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PricedCare

Nerve block injection, lower back, with imaging guidance in St. Louis, MO-IL costs $1,208 to $4,156. Here's every hospital's price.

11 hospitals in the St. Louis, MO-IL 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 St. Louis, MO-IL metro area, 11 hospitals list a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). The lowest is $1,208 at Mercy Hospital Washington, the median is $1,967 and the highest is $4,156 at Hshs St Elizabeth's Hospital. The most expensive hospital lists 3.4 times the cheapest for the same code.

The St. Louis, MO-IL median of $1,967 is 33% above the national median of $1,481 across 426 US hospitals with a cash price for this code.

12 of these hospitals also publish the rates they negotiated with insurers, from $92 to $8,893. 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 June 2026. 24 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.

$1,208
lowest cash price in St. Louis, MO-IL
Mercy Hospital Washington · 38 mi
$760 below the median
$1,967
median cash price
11 hospitals
3.4×
highest ÷ lowest
same procedure, same metro
11/36
hospitals with a cash price
24 don't · see who

Sorted by cash price

Hospital facility fee only
1
Mercy Hospital Washington

Washington · 38 mi · File Jun 2026

$1,208
list $1,858 · lowest of 3 lines
2
Mercy Hospital Lincoln

Troy · 38 mi · File Jun 2026

$1,494
list $2,299 · lowest of 4 lines
3
Ssm St Joseph Hospital West

Lake Saint Louis · 24 mi · File Apr 2026

$1,598
list $2,905
4
Mercy Hospital Jefferson

Crystal City · 38 mi · File Jun 2026

$1,641
list $2,524 · lowest of 2 lines
5
Ssm Health Saint Louis University Hospital

Saint Louis · 10 mi · File Apr 2026

$1,785
list $3,245 · lowest of 2 lines
6
Ssm St Joseph Health Center

Saint Charles · 8 mi · File Apr 2026

$1,967
list $3,577 · lowest of 2 lines
7
Ssm St Clare Health Center

Fenton · 16 mi · File Apr 2026

$1,967
list $3,577 · lowest of 2 lines
8
Ssm Health St Mary's Hospital - St Louis

Saint Louis · 8 mi · File Apr 2026

$1,967
list $3,577 · lowest of 2 lines
9
Ssm Health Depaul Hospital St Louis

Bridgeton · 5 mi · File Apr 2026

$1,967
list $3,577 · lowest of 2 lines
10
Shriners Hospitals for Children

Saint Louis · 9 mi · File Mar 2026

$4,019
list $4,019
11
Hshs St Elizabeth's Hospital

O Fallon · 25 mi · File Mar 2026

$4,156
list $5,772
12
OSF Saint Anthony's Health Center

Alton · 15 mi · File Mar 2026

—
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 St. Louis, MO-IL 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