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Procedure price report · Insertion of catheter or spinal stimulator and injection into spinal canal

Lower back epidural injection with imaging guidance

CPT 62323the billing code this page is about

Injection of medication, such as a steroid, between the vertebral bones into the epidural or spinal fluid space of the lower back or sacrum, guided by X-ray or CT.

Hospitals typically charge $1,172 cash for this outpatient procedure — the median across 2,556 hospitals that filed a usable cash price; the average of the middle 60% is $1,261. Most fall between $555 and $2,220 (20th–80th percentile).

Hospitals
2,556
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,556 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$364$663$1,172$1,977$3,150

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($364 vs $3,150).

How the prices are spread

$220 – $294: 73 hospitals$220$294 – $394: 89 hospitals$394 – $526: 182 hospitals$394$526 – $704: 227 hospitals$704 – $942: 315 hospitals$704$942 – $1,259: 339 hospitals$1,259 – $1,684: 328 hospitals$1,259$1,684 – $2,253: 384 hospitals$2,253 – $3,013: 199 hospitals$2,253$3,013 – $4,030: 166 hospitals$3,013median $1,172price bands are equal on a log scale
Hospitals per price band (2,302 of 2,556 — the bands cover the 5th to 95th percentile)
FromToHospitals
$220$29473
$294$39489
$394$526182
$526$704227
$704$942315
$942$1,259339
$1,259$1,684328
$1,684$2,253384
$2,253$3,013199
$3,013$4,030166

Against Medicare

Medicare pays (OPPS 2026, national rate)$721
Median cash price$1,172
Cash as a multiple of Medicare1.63×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,172.

