Epidural injection, guided cost in Detroit, MI
In Detroit-Warren-Dearborn, MI, 25 hospitals list a cash price for lower-back epidural injection, with imaging guidance: from $423.95 to $3,515.25, with a median of $1,254.25. The lowest listed price is at Karmanos Cancer Center — $830.30 less than the median here. Across Michigan, the median is $1,030.00 at 75 hospitals.
- The median here, $1,254.25, is 8% below the US median of $1,369.55.
- That is 1.7× Medicare's 2026 national rate for the same service ($721.17).
- Detroit, MI ranks 2nd of 2 metro areas in Michigan by median, cheapest first.
- 8 of 25 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 25 facilities across 20 cities for code 62323, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 26, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Jun 28, 2026.
Lowest$423.95Karmanos Cancer Center
Median$1,254.25half of hospitals charge less
Highest$3,515.25in this market
Difference8.3×highest vs lowest
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Detroit-Warren-Dearborn, MI.
median
Lowest $423.95Highest $7,145.90
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Karmanos Cancer Center lowest Detroit, MI · (800) 576-6266 62323 INJ EPI LMB SACW/GD+1 more line at this price File of Dec 31, 2025 · source file | $423.95 | $847.90 | $312.88–$695.60 | 50% |
| Henry Ford Rochester Hospital Rochester, MI · (248) 652-5000 INJ INTERLAMINAR LMBR/SAC W/IG File of Jan 1, 2026 · source file | $825.32 | $1,756.00 | $926.83–$994.45 | 53% |
| Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB INJ DX/TX EPIDURAL/SUBARACH LUM/SACRAL W/IMAGE GDN File of Jun 28, 2026 · source file | $970.61 | $1,186.00 | $91.76–$1,617.68 | 18% |
| Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB INJ DX/TX EPIDURAL/SUBARACH LUM/SACRAL W/IMAGE GDN File of Jun 28, 2026 · source file | $970.61 | $1,186.00 | $91.76–$2,056.00 | 18% |
| McLaren Oakland Pontiac, MI · (248) 338-5000 62323-XR Injection Lmbr/Scrl Epidural+4 more lines at this price File of Dec 31, 2025 · source file | $970.65 | $1,941.30 | $378.81–$1,080.64 | 50% |
| Henry Ford Providence Southfield Hospital Southfield, MI · (248) 849-3000 INJ INTERLAMINAR LMBR/SAC W/IG File of Jan 1, 2026 · source file | $973.84 | $1,739.00 | $270.33–$1,241.65 | 44% |
| Henry Ford Providence Novi Hospital - Novi Campus Novi, MI · (248) 849-3000 INJ INTERLAMINAR LMBR/SAC W/IG+1 more line at this price File of Jan 1, 2026 · source file | $973.84 | $1,739.00 | $270.33–$1,241.65 | 44% |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 Injection Interlaminar Lumbar/Sacral w/ Guidance 62323+3 more lines at this price File of Dec 31, 2025 · source file | $1,044.70 | $2,089.40 | $378.81–$1,410.35 | 50% |
| St Joseph Mercy Oakland Pontiac, MI · (248) 858-3000 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance File of Mar 31, 2026 · source file | $1,116.05 | $1,717.00 | $353.38–$1,717.00 | 35% |
| St Mary Mercy Livonia Livonia, MI · (734) 655-4800 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance File of Mar 31, 2026 · source file | $1,116.05 | $1,717.00 | $386.55–$1,717.00 | 35% |
