Nerve block injection, lower back, with imaging guidance in Richmond, VA costs $681 to $1,837. Here's every hospital's price.
4 hospitals in the Richmond, VA 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 Richmond, VA metro area, 4 hospitals list a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). The lowest is $681 at Bon Secours Southside Medical Center, the median is $1,837 and the highest is $1,837 at Bon Secours St Francis Medical Center. The most expensive hospital lists 2.7 times the cheapest for the same code.
The Richmond, VA median of $1,837 is 47% above the national median of $1,253 across 1152 US hospitals with a cash price for this code.
1 of these hospitals also publish the rates they negotiated with insurers, from $887 to $905. 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 July 2025 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.
Sorted by cash price
Hospital facility fee onlyPetersburg · 16 mi · File Apr 2026
Richmond · 13 mi · File Apr 2026
Mechanicsville · 15 mi · File Apr 2026
Midlothian · 13 mi · File Apr 2026
Petersburg · 14 mi · Older file Jul 2025
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 Richmond, VA without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Bon Secours Richmond Community Hospitalcode not in file
- Cjw Medical CenterNo price file found
- Cumberland Hospital LLCWebsite blocks automated reading
- Henrico Doctors' HospitalNo price file found
- John Randolph Medical CenterNo price file found
- Medical College of Virginia HospitalsNo price file found