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Nerve block injection, lower back, with imaging guidance in Portland, OR-WA costs $444 to $2,833. Here's every hospital's price.

12 hospitals in the Portland-Vancouver-Hillsboro, OR-WA 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 Portland-Vancouver-Hillsboro, OR-WA metro area, 12 hospitals list a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). The lowest is $444 at Legacy Emanuel Medical Center, the median is $2,495 and the highest is $2,833 at Providence Milwaukie Hospital. The most expensive hospital lists 6.4 times the cheapest for the same code.

The Portland, OR-WA median of $2,495 is 68% above the national median of $1,481 across 426 US hospitals with a cash price for this code.

11 of these hospitals also publish the rates they negotiated with insurers, from $737 to $9,178. 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 March 2026 and April 2026. 6 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.

$444
lowest cash price in Portland, OR-WA
Legacy Emanuel Medical Center · 10 mi
$2,051 below the median
$2,495
median cash price
12 hospitals
6.4×
highest ÷ lowest
same procedure, same metro
12/18
hospitals with a cash price
6 don't · see who

Sorted by cash price

Hospital facility fee only
1
Legacy Emanuel Medical Center

Portland · 10 mi · File Apr 2026

$444
list $683 · lowest of 3 lines
2
Legacy Good Samaritan Medical Center

Portland · 11 mi · File Apr 2026

$444
list $683 · lowest of 3 lines
3
Legacy Mount Hood Medical Center

Gresham · 7 mi · File Apr 2026

$444
list $683 · lowest of 3 lines
4
Legacy Meridian Park Medical Center

Tualatin · 20 mi · File Apr 2026

$444
list $683 · lowest of 3 lines
5
Legacy Salmon Creek Medical Center

Vancouver · 12 mi · File Apr 2026

$444
list $683 · lowest of 3 lines
6
OHSU Hospital and Clinics

Portland · 12 mi · File Mar 2026

$2,495
list $3,838
7
Hillsboro Medical Center

Hillsboro · 24 mi · File Mar 2026

$2,547
list $3,918
8
Providence St Vincent Medical Center

Portland · 15 mi · File Apr 2026

$2,833
list $3,777
9
Providence Newberg Medical Center

Newberg · 30 mi · File Apr 2026

$2,833
list $3,777
10
Providence Willamette Falls Medical Center

Oregon City · 18 mi · File Apr 2026

$2,833
list $3,777
11
Providence Portland Medical Center

Portland · 8 mi · File Apr 2026

$2,833
list $3,777
12
Providence Milwaukie Hospital

Milwaukie · 13 mi · File Apr 2026

$2,833
list $3,777
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 Portland, OR-WA 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