| St Joseph Mercy Livingston Hospital Brighton, MI · (517) 545-6000 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance File of Mar 31, 2026 · source file | $1,116.05 | $1,717.00 | $375.51–$1,717.00 | 35% |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Injection Interlaminar Lumbar/Sacral w/ Guidance 62323+1 more line at this price File of Dec 31, 2025 · source file | $1,145.55 | $2,291.10 | $378.81–$1,080.64 | 50% |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 NJX INTERLAMINAR LMBR/SAC File of Dec 31, 2025 · source file | $1,228.15 | $2,456.29 | $378.81–$1,080.64 | 50% |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 62323- CT Injection Lmbr/Scrl Epidural+3 more lines at this price File of Dec 31, 2025 · source file | $1,254.25 | $2,508.50 | $378.81–$1,274.32 | 50% |
| Henry Ford Health St John Hospital Detroit, MI · (313) 343-4000 INJ INTERLAMINAR LMBR/SAC W/IG+1 more line at this price File of Jan 1, 2026 · source file | $1,317.12 | $2,352.00 | $392.02–$2,352.00 | 44% |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 NJX INTERLAMINAR LMBR/SAC File of Dec 31, 2025 · source file | $1,329.44 | $2,658.88 | $378.81–$1,080.64 | 50% |
| Henry Ford Health Warren Hospital Warren, MI · (586) 573-5000 INJ INTERLAMINAR LMBR/SAC W/IG File of Jan 1, 2026 · source file | $1,495.76 | $2,671.00 | $2,671.00 | 44% |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 NJX INTERLAMINAR LMBR/SAC File of Dec 31, 2025 · source file | $1,627.90 | $3,255.80 | $378.81–$1,653.95 | 50% |
| Beaumont Hospital, Troy Troy, MI · (248) 964-8800 Hc Ir Inj Epi Sub Ea Lumbarsacral+3 more lines at this price File of Apr 1, 2026 · source file | $2,585.00 | $2,585.00 | — | — |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn+3 more lines at this price File of Apr 1, 2026 · source file | $2,585.00 | $2,585.00 | — | — |
| Beaumont Hospital Royal Oak Royal Oak, MI · (248) 898-5400 HC IR INJ EPI SUB EA LUMBARSACRAL+1 more line at this price File of May 1, 2026 · source file | $2,585.00 | $2,585.00 | — | — |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Ir Inj Epi Sub Ea Lumbarsacral+3 more lines at this price File of Apr 1, 2026 · source file | $2,585.00 | $2,585.00 | — | — |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Ir Inj Epi Sub Ea Lumbarsacral+3 more lines at this price File of Apr 1, 2026 · source file | $2,585.00 | $2,585.00 | — | — |
| Beaumont Hospital - Dearborn Dearborn, MI · (313) 593-7125 HC IR INJ EPI SUB EA LUMBARSACRAL+1 more line at this price File of May 1, 2026 · source file | $2,585.00 | $2,585.00 | — | — |
| Corewell Health Farmington Hills Hospital Farmington Hills, MI · (248) 471-8000 HC IR INJ EPI SUB EA LUMBARSACRAL+1 more line at this price File of May 1, 2026 · source file | $2,585.00 | $2,585.00 | — | — |
| Beaumont Hospital - Grosse Pointe Grosse Pointe, MI · (313) 473-1000 Hc Ir Inj Epi Sub Ea Lumbarsacral+3 more lines at this price File of Apr 1, 2026 · source file | $2,585.00 | $2,585.00 | — | — |
| VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 INJ EPID LUMB/CAUD File of Apr 8, 2026 · source file | $3,498.75 | $4,665.00 | — | 25% |
| VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 INJ EPID LUMB/CAUD File of Apr 7, 2026 · source file | $3,515.25 | $4,687.00 | — | 25% |
| McLaren Oakland Pontiac, MI · (248) 338-5000 NJX INTERLAMINAR LMBR/SAC File of Dec 31, 2025 · source file | $7,145.90 | $14,291.79 | $378.81–$1,080.64 | 50% |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Outpatient: lowest $423.95, median $1,254.25, highest $3,515.25 — a 8.3× difference within the same market.
As an inpatient, the same code is billed by 19 facilities here, median $1,317.12. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 14 of 15 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What epidural injection, guided is, what the price covers and why prices differ: Epidural injection, guided explained.