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Procedure price report · Other diagnostic radiology and related techniques

X-ray guidance for spine injection needle placement

CPT 77003the billing code this page is about

Live X-ray imaging used to guide a needle for an injection in or near the spine, such as an epidural or nerve block; covers the imaging guidance only.

Hospitals typically charge $428 cash for this outpatient procedure — the median across 2,620 hospitals that filed a usable cash price; the average of the middle 60% is $459. Most fall between $201 and $806 (20th–80th percentile).

Hospitals
2,620
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 2,620 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
$124$239$428$746$1,304

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($124 vs $1,304).

How the prices are spread

$78 – $106: 97 hospitals$78$106 – $145: 107 hospitals$145 – $197: 176 hospitals$145$197 – $269: 273 hospitals$269 – $366: 326 hospitals$269$366 – $498: 374 hospitals$498 – $678: 386 hospitals$498$678 – $924: 325 hospitals$924 – $1,259: 149 hospitals$924$1,259 – $1,714: 147 hospitals$1,259median $428price bands are equal on a log scale
Hospitals per price band (2,360 of 2,620 — the bands cover the 5th to 95th percentile)
FromToHospitals
$78$10697
$106$145107
$145$197176
$197$269273
$269$366326
$366$498374
$498$678386
$678$924325
$924$1,259149
$1,259$1,714147

By state

The median cash price in each state, against the national median of $428.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $228 across 18 hospitalsME$228Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $389 across 18 hospitalsNH$389Washington: median $419 across 54 hospitalsWA$419Idaho: median $459 across 18 hospitalsID$459Montana: median $279 across 12 hospitalsMT$279North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $315 across 74 hospitalsMN$315Illinois: median $528 across 106 hospitalsIL$528Wisconsin: median $447 across 95 hospitalsWI$447Michigan: median $255 across 68 hospitalsMI$255New York: median $246 across 78 hospitalsNY$246Massachusetts: median $319 across 40 hospitalsMA$319Oregon: median $344 across 37 hospitalsOR$344Nevada: median $728 across 14 hospitalsNV$728Wyoming: median $299 across 12 hospitalsWY$299South Dakota: median $398 across 14 hospitalsSD$398Iowa: median $404 across 63 hospitalsIA$404Indiana: median $269 across 76 hospitalsIN$269Ohio: median $527 across 128 hospitalsOH$527Pennsylvania: median $415 across 92 hospitalsPA$415New Jersey: median $170 across 42 hospitalsNJ$170Connecticut: median $462 across 20 hospitalsCT$462Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $652 across 199 hospitalsCA$652Utah: median $789 across 37 hospitalsUT$789Colorado: median $593 across 57 hospitalsCO$593Nebraska: median $623 across 51 hospitalsNE$623Missouri: median $358 across 60 hospitalsMO$358Kentucky: median $468 across 45 hospitalsKY$468West Virginia: median $249 across 26 hospitalsWV$249Virginia: median $532 across 63 hospitalsVA$532Maryland: median $94 across 30 hospitalsMD$94Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $291 across 46 hospitalsAZ$291New Mexico: median $451 across 20 hospitalsNM$451Kansas: median $327 across 56 hospitalsKS$327Arkansas: median $130 across 22 hospitalsAR$130Tennessee: median $197 across 65 hospitalsTN$197North Carolina: median $475 across 79 hospitalsNC$475South Carolina: median $748 across 45 hospitalsSC$748Oklahoma: median $261 across 45 hospitalsOK$261Louisiana: median $188 across 37 hospitalsLA$188Mississippi: median $192 across 44 hospitalsMS$192Alabama: median $240 across 27 hospitalsAL$240Georgia: median $420 across 83 hospitalsGA$420Hawaii: median $351 across 15 hospitalsHI$351Texas: median $656 across 199 hospitalsTX$656Florida: median $746 across 153 hospitalsFL$746
Cash price by state, most expensive first. National median $428. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT37$789+84%$395 – $789
South Carolina SC45$748+75%$438 – $758
Florida FL153$746+74%$385 – $2,025
Nevada NV14$728+70%$277 – $1,709
Texas TX199$656+53%$298 – $1,483
California CA199$652+52%$333 – $1,390
Nebraska NE51$623+45%$404 – $966
Colorado CO57$593+38%$271 – $1,600
Virginia VA63$532+24%$285 – $1,348
Illinois IL106$528+23%$266 – $1,044
Ohio OH128$527+23%$246 – $790
North Carolina NC79$475+11%$232 – $641
Kentucky KY45$468+9%$247 – $829
Connecticut CT20$462+8%$238 – $746
Idaho ID18$459+7%$332 – $673
New Mexico NM20$451+5%$176 – $622
Wisconsin WI95$447+4%$254 – $569
Georgia GA83$420−2%$258 – $944
Washington WA54$419−2%$241 – $674
Pennsylvania PA92$415−3%$149 – $990
Iowa IA63$404−6%$240 – $627
South Dakota SD14$398−7%$398 – $713
New Hampshire NH18$389−9%$247 – $1,316
Missouri MO60$358−17%$206 – $663
Hawaii HI15$351−18%$304 – $399
Oregon OR37$344−20%$200 – $459
Kansas KS56$327−24%$200 – $691
Massachusetts MA40$319−26%$153 – $582
Minnesota MN74$315−27%$209 – $473
Wyoming WY12$299−30%$187 – $457
Arizona AZ46$291−32%$131 – $1,496
Montana MT12$279−35%$149 – $430
Indiana IN76$269−37%$134 – $512
Oklahoma OK45$261−39%$79 – $497
Michigan MI68$255−41%$180 – $622
West Virginia WV26$249−42%$202 – $412
New York NY78$246−43%$154 – $797
Alabama AL27$240−44%$127 – $557
Maine ME18$228−47%$134 – $458
Tennessee TN65$197−54%$69 – $361
Mississippi MS44$192−55%$99 – $367
Louisiana LA37$188−56%$90 – $716
New Jersey NJ42$170−60%$137 – $1,033
Arkansas AR22$130−70%$87 – $274
Maryland MD30$94−78%$69 – $128
Rhode Island RI9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Delaware DE5not 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 $428.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,037$459$200 – $845
Children’s50$775$334 – $1,257
Critical access523$361$195 – $632
Ownership
For-profit393$673$270 – $1,804
Government392$352$194 – $632
Non-profit1,825$421$194 – $775
System affiliation
Part of a system2,203$455$212 – $829
Independent417$332$165 – $691

Cash price vs list price

Median list price (chargemaster)$745
Median cash price$428
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

1,906 hospitals filed a usable inpatient cash price for this code. The median is $454 and the average of the middle 60% is $470; most fall between $211 and $789.

Cash price percentiles, inpatient, across 1,906 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
$126$245$454$746$1,129

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($126 vs $1,129).

Of the 2,126 hospitals that filed this code inpatient, 1,906 gave a usable cash price; 107 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 112 a list price only.

How complete is this

2,620 of the 3,956 hospitals with a price file in our corpus (66%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,994 hospitals that filed this code at all gave us
Usable cash price — counted2,620
Cash price carrying a plausibility flag — shown on the compare tool, excluded here194
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded177
Hospitals that filed this code2,994

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Other diagnostic radiology and related techniques family.

Hospitals file this code under descriptions such as Fluor Needle/Cath Spine/Paraspinal Dx/Ther Addon|PROFESSIONAL COMPONENT.

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, “X-ray guidance for spine injection needle placement (CPT 77003) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77003-x-ray-guidance-for-spine-injection-needle-placement