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Spinal injection, lower back, with imaging guidance in Portland, OR-WA costs $181 to $3,229. Here's every hospital's price.

12 hospitals in the Portland-Vancouver-Hillsboro, OR-WA metro area publish a cash price for spinal injection, lower back, with imaging guidance (CPT 62323). We read their files every month so you don't have to.

Across the Portland-Vancouver-Hillsboro, OR-WA metro area, 12 hospitals list a cash price for spinal injection, lower back, with imaging guidance (CPT 62323). The lowest is $181 at Legacy Emanuel Medical Center, the median is $924 and the highest is $3,229 at Providence Milwaukie Hospital. The most expensive hospital lists 18 times the cheapest for the same code.

The Portland, OR-WA median of $924 is 26% below the national median of $1,257 across 461 US hospitals with a cash price for this code.

12 of these hospitals also publish the rates they negotiated with insurers, from $273 to $9,178. 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. 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.

$181
lowest cash price in Portland, OR-WA
Legacy Emanuel Medical Center · 10 mi
$744 below the median
$924
median cash price
12 hospitals
18×
highest ÷ lowest
same procedure, same metro
12/18
hospitals with a cash price
6 don't · see who

Sorted by cash price

Hospital facility fee only
1
Legacy Emanuel Medical Center

Portland · 10 mi · File Apr 2026

$181
list $278 · lowest of 3 lines
2
Legacy Good Samaritan Medical Center

Portland · 11 mi · File Apr 2026

$181
list $278 · lowest of 3 lines
3
Legacy Mount Hood Medical Center

Gresham · 7 mi · File Apr 2026

$181
list $278 · lowest of 3 lines
4
Legacy Meridian Park Medical Center

Tualatin · 20 mi · File Apr 2026

$181
list $278 · lowest of 3 lines
5
Legacy Salmon Creek Medical Center

Vancouver · 12 mi · File Apr 2026

$181
list $278 · lowest of 3 lines
6
OHSU Hospital and Clinics

Portland · 12 mi · File Mar 2026

$924
list $1,422
7
Hillsboro Medical Center

Hillsboro · 24 mi · File Mar 2026

$1,541
list $2,371
8
Providence St Vincent Medical Center

Portland · 15 mi · File Apr 2026

$3,229
list $4,305 · lowest of 2 lines
9
Providence Newberg Medical Center

Newberg · 30 mi · File Apr 2026

$3,229
list $4,305 · lowest of 2 lines
10
Providence Willamette Falls Medical Center

Oregon City · 18 mi · File Apr 2026

$3,229
list $4,305 · lowest of 2 lines
11
Providence Portland Medical Center

Portland · 8 mi · File Apr 2026

$3,229
list $4,305 · lowest of 2 lines
12
Providence Milwaukie Hospital

Milwaukie · 13 mi · File Apr 2026

$3,229
list $4,305 · lowest of 2 lines
1

What's in the price

The hospital facility fee for CPT 62323. 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 62323, in writing, and whether it covers facility, physician and anesthesia."

About spinal injection, lower back, with imaging guidance

CPT 62323 is an epidural steroid injection in the lower back done under fluoroscopic or CT guidance, the standard technique for sciatica and radiating leg pain from a herniated disc or spinal stenosis. It takes 10 to 20 minutes in a procedure room, often as a series of up to three injections.

What the price covers

The hospital's price is the facility fee for the procedure room, imaging equipment, nursing and supplies. The physician, any sedation and sometimes the medication are billed separately. If a series is planned, multiply the total by the number of injections.

Why prices vary

The same injection lists at wildly different prices: hospital outpatient departments commonly charge several times what ambulatory surgery centers and pain clinics charge. Because the injection is elective and often repeated, it is one of the most worthwhile procedures to shop.

Questions to ask

  • What is the self-pay price for 62323 including imaging, and what does the physician add?
  • How many injections are planned, and is there a series price?
  • Can it be done at a pain clinic or surgery center instead of the hospital?

Hospitals in Portland, OR-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