Average Epidural Steroid Injection cost
45 hospitals in Virginia and North Carolina publish prices for this procedure. Here's what we found.
Average and range computed from cash prices each hospital publishes under the federal hospital price transparency rule (45 CFR 180.50). Insurance-negotiated rates vary by plan; see hospital pages for the per-plan rates.
How much this varies
45 hospitals across 2 states publish prices for this procedure. Because costs, quality, and insurance networks vary by market, pick your state below to see what hospitals in your area charge.
Which back pain injection code applies?
Pain-management injections for back pain come in several variants that target different anatomical structures. Patients often hear 'a back injection' without knowing which specific procedure was ordered — and the codes price differently.
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62323 Epidural steroid injection (lumbar/sacral) (this page)
Steroid injected into the epidural space of the lower back. Used for general lumbar back pain, often with leg symptoms (radiculopathy). The provider may or may not use imaging guidance — guidance is typically included in the code as of 2017.
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Steroid and anesthetic injected directly into a facet joint (small joints at the back of each vertebra). Used when the facet joints themselves are the suspected source of pain, diagnosed by physical exam and pain pattern.
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Steroid injected through the foramen — the side opening where a specific nerve root exits the spine. Used when a single nerve root is the suspected source of pain (e.g., a specific dermatome of leg pain), targeting that nerve more precisely than a general epidural.
Important: These three procedures sound similar but target different anatomy. The specific injection is determined by the pain pattern, exam findings, and the provider's clinical judgment. Insurance prior authorization rules and per-year visit caps also vary by injection type.
Observations about coding conventions, sourced to CMS and AMA code definitions. Not medical advice. Not legal advice.
Pain management injection prices vary because the same procedure is billed very differently depending on where it's performed. An epidural steroid injection done in a hospital outpatient department carries a facility fee that can double or triple the cost compared to the same injection performed in a physician's office or ambulatory surgery center. These are also repeat procedures — chronic pain patients may need injections every three to six months — so per-procedure cost compounds over time. Insurance typically covers a limited number of injections per year, and prior authorization requirements vary by plan. Before you schedule, ask whether the injection can be performed in an office setting instead of a hospital, whether imaging guidance (fluoroscopy or CT) is included in the quoted price, and how many injections your insurance authorizes per year.
Pricing by state
Prices vary by state. Select your state to see hospitals near you.
Where do you need this done?
Select your area and we'll show you every hospital's price, quality rating, and insurance rate.
Don't see your area? We're expanding to new cities. In the meantime, these prices can still help — call your hospital's billing department and ask: "What is your cash price for epidural steroid injection?" Then compare it to the range above.
Related pain procedures
Other procedures in the same category, with their own published-price comparisons.
Common questions
How much does epidural steroid injection cost?
Prices vary significantly by state. Pick your state below to see the range in your market. Across the 2 states we cover, 45 hospitals publish prices for this procedure. Prices also vary by insurance plan and whether you pay cash or use insurance.
Which hospital is cheapest for epidural steroid injection?
The cheapest hospital depends on where you live. Prices vary significantly between markets, and most patients can't realistically travel across states for a procedure. Select your state and city above to see the lowest-priced hospitals near you.
Why do hospitals charge different prices for the same epidural steroid injection?
Hospital prices vary based on ownership type, location, negotiated insurance rates, and facility overhead. The CMS Hospital Price Transparency Rule requires every hospital to publish all prices, making these differences visible for the first time.
Data compiled by HospitalCost from 17 federal sources including CMS Hospital Price Transparency files, Hospital Compare, HCAHPS, and Medicare Cost Reports. Updated April 2026.