 15, 2025 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL Inj Transforminal Epi/Lumb/Sacral Sngl Level | $1,494.36 | $2,299.02 | — source file |
| Mercy Hospitals East Communities dba Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Inj Epi/Lumb/Sacral Sngl Level | $1,838.85 | $2,829.00 | — source file |
| Mercy Hospitals East Communities dba Mercy Hospital Washington Washington · St. Louis, MO-IL Inj Epi/Lumb/Sacral Sngl Level | $1,838.85 | $2,829.00 | — source file |
| Mercy Hospital Aurora Aurora · Aurora, MO Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,040.36 | $3,139.01 | — source file |
| Southeast Hospital dba Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,310.75 | $3,555.00 | — source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,380.97 | $3,663.03 | — source file |
| Mercy Hospital Springfield Springfield · Springfield, MO Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,692.30 | $4,142.00 | — source file |
| Mercy Hospital Springfield Ozark · Springfield, MO Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,692.30 | $4,142.00 | — source file |
| Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin · Joplin, MO-KS Inj Epi/Lumb/Sacral Sngl Level | $2,738.45 | $4,213.00 | — source file |
| Mercy Perry Perryville · Perryville, MO Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,879.66 | $4,430.24 | — source file |
| Mercy Hospital Lebanon dba Mercy Hospital Lebanon B Lebanon · Lebanon, MO Inj Transforminal Epi/Lumb/Sacral Sngl Level | $3,433.54 | $5,282.37 | — source file |
| Shriners Childrens - St Louis Saint Louis · St. Louis, MO-IL NJX AA&/STRD TFRM EPI L/S 1 | $4,018.88 | $4,018.88 | — source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| St. Louis, MO-IL | 6 | $913.25 | $1,838.85 |
| Cape Girardeau, MO-IL | 2 | $636.75 | $1,473.75 |
| Columbia, MO | 2 | $336.60 | $906.30 |
| Joplin, MO-KS | 2 | $843.05 | $1,790.75 |
| Kansas City, MO-KS | 2 | $381.60 | $631.30 |
| Perryville, MO | 2 | $639.00 | $1,759.33 |
| Springfield, MO | 2 | $2,692.30 | $2,692.30 |
| Aurora, MO | 1 | $2,040.36 | $2,040.36 |
| Bernie, MO | 1 | $294.75 | $294.75 |
| Dexter, MO | 1 | $294.75 | $294.75 |
| Lebanon, MO | 1 | $3,433.54 | $3,433.54 |
| Marshall, MO | 1 | $170.40 | $170.40 |
What it is
A transforaminal epidural injection places steroid and numbing medicine near a specific nerve root in the lower back, using X-ray or CT guidance. It is used for pain that travels down the leg (sciatica). This code covers one spinal level.
What the price covers
The price covers the injection at one level with imaging guidance. Each additional level is billed with an add-on code (64484), and the doctor's fee and medicine may be separate.
Lower-back nerve root steroid injection, with imaging guidance in other states
- Alabama$2,249.00
- Alaska$2,262.00
- Arizona$4,768.00
- Arkansas$753.60
- California$1,939.60
- Colorado$2,914.65
- Connecticut$2,455.00
- Delaware$4,334.90
- Florida$2,203.20
- Georgia$4,175.73
- Hawaii$1,256.70
- Idaho$2,430.00
- Illinois$1,231.80
- Indiana$1,649.01
- Iowa$582.40
- Kansas$1,703.33
- Kentucky$1,385.50
- Louisiana$520.38
- Maine$784.77
- Maryland$429.00
- Massachusetts$1,422.05
- Michigan$1,061.00
- Minnesota$1,283.86
- Mississippi$496.51
- Montana$1,099.56
- Nebraska$1,094.71
- Nevada$962.00
- New Hampshire$766.27
- New Jersey$1,187.97
- New Mexico$1,566.00
- New York$1,205.81
- North Carolina$1,804.50
- North Dakota$1,448.25
- Ohio$1,668.00
- Oklahoma$837.95
- Oregon$2,323.50
- Pennsylvania$2,647.20
- Puerto Rico$650.00
- Rhode Island$1,372.80
- South Carolina$1,636.25
- South Dakota$1,934.40
- Tennessee$442.89
- Texas$2,251.00
- Vermont$711.87
- Virginia$1,508.50
- Washington$1,757.00
- West Virginia$1,397.90
- Wisconsin$740.55
- Wyoming$903.61
Median cash price across the state's hospitals.