Lumbar facet injection cost in Detroit, MI
In Detroit-Warren-Dearborn, MI, 24 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $710.55 to $4,079.25, with a median of $2,075.09. The lowest listed price is at Karmanos Cancer Center — $1,364.54 less than the median here. Across Michigan, the median is $1,187.45 at 67 hospitals.
- The median here, $2,075.09, is 35% above the US median of $1,538.11.
- That is 2.3× Medicare's 2026 national rate for the same service ($903.63).
- Detroit, MI ranks 2nd of 2 metro areas in Michigan by median, cheapest first.
- 9 of 24 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 24 facilities across 18 cities for code 64493, 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 Sep 2, 2026.
Lowest$710.55Karmanos Cancer Center
Median$2,075.09half of hospitals charge less
Highest$4,079.25in this market
Difference5.7×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 $710.55Highest $4,079.25
one sideboth sides
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Karmanos Cancer Center lowest Detroit, MI · (800) 576-6266 CT/FL GD FACT BLK LUM 1LV File of Dec 31, 2025 · source file | $710.55 | $1,421.10 | $486.99–$1,204.19 | 50% |
| McLaren Oakland one side Pontiac, MI · (248) 338-5000 64493- IR Inj Paravert F Jnt L/S 1 Level LT+3 more lines at this price File of Dec 31, 2025 · source file | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% |
| McLaren Oakland Pontiac, MI · (248) 338-5000 Inj Paravert Facet Jnt Lumbar/Sacral W/Guide Single Lvl 64493 File of Dec 31, 2025 · source file | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% |
| McLaren Macomb one side Mount Clemens, MI · (586) 493-8000 64493- IR Inj Paravert F Jnt L/S 1 Level LT+3 more lines at this price File of Dec 31, 2025 · source file | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 Inj Paravert Facet Jnt Lumbar/Sacral W/Guide Single Lvl 64493 File of Dec 31, 2025 · source file | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% |
| McLaren Port Huron one side Port Huron, MI · (810) 987-5000 64493-XR Facet Injection Lumb/Sacr Right+1 more line at this price File of Dec 31, 2025 · source file | $1,083.70 | $2,167.40 | $486.99–$1,389.25 | 50% |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 Inj Paravert Facet Jnt Lumbar/Sacral W/Guide Single Lvl 64493+1 more line at this price File of Dec 31, 2025 · source file | $1,083.70 | $2,167.40 | $486.99–$1,389.25 | 50% |
| McLaren Lapeer Region one side Lapeer, MI · (810) 667-5500 64493-XR Facet Injection Lumb/Sacr Left+3 more lines at this price File of Dec 31, 2025 · source file | $1,187.45 | $2,374.90 | $486.99–$1,389.25 | 50% |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Inj Paravert Facet Jnt Lumbar/Sacral W/Guide Single Lvl 64493 File of Dec 31, 2025 · source file | $1,187.45 | $2,374.90 | $486.99–$1,474.81 | 50% |
| Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB INJ(S) FACET LUMBAR/SACRAL SINGLE LVL File of Jun 28, 2026 · source file | $1,216.18 | $1,770.00 | $56.94–$1,710.06 | 31% |
| Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB INJ(S) FACET LUMBAR/SACRAL SINGLE LVL File of Jun 28, 2026 · source file | $1,216.18 | $1,770.00 | $84.36–$2,026.97 | 31% |
| McLaren Oakland Pontiac, MI · (248) 338-5000 INJ PARAVERT F JNT L/S 1 LEV File of Dec 31, 2025 · source file | $1,320.33 | $2,640.65 | $486.99–$1,771.63 | 50% |
| VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 L SP FACET INJ+IMAG LVL1 File of May 20, 2026 · source file | $1,619.25 | $2,159.00 | $0.17–$3,791.00 | 25% |
| St Joseph Mercy Livingston Hospital Brighton, MI · (517) 545-6000 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level File of Mar 31, 2026 · source file | $1,656.85 | $2,549.00 | $371.81–$2,549.00 | 35% |
| St Joseph Mercy Livingston Hospital one side Brighton, MI · (517) 545-6000 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt+1 more line at this price File of Mar 31, 2026 · source file | $1,656.85 | $2,549.00 | $371.81–$2,549.00 | 35% |
| St Joseph Mercy Oakland Pontiac, MI · (248) 858-3000 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level File of Mar 31, 2026 · source file | $1,656.85 | $2,549.00 | $371.81–$2,549.00 | 35% |
| St Joseph Mercy Oakland one side Pontiac, MI · (248) 858-3000 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt+1 more line at this price File of Mar 31, 2026 · source file | $1,656.85 | $2,549.00 | $371.81–$2,549.00 | 35% |
| St Mary Mercy Livonia Livonia, MI · (734) 655-4800 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level File of Mar 31, 2026 · source file | $1,656.85 | $2,549.00 | $371.81–$2,549.00 | 35% |
