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Spinal injection, lower back, with imaging guidance in Washington, DC-VA-MD-WV costs $441 to $1,710. Here's every hospital's price.

10 hospitals in the Washington-Arlington-Alexandria, DC-VA-MD-WV 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 Washington-Arlington-Alexandria, DC-VA-MD-WV metro area, 10 hospitals list a cash price for spinal injection, lower back, with imaging guidance (CPT 62323). The lowest is $441 at Uva Health Culpeper Medical Center, the median is $1,458 and the highest is $1,710 at Inova Mount Vernon Hospital. The most expensive hospital lists 3.9 times the cheapest for the same code.

The Washington, DC-VA-MD-WV median of $1,458 is 16% above the national median of $1,257 across 461 US hospitals with a cash price for this code.

11 of these hospitals also publish the rates they negotiated with insurers, from $97 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 July 2026. 25 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.

$441
lowest cash price in Washington, DC-VA-MD-WV
Uva Health Culpeper Medical Center · 38 mi
$1,018 below the median
$1,458
median cash price
10 hospitals
3.9×
highest ÷ lowest
same procedure, same metro
10/36
hospitals with a cash price
25 don't · see who

Sorted by cash price

Hospital facility fee only
1
Uva Health Culpeper Medical Center

Culpeper · 38 mi · File Mar 2026

$441
list $881 · lowest of 3 lines
2
Uva Health Prince William Medical Center

Manassas · 4 mi · File Mar 2026

$441
list $881 · lowest of 3 lines
3
Uva Health Haymarket Medical Center

Haymarket · 8 mi · File Mar 2026

$441
list $881 · lowest of 3 lines
4
Medstar Washington Hospital Center

Washington · 27 mi · File Apr 2026

$1,362
list $2,096 · lowest of 4 lines
5
Medstar Georgetown University Hospital

Washington · 23 mi · File Apr 2026

$1,458
list $2,244 · lowest of 6 lines
6
Inova Alexandria Hospital

Alexandria · 21 mi · File Apr 2026

$1,710
list $3,420
7
Inova Loudoun Hospital

Leesburg · 17 mi · File Apr 2026

$1,710
list $3,420
8
Inova Fairfax Hospital

Falls Church · 15 mi · File Apr 2026

$1,710
list $3,420
9
Inova Fair Oaks Hospital

Fairfax · 7 mi · File Apr 2026

$1,710
list $3,420
10
Inova Mount Vernon Hospital

Alexandria · 23 mi · File Apr 2026

$1,710
list $3,420
11
Fauquier Hospital

Warrenton · 19 mi · File Jul 2026

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 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