Skyline Hospital
White SalmonKlickitat CountyCritical Access Hospitals
Lower back nerve root injection
Quality: not rated by CMSEarliest available date: call (509) 491-1101
What you may pay
- With insurance from an employer or private plan
- $51.00 to $212
- REGENCE BS PPO/POS - ALL OTHER PLANS $51.00 Lower than typical
- PROVIDENCE SIGNATURE $212 Lower than typical
- Paying yourself (cash price)
- $482
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
17 published prices, grouped by who each price applies to.
Cash price 1 price
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $482 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | — | Outpatient | 2026-08-21 |
List price (before discounts) 1 price
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $670 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | — | Outpatient | 2026-08-21 |
Commercial insurance 2 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| PROVIDENCE SIGNATURE | PROVIDENCE SIGNATURE | $212 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
Medicare Advantage 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| COMM HEALTH FIRST MCR ADV - ALL PLANS | COMM HEALTH FIRST MCR ADV - ALL PLANS | $101 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| MOLINA MEDICARE | MOLINA MEDICARE | $101 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $469 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | percent of total billed charges | Outpatient | 2026-08-21 |
Medicaid managed care 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW APPLE HEALTH MCAID - ALL PLANS | CHPW APPLE HEALTH MCAID - ALL PLANS | $64.48 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $67.70 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $64.48 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
Other government program 1 price
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $101 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
Unknown 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AMERIGROUP- ALL PLANS | AMERIGROUP- ALL PLANS | $68.35 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| PREMERA FIRST - ALL PLANS | PREMERA FIRST - ALL PLANS | $149 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| PROVIDENCE CHOICE | PROVIDENCE CHOICE | $212 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| PROVIDENCE HEALTH - ALL OTHER PLANS | PROVIDENCE HEALTH - ALL OTHER PLANS | $212 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS CARE | REGENCE BS CARE | $51.00 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS PAR | REGENCE BS PAR | $51.00 | Clinic doctor’s fee | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | fee schedule | Outpatient | 2026-08-21 |
Doctors here who do this procedure
No doctor affiliated with Skyline Hospital billed Traditional Medicare for this often enough for CMS to publish it (11 or more patients a year). That doesn’t mean no one here does it. See all doctors and practices for this procedure.
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