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Nerve block injection, lower back, with imaging guidance in San Antonio, TX costs $1,073 to $1,795. Here's every hospital's price.

3 hospitals in the San Antonio-New Braunfels, TX 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 San Antonio-New Braunfels, TX metro area, 3 hospitals list a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). The lowest is $1,073 at Guadalupe Regional Medical Center, the median is $1,555 and the highest is $1,795 at South Texas Spine and Surgical Hospital.

The San Antonio, TX median of $1,555 is in line with the national median of $1,481 across 437 US hospitals with a cash price for this code.

3 of these hospitals also publish the rates they negotiated with insurers, from $224 to $2,126. 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 February 2026 and May 2026. 16 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.

$1,073
lowest cash price in San Antonio, TX
Guadalupe Regional Medical Center · 41 mi
$482 below the median
$1,555
median cash price
3 hospitals
1.7×
highest ÷ lowest
same procedure, same metro
3/19
hospitals with a cash price
16 don't · see who

Sorted by cash price

Hospital facility fee only
1
Guadalupe Regional Medical Center

Seguin · 41 mi · File May 2026

$1,073
list $2,146 · lowest of 4 lines
2
Legent Orthopedic + Spine

San Antonio · 9 mi · File Mar 2026

$1,555
list $2,840 · lowest of 2 lines
3
South Texas Spine and Surgical Hospital

San Antonio · 15 mi · File Feb 2026

$1,795
list $1,795
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 San Antonio, TX 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