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Spinal injection, lower back, with imaging guidance in San Antonio, TX costs $1,161 to $3,419. Here's every hospital's price.

3 hospitals in the San Antonio-New Braunfels, TX 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 San Antonio-New Braunfels, TX metro area, 3 hospitals list a cash price for spinal injection, lower back, with imaging guidance (CPT 62323). The lowest is $1,161 at Guadalupe Regional Medical Center, the median is $1,241 and the highest is $3,419 at South Texas Spine and Surgical Hospital. The most expensive hospital lists 2.9 times the cheapest for the same code.

The San Antonio, TX median of $1,241 is in line with the national median of $1,257 across 471 US hospitals with a cash price for this code.

3 of these hospitals also publish the rates they negotiated with insurers, from $235 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.

$1,161
lowest cash price in San Antonio, TX
Guadalupe Regional Medical Center · 41 mi
$80 below the median
$1,241
median cash price
3 hospitals
2.9×
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

$1,161
list $2,322 · lowest of 2 lines
2
Legent Orthopedic + Spine

San Antonio · 9 mi · File Mar 2026

$1,241
list $2,155 · lowest of 2 lines
3
South Texas Spine and Surgical Hospital

San Antonio · 15 mi · File Feb 2026

$3,419
list $3,419
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 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