Lower-back nerve root steroid injection, with imaging guidance cost in Virginia
In Virginia, 27 hospitals publish a cash price for Lower-back nerve root steroid injection, with imaging guidance: from $179.40 to $2,544.60, with a median of $1,508.50. The lowest price is at Johnston Memorial Hospital (Abingdon) and 3 other hospitals. The highest price is 14.2× 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$179.40Johnston Memorial Hospital + 3 more
Median$1,508.50half pay less
Highest$2,544.60in Virginia
Lowest saves$1,329.10vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Johnston Memorial Hospital one side lowest Abingdon · Kingsport-Bristol, TN-VA HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL | $179.40 | $1,196.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital one side lowest Big Stone Gap · Big Stone Gap, VA HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL | $179.40 | $1,196.00 | — source file |
| Russell County Hospital one side lowest Lebanon · Lebanon, VA HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL | $179.40 | $1,196.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital one side lowest Marion · Marion, VA HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL | $179.40 | $1,196.00 | — source file |
| Bon Secours Mercy Health Petersburg LLC Petersburg · Richmond, VA HC Inj a/S Transforam Lumbar | $680.70 | $2,269.00 | — source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Esi L/S,Transforamn-W/Wo Fluor | $779.00 | $1,558.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Proc-Esi L/S W/Osed Tranforamn | $779.00 | $1,558.00 | Apr 1, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Inj A/S Transforam Lumbar | $1,258.09 | $2,096.82 | — source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Transforaminal Nerve Block Ls | $1,302.00 | $2,604.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ W/CT/FLRO TFL L/S SGL LVL | $1,508.50 | $3,017.00 | — source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ W/CT/FLRO TFL L/S SGL LVL | $1,508.50 | $3,017.00 | — source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ W/CT/FLRO TFL L/S SGL LVL | $1,508.50 | $3,017.00 | — source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ W/CT/FLRO TFL L/S SGL LVL | $1,508.50 | $3,017.00 | — source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ W/CT/FLRO TFL L/S SGL LVL | $1,508.50 | $3,017.00 | — source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Proc-Esi L/S W/Osed Tranforamn | $1,824.50 | $3,649.00 | — source file |
| Potomac Hospital Corporation of Prince William Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Proc-Esi L/S W/Osed Tranforamn | $1,824.50 | $3,649.00 | Apr 1, 2026 source file |
| Sentara Hospitals Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Esi L/S,Transforamn-W/Wo Fluor | $1,824.50 | $3,649.00 | Apr 1, 2026 source file |
| Sentara Hospitals Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Esi L/S,Transforamn-W/Wo Fluor | $1,824.50 | $3,649.00 | Apr 1, 2026 source file |
| Sentara Hospitals Suffolk · Suffolk, VA Proc-Esi L/S W/Osed Tranforamn | $1,824.50 | $3,649.00 | Apr 1, 2026 source file |
| Sentara Hospitals Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Esi L/S,Transforamn-W/Wo Fluor | $1,824.50 | $3,649.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Proc-Esi L/S W/Osed Tranforamn | $1,824.50 | $3,649.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Esi L/S,Transforamn-W/Wo Fluor | $2,189.50 | $4,379.00 | Apr 1, 2026 source file |
| Harbour View Medical Center LLC Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Trans, Esb, L/S, Single | $2,396.40 | $3,994.00 | — source file |
| Maryview Hospital LLC Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Trans, Esb, L/S, Single | $2,523.00 | $4,205.00 | — source file |
| Bon Secours Memorial Regional Medical Center LLC Mechanicsville · Richmond, VA HC Inj a/S Transforam Lumbar | $2,544.60 | $4,241.00 | — source file |
| Bon Secours St Francis Medical Center LLC Midlothian · Richmond, VA HC Inj a/S Transforam Lumbar | $2,544.60 | $4,241.00 | — source file |
| Bon Secours St Marys Hospital of Richmond LLC Richmond · Richmond, VA HC Inj a/S Transforam Lumbar | $2,544.60 | $4,241.00 | — source file |
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 | 8 | $1,258.09 | $1,824.50 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 6 | $1,508.50 | $1,508.50 |
| Richmond, VA | 4 | $680.70 | $2,544.60 |
| Big Stone Gap, VA | 1 | $179.40 | $179.40 |
| Charlottesville, VA | 1 | $779.00 | $779.00 |
| Harrisonburg, VA | 1 | $779.00 | $779.00 |
| Kingsport-Bristol, TN-VA | 1 | $179.40 | $179.40 |
| Lebanon, VA | 1 | $179.40 | $179.40 |
| Marion, VA | 1 | $179.40 | $179.40 |
| South Boston, VA | 1 | $2,189.50 | $2,189.50 |
| Suffolk, VA | 1 | $1,824.50 | $1,824.50 |
| Staunton-Stuarts Draft, VA | 1 | $1,302.00 | $1,302.00 |
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
- Missouri$1,494.36
- 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
- Washington$1,757.00
- West Virginia$1,397.90
- Wisconsin$740.55
- Wyoming$903.61
Median cash price across the state's hospitals.