Nerve block injection, lower back, with imaging guidance in Des Moines, IA costs $582 to $4,267. Here's every hospital's price.
4 hospitals in the Des Moines-West Des Moines, IA 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 Des Moines-West Des Moines, IA metro area, 4 hospitals list a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). The lowest is $582 at Unitypoint Health - Des Moines Iowa Methodist Medi, the median is $1,600 and the highest is $4,267 at Mercyone Newton Medical Center. The most expensive hospital lists 7.3 times the cheapest for the same code.
The Des Moines, IA median of $1,600 is 29% above the national median of $1,245 across 1149 US hospitals with a cash price for this code.
4 of these hospitals also publish the rates they negotiated with insurers, from $101 to $9,846. 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 September 2026. 3 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.
Sorted by cash price
Hospital facility fee onlyDes Moines · 7 mi · File Jan 2026
Des Moines · 7 mi · File Sep 2026
Des Moines · 7 mi · File Mar 2026
Newton · 38 mi · File Mar 2026
What's in the price
The hospital facility fee for CPT 64483. The doctor, anesthesia and lab work usually bill separately.
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.
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 Des Moines, IA without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Dallas County HospitalNo website on record
- Guthrie County HospitalNo website on record
- Madison County Health Care SystemNo website on record