Alaska: median $2,363 across 13 hospitalsAK$2,363Maine: median $696 across 21 hospitalsME$696Vermont: median $493 across 10 hospitalsVT$493New Hampshire: median $878 across 17 hospitalsNH$878Washington: median $1,280 across 65 hospitalsWA$1,280Idaho: median $1,886 across 21 hospitalsID$1,886Montana: median $452 across 21 hospitalsMT$452North Dakota: median $712 across 14 hospitalsND$712Minnesota: median $949 across 95 hospitalsMN$949Illinois: median $1,154 across 98 hospitalsIL$1,154Wisconsin: median $635 across 86 hospitalsWI$635Michigan: median $773 across 81 hospitalsMI$773New York: median $1,397 across 92 hospitalsNY$1,397Massachusetts: median $1,621 across 40 hospitalsMA$1,621Oregon: median $1,107 across 44 hospitalsOR$1,107Nevada: median $542 across 16 hospitalsNV$542Wyoming: median $400 across 12 hospitalsWY$400South Dakota: median $700 across 16 hospitalsSD$700Iowa: median $840 across 89 hospitalsIA$840Indiana: median $929 across 61 hospitalsIN$929Ohio: median $1,959 across 132 hospitalsOH$1,959Pennsylvania: median $1,484 across 98 hospitalsPA$1,484New Jersey: median $924 across 53 hospitalsNJ$924Connecticut: median $1,968 across 21 hospitalsCT$1,968Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,220 across 170 hospitalsCA$2,220Utah: median $1,776 across 34 hospitalsUT$1,776Colorado: median $1,087 across 58 hospitalsCO$1,087Nebraska: median $1,044 across 60 hospitalsNE$1,044Missouri: median $1,100 across 65 hospitalsMO$1,100Kentucky: median $1,126 across 35 hospitalsKY$1,126West Virginia: median $1,109 across 26 hospitalsWV$1,109Virginia: median $1,252 across 51 hospitalsVA$1,252Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,272 across 39 hospitalsAZ$1,272New Mexico: median $1,244 across 17 hospitalsNM$1,244Kansas: median $817 across 77 hospitalsKS$817Arkansas: median $587 across 20 hospitalsAR$587Tennessee: median $555 across 57 hospitalsTN$555North Carolina: median $1,228 across 65 hospitalsNC$1,228South Carolina: median $1,573 across 41 hospitalsSC$1,573Oklahoma: median $661 across 46 hospitalsOK$661Louisiana: median $840 across 38 hospitalsLA$840Mississippi: median $446 across 43 hospitalsMS$446Alabama: median $1,078 across 33 hospitalsAL$1,078Georgia: median $1,758 across 73 hospitalsGA$1,758Hawaii: median $638 across 14 hospitalsHI$638Texas: median $1,569 across 165 hospitalsTX$1,569Florida: median $2,270 across 94 hospitalsFL$2,270
Cash price by state, most expensive first. National median $1,172. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK13$2,363+102%$1,257 – $3,341
Florida FL94$2,270+94%$1,191 – $3,570
California CA170$2,220+89%$761 – $4,340
Connecticut CT21$1,968+68%$671 – $3,609
Ohio OH132$1,959+67%$1,285 – $3,034
Idaho ID21$1,886+61%$665 – $1,995
Utah UT34$1,776+51%$1,001 – $2,089
Georgia GA73$1,758+50%$1,036 – $3,352
Massachusetts MA40$1,621+38%$629 – $2,282
South Carolina SC41$1,573+34%$1,349 – $2,007
Texas TX165$1,569+34%$898 – $2,106
Pennsylvania PA98$1,484+27%$721 – $3,214
New York NY92$1,397+19%$648 – $2,970
Washington WA65$1,280+9%$609 – $1,875
Arizona AZ39$1,272+9%$830 – $1,733
Virginia VA51$1,252+7%$672 – $1,710
New Mexico NM17$1,244+6%$596 – $2,891
North Carolina NC65$1,228+5%$863 – $2,208
Illinois IL98$1,154−2%$538 – $2,629
Kentucky KY35$1,126−4%$745 – $2,466
West Virginia WV26$1,109−5%$717 – $1,418
Oregon OR44$1,107−6%$339 – $2,406
Missouri MO65$1,100−6%$418 – $1,977
Colorado CO58$1,087−7%$560 – $1,641
Alabama AL33$1,078−8%$488 – $2,756
Nebraska NE60$1,044−11%$413 – $1,713
Minnesota MN95$949−19%$573 – $1,706
Indiana IN61$929−21%$557 – $1,477
New Jersey NJ53$924−21%$767 – $5,110
New Hampshire NH17$878−25%$255 – $1,075
Louisiana LA38$840−28%$473 – $1,683
Iowa IA89$840−28%$478 – $1,710
Kansas KS77$817−30%$258 – $1,419
Michigan MI81$773−34%$192 – $1,267
North Dakota ND14$712−39%$176 – $1,618
South Dakota SD16$700−40%$684 – $1,797
Maine ME21$696−41%$252 – $1,211
Oklahoma OK46$661−44%$558 – $1,412
Hawaii HI14$638−46%$314 – $1,024
Wisconsin WI86$635−46%$477 – $1,705
Arkansas AR20$587−50%$261 – $761
Tennessee TN57$555−53%$409 – $984
Nevada NV16$542−54%$459 – $2,353
Vermont VT10$493−58%$317 – $1,147
Montana MT21$452−61%$184 – $830
Mississippi MS43$446−62%$343 – $998
Wyoming WY12$400−66%$257 – $1,255
Delaware DE7not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,172.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,868$1,326$661 – $2,466
Children’s46$1,607$920 – $3,048
Critical access633$805$375 – $1,606
Ownership
For-profit259$1,295$703 – $2,375
Government469$918$448 – $1,846
Non-profit1,819$1,237$573 – $2,270
System affiliation
Part of a system2,083$1,255$625 – $2,300
Independent473$915$388 – $1,832

Cash price vs list price

Median list price (chargemaster)$2,209
Median cash price$1,172
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,819 hospitals filed a usable inpatient cash price for this code. The median is $1,349 and the average of the middle 60% is $1,386; most fall between $625 and $2,321.

Cash price percentiles, inpatient, across 1,819 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$404$752$1,349$2,089$3,176

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($404 vs $3,176).

Of the 1,944 hospitals that filed this code inpatient, 1,819 gave a usable cash price; 42 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 82 a list price only.

How complete is this

2,556 of the 3,956 hospitals with a price file in our corpus (65%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,739 hospitals that filed this code at all gave us
Usable cash price — counted2,556
Cash price carrying a plausibility flag — shown on the compare tool, excluded here80
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded95
Hospitals that filed this code2,739

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Insertion of catheter or spinal stimulator and injection into spinal canal family.

Hospitals file this code under descriptions such as Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Lower back epidural injection with imaging guidance (CPT 62323) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-62323-lower-back-epidural-injection-with-imaging-guidance