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Nerve block injection, lower back, with imaging guidance in Boston, MA-NH costs $960 to $1,786. Here's every hospital's price.

6 hospitals in the Boston-Cambridge-Newton, MA-NH metro area publish a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). We read their files every month so you don't have to.

Across the Boston-Cambridge-Newton, MA-NH metro area, 6 hospitals list a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). The lowest is $960 at Boston Medical Center-Brighton, the median is $1,044 and the highest is $1,786 at Signature Healthcare Brockton Hospital.

The Boston, MA-NH median of $1,044 is 30% below the national median of $1,481 across 437 US hospitals with a cash price for this code.

6 of these hospitals also publish the rates they negotiated with insurers, from $89 to $3,217. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between January 2026 and April 2026. 35 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$960
lowest cash price in Boston, MA-NH
Boston Medical Center-Brighton · 13 mi
$83 below the median
$1,044
median cash price
6 hospitals
1.9×
highest ÷ lowest
same procedure, same metro
6/41
hospitals with a cash price
35 don't · see who

Sorted by cash price

Hospital facility fee only
1
Boston Medical Center-Brighton

Brighton · 13 mi · File Mar 2026

$960
list $2,134 · lowest of 2 lines
2
Cambridge Health Alliance

Cambridge · 11 mi · File Mar 2026

$1,024
list $1,024
3
Boston Medical Center

Boston · 13 mi · File Mar 2026

$1,044
list $2,319
4
Lowell General Hospital

Lowell · 19 mi · File Apr 2026

$1,306
list $1,865 · lowest of 3 lines
5
Tufts Medical Center

Boston · 12 mi · File Apr 2026

$1,539
list $2,198 · lowest of 3 lines
6
Signature Healthcare Brockton Hospital

Brockton · 30 mi · File Jan 2026

$1,786
list $2,552 · lowest of 6 lines
1

What's in the price

The hospital facility fee for CPT 64483. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 64483, in writing, and whether it covers facility, physician and anesthesia."

About nerve block injection, lower back, with imaging guidance

CPT 64483 is a transforaminal epidural injection at one level of the lumbar or sacral spine, under imaging guidance: steroid and anesthetic placed precisely where a nerve root exits the spine. It is used for sciatica and nerve pain from a disc or narrowing, and as a diagnostic test before surgery. Additional levels use an add-on code (64484).

What the price covers

The hospital's price is the facility fee for the procedure room, fluoroscopy, nursing and supplies for one level. The physician, sedation and additional levels are separate. A series of injections is common.

Why prices vary

As with other spinal injections, hospital outpatient prices are typically several times those of pain clinics and ambulatory surgery centers for the same procedure. Within hospitals, large systems list the highest charges.

Questions to ask

  • What is the self-pay price for 64483 per level, and what does the physician add?
  • How many levels and how many sessions are planned?
  • Is a pain clinic or surgery center an option for the same injection?

Hospitals in Boston, MA-NH without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask