Nerve root injection cost in Washington
In Washington, 33 hospitals publish a cash price for lower-back nerve root steroid injection, with imaging guidance: from $191.75 to $4,636.00, with a median of $1,718.60. The lowest price is at Astria Toppenish Hospital (Toppenish). The highest price is 24.2× the lowest.
- The median here, $1,718.60, is 17% above the US median of $1,470.73.
- That is 1.9× Medicare's 2026 national rate for the same service ($903.63).
- Washington ranks 35th of 48 states by median, cheapest first.
- 2 of 33 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 64483. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$191.75Astria Toppenish Hospital
Median$1,718.60half of hospitals charge less
Highest$4,636.00in Washington
Lowest saves$1,526.85vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Astria Toppenish Hospital lowest Toppenish · Yakima, WA 64483 Injection Transforaminal Epidural - single l | $191.75 | $295.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC INJ FORAMEN EPIDURAL L/S | $471.35 | $857.00 | Jan 1, 2025 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 64483 Injection Transforaminal Epidural - single level | $484.88 | $646.50 | Mar 10, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC INJ FORAMEN EPIDURAL L/S | $834.40 | $1,192.00 | Apr 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $974.16 | $1,804.00 | Aug 31, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $1,290.66 | $1,434.07 | Sep 14, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA XR Transforaminal Inj L/S Spine 1L | $1,345.77 | $2,361.00 | Apr 1, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Injection of Lumbar or Sacral | $1,353.60 | $1,504.00 | Aug 10, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC INJ FORAMEN EPIDURAL L/S | $1,387.20 | $2,890.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC INJ FORAMEN EPIDURAL L/S | $1,387.20 | $2,890.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC INJ FORAMEN EPIDURAL L/S | $1,387.20 | $2,890.00 | Apr 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Inject anesthetic/steroid drug into sacral spine | $1,403.20 | $1,754.00 | Jun 24, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC INJ FORAMEN EPIDURAL L/S | $1,548.40 | $2,212.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $1,561.45 | $1,837.00 | Oct 7, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA INJECTION(S) ANES TRANS, L/S, SNGL | $1,628.94 | $3,194.00 | Jan 1, 2026 source file |
| Willapa Harbor Hospital one side South Bend · South Bend, WA INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $1,629.60 | $2,328.00 | Feb 24, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC AN INJ SEL ROOT BLOCK LUMB/SACR SNGL LVL | $1,718.60 | $2,644.00 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 64483 Transforam Esi Lum 1Lvl Inc Gde | $1,725.00 | $3,450.00 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $1,730.40 | $2,163.00 | Aug 6, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA HC INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SINGLE LEVEL | $1,768.88 | $2,358.50 | Jun 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC INJ FORAMEN EPIDURAL L/S | $1,783.60 | $3,430.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC INJ FORAMEN EPIDURAL L/S | $1,855.36 | $3,568.00 | Apr 1, 2026 source file |
| PeaceHealth St Joseph Medical Center one side Bellingham · Bellingham, WA INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $1,965.60 | $3,024.00 | Mar 21, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC INJ FORAMEN EPIDURAL L/S | $2,083.90 | $2,977.00 | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center one side Vancouver · Portland-Vancouver-Hillsboro, OR-WA INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $2,239.25 | $3,445.00 | Mar 20, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC INJ FORAMEN EPIDURAL L/S | $2,252.60 | $3,218.00 | Apr 1, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC TF EPIDERAL INJECTION | $2,490.40 | $3,113.00 | Mar 26, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA NJX AA&/STRD TFRM EPI L/S 1 | $2,506.40 | $3,856.00 | Mar 21, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $3,476.20 | $4,966.00 | Mar 12, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC INJ FORAMEN EPIDURAL L/S | $3,542.00 | $5,060.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Inj Foramen | $3,911.60 | $3,911.60 | Mar 31, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA NJX AA&/STRD TFRM EPI L/S 1 | $4,562.57 | $4,562.57 | Mar 18, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $4,636.00 | $5,795.00 | Oct 27, 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
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 | 8 | $1,387.20 | $1,676.97 |
| Spokane-Spokane Valley, WA | 4 | $834.40 | $1,816.15 |
| Kennewick-Richland, WA | 3 | $471.35 | $1,345.77 |
| Port Townsend, WA | 2 | $1,730.40 | $3,183.20 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $1,718.60 | $1,978.92 |
| Aberdeen, WA | 1 | $974.16 | $974.16 |
| Bellingham, WA | 1 | $1,965.60 | $1,965.60 |
| Davenport, WA | 1 | $1,290.66 | $1,290.66 |
| Ellensburg, WA | 1 | $1,561.45 | $1,561.45 |
| Longview-Kelso, WA | 1 | $2,506.40 | $2,506.40 |
| Mount Vernon-Anacortes, WA | 1 | $2,490.40 | $2,490.40 |
| Olympia-Lacey-Tumwater, WA | 1 | $1,855.36 | $1,855.36 |
| Othello, WA | 1 | $1,768.88 | $1,768.88 |
| Port Angeles, WA | 1 | $1,403.20 | $1,403.20 |
| South Bend, WA | 1 | $1,629.60 | $1,629.60 |
| Shelton, WA | 1 | $484.88 | $484.88 |
| Walla Walla, WA | 1 | $3,542.00 | $3,542.00 |
| Wenatchee-East Wenatchee, WA | 1 | $1,353.60 | $1,353.60 |
| Yakima, WA | 1 | $191.75 | $191.75 |
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 nerve root injection is, what the price covers and why prices differ: Nerve root injection explained.
Lower-back nerve root steroid injection, with imaging guidance in other states
- Alabama$1,243.30
- Alaska$3,079.30
- Arizona$1,098.78
- Arkansas$900.90
- California$2,042.12
- Colorado$1,477.97
- Connecticut$2,455.00
- Delaware$3,859.80
- District of Columbia$1,480.92, 3 hospitals
- Florida$2,187.90
- Georgia$1,578.96
- Hawaii$1,204.20
- Idaho$1,753.05
- Illinois$1,418.15
- Indiana$1,631.40
- Iowa$1,474.00
- Kansas$1,022.38
- Kentucky$1,241.68
- Louisiana$535.59
- Maine$965.58
- Maryland$756.09, 2 hospitals
- Massachusetts$1,836.70
- Michigan$1,069.25
- Minnesota$1,296.41
- Mississippi$600.32
- Missouri$1,507.05
- Montana$1,051.38
- Nebraska$1,496.25
- Nevada$962.00
- New Hampshire$1,164.50
- New Jersey$2,993.62
- New Mexico$1,566.00
- New York$1,545.00
- North Carolina$1,533.00
- North Dakota$1,266.65
- Ohio$2,071.65
- Oklahoma$958.50
- Oregon$1,656.89
- Pennsylvania$1,917.23
- Puerto Rico$2,100.00, 3 hospitals
- Rhode Island$1,372.80
- South Carolina$1,884.00
- South Dakota$1,885.60
- Tennessee$708.80
- Texas$1,477.89
- Utah$1,056.87, 4 hospitals
- Vermont$2,445.00
- Virginia$1,508.50
- West Virginia$1,368.00
- Wisconsin$1,069.25
- Wyoming$1,170.78
Median cash price across the state's hospitals.