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Reviewed by John Caruso, FSA, MAAA • Data last updated

Epidural Steroid Injection Cost in North Dakota (2026): Average Prices & What You'll Pay

What does a epidural steroid injection cost in North Dakota?

The same epidural steroid injection in North Dakota might cost you $198 at one facility and $1,069 at another - the building you walk into drives the difference. The median cash price across 19 reporting hospitals is $666. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.

Where epidural steroid injection costs vary in North Dakota

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.

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26+ people checked prices near them this month.

What you pay for a epidural steroid injection depends on where you go and what is billed separately. Most patients find out after.

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Cheapest Epidural Steroid Injection Providers in North Dakota

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($666)
1 CHI St. Alexius Health Williston Williston, ND $169 $497 below
2 ST JOSEPH'S HOSPITAL AND HEALTH CENTER Dickinson, ND $177 $489 below
3 SOUTHWEST HEALTHCARE SERVICES Bowman, ND $189 $477 below
4 ST. ALEXIUS MEDICAL CENTER Bismarck, ND $211 $455 below
5 Jamestown Regional Medical Center Jamestown, ND $272 $394 below
6 Pembina County Memorial Hospital Association Cavalier, ND $596 $70 below
7 Essentia Health Fargo ND $666 $0 above
8 Langdon Prairie Health Langdon, ND $715 $49 above

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • CHI St. Alexius Health Williston is the lowest-cost option at $169 - $497 below the median posted price ($666), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $666, and it's often lower than what insurance pays before your deductible is satisfied.
  • This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
Epidural steroid injection prices by coverage in North Dakota, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$721 to $904$812
With insurance (commercial, average)13$255 to $1,501$1,014
Without insurance (cash price)19$169 to $1,253$666
Blue Cross Blue Shield of North Dakota6$466 to $1,255$877
Aetna6$528 to $1,997$1,420
UnitedHealthcare5$1,270 to $1,656$1,412
Cigna3$1,139 to $2,012$1,661

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does an epidural steroid injection cost with Medicare in North Dakota?

Medicare's national hospital outpatient payment for epidural steroid injection is about $721 to $904 (typically near $812). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $162 on a $812 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does an epidural steroid injection cost with insurance in North Dakota?

Across 13 North Dakota hospitals, the negotiated rates commercial insurers pay for epidural steroid injection average $255 to $1,501 per hospital, with a median near $1,014. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does an epidural steroid injection cost without insurance in North Dakota?

Cash (self-pay) prices for epidural steroid injection at 19 North Dakota hospitals range from $169 to $1,253, with a median of $666. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does an epidural steroid injection cost with Blue Cross Blue Shield of North Dakota?

Blue Cross Blue Shield of North Dakota negotiated rates for epidural steroid injection at 6 North Dakota hospitals range from $466 to $1,255, with a median near $877. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does an epidural steroid injection cost with Aetna in North Dakota?

Aetna negotiated rates for epidural steroid injection at 6 North Dakota hospitals range from $528 to $1,997, with a median near $1,420. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does an epidural steroid injection cost with UnitedHealthcare in North Dakota?

UnitedHealthcare negotiated rates for epidural steroid injection at 5 North Dakota hospitals range from $1,270 to $1,656, with a median near $1,412. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How much does an epidural steroid injection cost with Cigna in North Dakota?

Cigna negotiated rates for epidural steroid injection at 3 North Dakota hospitals range from $1,139 to $2,012, with a median near $1,661. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for epidural steroid injection

The same epidural steroid injection bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$282–$2,377
  • Facility fee $168–$1,861
  • Professional fee $114–$516

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$829–$1,597
  • Facility fee $715–$1,081
  • Professional fee $114–$516

Estimated from CMS fee schedules + commercial rate multipliers

Sanford Health and CHI St. Alexius divide most of North Dakota's hospital market, with Bismarck and Fargo each effectively dominated by one system. The state's oil-economy wage growth has increased hospital labor costs, pushing prices above what the rural market structure would otherwise suggest. Critical access hospitals cover most of the rural tier.

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Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $666 versus $898 inpatient (about 1.3× more), so where a procedure happens often matters more than which hospital you pick.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$666
Deductible met - 20% coinsurance ~$133
Out-of-network provider $1,465+

Frequently asked questions: epidural steroid injection costs in North Dakota

How much does an epidural steroid injection cost in North Dakota?

The typical insurer-negotiated rate is $181, with most facilities between $82 and $605 (based on 18 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of North Dakota hospitals run $169–$1,253; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an epidural steroid injection in North Dakota?

Based on declared prices, the lowest posted price in our North Dakota data is CHI St. Alexius Health Williston in Williston at about $169. By metro, Bismarck has the lowest median ($844). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an epidural steroid injection so much cheaper at some North Dakota hospitals?

Typical prices vary about 7.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $666 versus a median negotiated rate of $1,014 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an epidural steroid injection in North Dakota?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in North Dakota

Epidural Steroid Injection, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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