How Much Does Lumbar Nerve Block (Transforaminal Epidural) Cost?
Also known as: Njx aa&/strd tfrm epi l/s 1 (CPT 64483)
A targeted injection of medication near a specific spinal nerve root in the lower back to reduce pain.
The total estimated cost of Lumbar Nerve Block (Transforaminal Epidural) (CPT 64483) is $334 to $627, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $100.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Lumbar Nerve Block (Transforaminal Epidural)
What you need to know before your appointment
What to Expect
Using X-ray guidance, the doctor precisely targets a specific nerve with steroid and anesthetic medication. This is more targeted than a standard epidural.
How Long Does It Take?
15-30 minutes procedure, 30-60 minutes recovery
Common Reasons Doctors Order This
Sciatica from specific nerve compression, radiculopathy, failed back surgery syndrome
How to Prepare
Stop blood thinners as directed. Arrange a ride home. Fast for 6 hours if sedation is used.
Procedures Commonly Done Together
These procedures are frequently performed alongside Njx aa&/strd tfrm epi l/s 1
What Insurance Companies Actually Pay
Real negotiated rates from 16 hospitals across 6 states (from hospital price transparency filings)
| Insurance Company | Avg Rate | Range | Hospitals |
|---|---|---|---|
| Aetna | $2,242 | $796 - $4,833 | 11 |
| Cigna | $2,018 | $836 - $5,160 | 10 |
| United | $1,635 | $366 - $2,909 | 10 |
| Humana | $2,176 | $426 - $4,690 | 8 |
| BCBS | $1,467 | $358 - $2,217 | 5 |
| Superior Health Plan | $972 | $948 - $1,338 | 4 |
| KAISER FOUNDATION HEALTH PLAN, INC. | $1,858 | $1,076 - $3,369 | 5 |
| BCBS-TX | $1,108 | $609 - $1,559 | 3 |
| Wellpoint | $657 | $341 - $1,338 | 2 |
| CHC | $887 | $302 - $1,471 | 2 |
| Molina Healthcare | $375 | $375 | 2 |
| Community Health Choice MCD | $382 | $382 | 2 |
How to Reduce Your Cost for Njx aa&/strd tfrm epi l/s 1
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($265) differs from the facility rate ($100). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (7.93) x CF ($33.40) = $265
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Njx aa&/strd tfrm epi l/s 1 cost?
The Medicare facility rate for Njx aa&/strd tfrm epi l/s 1 is $100. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Njx aa&/strd tfrm epi l/s 1 cost without insurance?
Without insurance, the cost of Njx aa&/strd tfrm epi l/s 1 can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Njx aa&/strd tfrm epi l/s 1?
Most commercial health insurance plans and Medicare cover Njx aa&/strd tfrm epi l/s 1 when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.