Epidural Injection Cost with Insurance in Plano, TX

At Northstar Joint and Spine, we understand that navigating insurance coverage for procedures like epidural steroid injections can be confusing. Most major insurance providers typically cover epidural steroid injections when they are medically necessary for conditions such as herniated discs, spinal stenosis, or chronic back pain that has not improved with conservative treatments. However, coverage can vary based on your specific insurance plan, the medical necessity of the procedure, and whether Northstar Joint and Spine is in your insurance network.

Before your epidural steroid injection, we recommend that you contact your insurance provider to confirm your coverage. Be sure to ask about any required documentation (such as imaging studies or a referral from a specialist) and whether you need prior authorization for your procedure. Our team at Northstar Joint and Spine is happy to assist you in gathering the necessary paperwork and answering questions about network status.

Even with insurance coverage, patients may still be responsible for copays, deductibles, or coinsurance, depending on their individual policy. By consulting both our office and your insurance company ahead of time, you can better understand your benefits and minimize any unexpected expenses. If you have questions about insurance or payment options at Northstar Joint and Spine, please contact our Plano office for assistance. Your comfort and clarity are our priorities.

At Northstar Joint and Spine, we understand that cost is an important consideration when planning for an epidural steroid injection. The out-of-pocket expense for this procedure with insurance in Plano, TX, can vary based on several factors, including your individual insurance plan, your deductible status, and the specifics of your copay or coinsurance.

On average, our patients with insurance typically pay between $100 and $600 for an epidural steroid injection once their deductible has been met. Some insurance plans may cover the procedure entirely after the required copayment, while others may require you to pay a percentage of the cost, depending on your coinsurance.

To provide you with the most accurate estimate, we recommend contacting both your insurance provider and our office before your procedure. Our staff at Northstar Joint and Spine is always available to help you navigate your benefits and discuss any additional charges, such as consultation, imaging guidance, or facility fees, which may apply.

If you have questions about your insurance coverage or would like a personalized cost estimate for your epidural injection at Northstar Joint and Spine, please call our office—we’re here to help you every step of the way.

At Northstar Joint and Spine, we understand that the cost of an epidural injection is an important consideration for our patients. 

The actual out-of-pocket expense for your procedure depends on several key factors:

1. Your Insurance Coverage:

The type and details of your insurance plan play a major role in determining the cost of your epidural injection. Coverage can vary significantly between plans when it comes to deductibles, copays, coinsurance, and overall benefits. Some insurance policies may cover a larger percentage of the procedure, while others may require higher out-of-pocket payments.

2. In-Network vs. Out-of-Network Status:

Northstar Joint and Spine is proud to participate with many major insurance networks. Receiving your epidural injection from an in-network provider, like our practice, typically means lower costs for you. If your insurance plan considers us out-of-network, your expenses may be higher, and some charges may not be covered.

3. Location of the Procedure:

The setting where your epidural injection is performed also impacts the overall cost. At Northstar Joint and Spine, many procedures are safely and efficiently performed in our outpatient clinic, which is often less expensive than undergoing the same procedure at a hospital or surgical center.

4. Complexity and Frequency of Care:

Your individual medical condition and the number of injections you need may affect your coverage. Some insurance plans limit the number of epidural injections allowed within a certain timeframe or require prior authorization before the procedure. Our team will work closely with you and your insurer to help navigate these requirements.

5. Regional and Provider-Specific Factors:

Healthcare costs can vary by region and by provider. At Northstar Joint and Spine, we strive to maintain transparent and competitive pricing. We are happy to provide detailed information about our fees and help you estimate your potential out-of-pocket costs.

Next Steps:

We encourage all patients to contact their insurance company directly to understand their specific coverage for epidural injections at Northstar Joint and Spine. Our experienced staff is also available to answer any questions and assist with insurance verification, authorizations, and cost estimates.

Your comfort, clarity, and care are our top priorities. Please feel free to reach out to our office for personalized assistance with your insurance and billing questions.

If you are considering an epidural injection at Northstar Joint and Spine and want to know if your insurance plan covers this procedure, there are several steps you can take to find out.

1. Review Your Insurance Policy

Begin by reviewing your insurance policy documents, either in hard copy or through your insurer’s online portal. Look for sections related to pain management, spinal procedures, or specifically epidural steroid injections. These documents often include lists of covered services and any requirements, such as prior authorization or specialist referrals.

2. Contact Your Insurance Provider

If the information is not clear or you have difficulty locating it, contact the customer service number listed on your insurance card. When you speak with a representative, have your member ID and details about the proposed procedure ready. Let them know you are considering an epidural injection at Northstar Joint and Spine. Ask if these injections are a covered benefit under your specific plan, and inquire about any prerequisites, such as a referral from your primary care provider or pre-approval from the insurance company.

3. Confirm with Northstar Joint and Spine

At Northstar Joint and Spine, our experienced billing team is here to help you navigate your insurance benefits. We can provide you with the specific billing codes for your procedure and verify your insurance coverage for epidural injections. Providing these codes to your insurance representative can help you get the most accurate information about your coverage and any potential out-of-pocket costs.

4. Keep Records

Always document the information you receive, including dates, names of representatives, and reference numbers for your records.

If you have any questions about insurance coverage for epidural injections or need assistance with the verification process, please contact the Northstar Joint and Spine office. Our team is dedicated to helping you understand your options and ensuring you receive the care you need.

For trusted, insurance-supported pain management, Dr. Robert J. Nocerini, MD, in Plano, TX, offers comprehensive care tailored to each patient’s needs. With over 26 years of experience, Dr. Nocerini works closely with patients to develop personalized treatment plans for managing chronic pain. He partners with a wide range of insurance providers to ensure patients receive high-quality care that is affordable and accessible. Whether through medication, injections, or other therapies, Dr. Nocerini’s expertise in pain management helps patients achieve lasting relief while navigating their insurance benefits for optimal care and cost-effectiveness.

For more information contact us today or schedule an appointment online. We are conveniently located at 7704 San Jacinto Pl Suite #200 Plano, TX 75024. We serve patients from Plano TX, Willow Bend TX, Frisco TX, Allen TX, Addison TX, North Dallas TX, and surrounding areas.