Lower-back nerve root steroid injection, with imaging guidance cost in Washington
In Washington, 20 hospitals publish a cash price for Lower-back nerve root steroid injection, with imaging guidance: from $216.24 to $4,562.57, with a median of $1,757.00. The lowest price is at East Adams Rural Healthcare (Ritzville). The highest price is 21.1× 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$216.24East Adams Rural Healthcare
Median$1,757.00half pay less
Highest$4,562.57in Washington
Lowest saves$1,540.76vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| East Adams Rural Healthcare lowest Ritzville · Othello, WA PR INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SINGLE LEVEL | $216.24 | $288.32 | Jun 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $443.95 | $683.00 | Apr 1, 2026 source file |
| Providence Health And Services - Washington Colville · Spokane-Spokane Valley, WA HC INJ FORAMEN EPIDURAL L/S | $834.40 | $1,192.00 | Apr 1, 2026 source file |
| Central Washington Health Services Association Wenatchee · Wenatchee-East Wenatchee, WA HC Injection of Lumbar or Sacral | $1,353.60 | $1,504.00 | — source file |
| Swedish Health Services Seattle · Seattle-Tacoma-Bellevue, WA HC INJ FORAMEN EPIDURAL L/S | $1,387.20 | $2,890.00 | Apr 1, 2026 source file |
| Swedish Health Services Issaquah · Seattle-Tacoma-Bellevue, WA HC INJ FORAMEN EPIDURAL L/S | $1,387.20 | $2,890.00 | Apr 1, 2026 source file |
| Providence Health And Services - Washington Spokane · Spokane-Spokane Valley, WA HC INJ FORAMEN EPIDURAL L/S | $1,548.40 | $2,212.00 | Apr 1, 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 | — 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 County Public Hospital District No 2 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 |
| Providence Health And Services - Washington Everett · Seattle-Tacoma-Bellevue, WA HC INJ FORAMEN EPIDURAL L/S | $1,783.60 | $3,430.00 | Apr 1, 2026 source file |
| Providence Health And Services - Washington Olympia · Olympia-Lacey-Tumwater, WA HC INJ FORAMEN EPIDURAL L/S | $1,855.36 | $3,568.00 | Apr 1, 2026 source file |
| St. Joseph Medical Center 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 | — source file |
| PeaceHealth Southwest Medical Center 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 | — 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 |
| Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC TF EPIDERAL INJECTION | $2,490.40 | $3,113.00 | — source file |
| St. John Medical Center Longview · Longview-Kelso, WA NJX AA&/STRD TFRM EPI L/S 1 | $2,506.40 | $3,856.00 | — source file |
| Providence Health And Services - Washington 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 | — source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA NJX AA&/STRD TFRM EPI L/S 1 | $4,562.57 | $4,562.57 | — source file |
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 | 6 | $1,387.20 | $1,676.97 |
| Spokane-Spokane Valley, WA | 3 | $834.40 | $1,548.40 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $443.95 | $1,341.60 |
| Bellingham, WA | 1 | $1,965.60 | $1,965.60 |
| Kennewick-Richland, WA | 1 | $2,252.60 | $2,252.60 |
| 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 | $216.24 | $216.24 |
| Port Townsend, WA | 1 | $1,730.40 | $1,730.40 |
| Walla Walla, WA | 1 | $3,542.00 | $3,542.00 |
| Wenatchee-East Wenatchee, WA | 1 | $1,353.60 | $1,353.60 |
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
- Virginia$1,508.50
- West Virginia$1,397.90
- Wisconsin$740.55
- Wyoming$903.61
Median cash price across the state's hospitals.