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Nerve block injection, lower back, with imaging guidance in Spokane, WA costs $146 to $4,563. Here's every hospital's price.

4 hospitals in the Spokane-Spokane Valley, 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 Spokane-Spokane Valley, WA metro area, 4 hospitals list a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). The lowest is $146 at Providence St Joseph Hospital, the median is $834 and the highest is $4,563 at Shriners Hospital for Children. The most expensive hospital lists 31 times the cheapest for the same code.

The Spokane, WA median of $834 is 33% below the national median of $1,253 across 1152 US hospitals with a cash price for this code.

3 of these hospitals also publish the rates they negotiated with insurers, from $112 to $21,319. 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. 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.

$146
lowest cash price in Spokane, WA
Providence St Joseph Hospital · 13 mi
$688 below the median
$834
median cash price
4 hospitals
31×
highest ÷ lowest
same procedure, same metro
4/7
hospitals with a cash price
3 don't · see who

Sorted by cash price

Hospital facility fee only
1
Providence St Joseph Hospital

Chewelah · 13 mi · File Apr 2026

$146
list $183 · lowest of 5 lines
2
Providence Mount Carmel Hospital

Colville · 33 mi · File Apr 2026

$834
list $1,192
3
Providence Holy Family Hospital

Spokane · 29 mi · File Apr 2026

$1,548
list $2,212 · lowest of 2 lines
4
Shriners Hospital for Children

Spokane · 32 mi · File Mar 2026

$4,563
list $4,563 · lowest of 10 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 Spokane, 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