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PricedCare

Nerve block injection, lower back, with imaging guidance in Washington, DC-VA-MD-WV costs $581 to $2,585. Here's every hospital's price.

10 hospitals in the Washington-Arlington-Alexandria, DC-VA-MD-WV 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 Washington-Arlington-Alexandria, DC-VA-MD-WV metro area, 10 hospitals list a cash price for nerve block injection, lower back, with imaging guidance (CPT 64483). The lowest is $581 at Uva Health Culpeper Medical Center, the median is $1,509 and the highest is $2,585 at Medstar Washington Hospital Center. The most expensive hospital lists 4.4 times the cheapest for the same code.

The Washington, DC-VA-MD-WV median of $1,509 is in line with the national median of $1,481 across 426 US hospitals with a cash price for this code.

10 of these hospitals also publish the rates they negotiated with insurers, from $109 to $6,474. 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. 26 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.

$581
lowest cash price in Washington, DC-VA-MD-WV
Uva Health Culpeper Medical Center · 38 mi
$928 below the median
$1,509
median cash price
10 hospitals
4.4×
highest ÷ lowest
same procedure, same metro
10/36
hospitals with a cash price
26 don't · see who

Sorted by cash price

Hospital facility fee only
1
Uva Health Culpeper Medical Center

Culpeper · 38 mi · File Mar 2026

$581
list $1,162 · lowest of 3 lines
2
Uva Health Prince William Medical Center

Manassas · 4 mi · File Mar 2026

$582
list $1,164 · lowest of 3 lines
3
Uva Health Haymarket Medical Center

Haymarket · 8 mi · File Mar 2026

$582
list $1,164 · lowest of 3 lines
4
Medstar Georgetown University Hospital

Washington · 23 mi · File Apr 2026

$1,481
list $2,278 · lowest of 4 lines
5
Inova Alexandria Hospital

Alexandria · 21 mi · File Apr 2026

$1,509
list $3,017
6
Inova Loudoun Hospital

Leesburg · 17 mi · File Apr 2026

$1,509
list $3,017
7
Inova Fairfax Hospital

Falls Church · 15 mi · File Apr 2026

$1,509
list $3,017
8
Inova Fair Oaks Hospital

Fairfax · 7 mi · File Apr 2026

$1,509
list $3,017
9
Inova Mount Vernon Hospital

Alexandria · 23 mi · File Apr 2026

$1,509
list $3,017
10
Medstar Washington Hospital Center

Washington · 27 mi · File Apr 2026

$2,585
list $3,977 · lowest of 2 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 Washington, DC-VA-MD-WV 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