| Harper University Hospital Detroit, MI · (313) 745-6211 L SP FACET INJ+IMAG LVL1+1 more line at this price File of Sep 2, 2026 · source file | $1,892.25 | $2,523.00 | $0.22–$3,791.00 | 25% |
| Henry Ford Health St John Hospital Detroit, MI · (313) 343-4000 INJ JT/NRV LUMB/SAC WGUID SNGL+1 more line at this price File of Jan 1, 2026 · source file | $2,257.92 | $4,032.00 | $247.51–$2,903.04 | 44% |
| VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 L SP FACET INJ+IMAG LVL1 File of Apr 8, 2026 · source file | $2,382.00 | $3,176.00 | — | 25% |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 INJ PARAVERT F JNT L/S 1 LEV File of Dec 31, 2025 · source file | $2,473.15 | $4,946.30 | $486.99–$2,512.72 | 50% |
| St Joseph Mercy Livingston Hospital Brighton, MI · (517) 545-6000 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl File of Mar 31, 2026 · source file | $2,484.30 | $3,822.00 | $371.81–$3,822.00 | 35% |
| St Mary Mercy Livonia Livonia, MI · (734) 655-4800 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl File of Mar 31, 2026 · source file | $2,484.30 | $3,822.00 | $371.81–$3,822.00 | 35% |
| St Joseph Mercy Oakland Pontiac, MI · (248) 858-3000 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl File of Mar 31, 2026 · source file | $2,484.30 | $3,822.00 | $371.81–$3,822.00 | 35% |
| Surgeons Choice Medical Center Southfield, MI NJX DX/THER AGT PVRT FA JT LMBR/SAC 1 L File of May 8, 2026 · source file | $2,850.00 | $2,850.00 | $777.30–$863.66 | — |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Tx Inj Facet Jt Lumb Sacr Single+1 more line at this price File of Apr 1, 2026 · source file | $3,358.54 | $3,358.54 | — | — |
| Beaumont Hospital - Grosse Pointe Grosse Pointe, MI · (313) 473-1000 Hc Tx Inj Facet Jt Lumb Sacr Single+1 more line at this price File of Apr 1, 2026 · source file | $3,358.54 | $3,358.54 | — | — |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Tx Inj Facet Jt Lumb Sacr Single+1 more line at this price File of Apr 1, 2026 · source file | $3,358.54 | $3,358.54 | — | — |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Inj Facet Jt Lumb Sacr Single+1 more line at this price File of Apr 1, 2026 · source file | $3,358.54 | $3,358.54 | — | — |
| Beaumont Hospital, Troy Troy, MI · (248) 964-8800 Hc Inj Facet Jt Lumb Sacr Single+1 more line at this price File of Apr 1, 2026 · source file | $3,358.54 | $3,358.54 | — | — |
| Beaumont Hospital - Grosse Pointe Grosse Pointe, MI · (313) 473-1000 HC INJ FACET JT LUMB SACR SINGLE+1 more line at this price File of May 1, 2026 · source file | $3,359.00 | $3,359.00 | — | — |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 HC TX INJ FACET JT LUMB SACR SINGLE+1 more line at this price File of May 1, 2026 · source file | $3,359.00 | $3,359.00 | — | — |
| Beaumont Hospital Royal Oak Royal Oak, MI · (248) 898-5400 HC TX INJ FACET JT LUMB SACR SINGLE+1 more line at this price File of May 1, 2026 · source file | $3,359.00 | $3,359.00 | — | — |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 HC TX INJ FACET JT LUMB SACR SINGLE+1 more line at this price File of May 1, 2026 · source file | $3,359.00 | $3,359.00 | — | — |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 HC INJ FACET JT LUMB SACR SINGLE+1 more line at this price File of May 1, 2026 · source file | $3,359.00 | $3,359.00 | — | — |
| Beaumont Hospital - Dearborn Dearborn, MI · (313) 593-7125 HC INJ FACET JT LUMB SACR SINGLE+1 more line at this price File of May 1, 2026 · source file | $3,359.00 | $3,359.00 | — | — |
| Beaumont Hospital, Troy Troy, MI · (248) 964-8800 HC TX INJ FACET JT LUMB SACR SINGLE+1 more line at this price File of May 1, 2026 · source file | $3,359.00 | $3,359.00 | — | — |
| Corewell Health Farmington Hills Hospital Farmington Hills, MI · (248) 471-8000 HC INJ FACET JT LUMB SACR SINGLE+1 more line at this price File of May 1, 2026 · source file | $3,359.00 | $3,359.00 | — | — |
| VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 L SP FACET INJ+IMAG LVL1 File of Apr 6, 2026 · source file | $4,079.25 | $5,439.00 | — | 25% |
| McLaren Oakland both sides Pontiac, MI · (248) 338-5000 64493-XR Facet Injection Lumb/Sacr Bilat File of Dec 31, 2025 · source file | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% |
| McLaren Macomb both sides Mount Clemens, MI · (586) 493-8000 64493-XR Facet Injection Lumb/Sacr Bilat File of Dec 31, 2025 · source file | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% |
| McLaren Port Huron both sides Port Huron, MI · (810) 987-5000 64493-XR Facet Injection Lumb/Sacr Bilat File of Dec 31, 2025 · source file | $1,083.70 | $2,167.40 | $486.99–$1,389.25 | 50% |
| McLaren Lapeer Region both sides Lapeer, MI · (810) 667-5500 64493-XR Facet Injection Lumb/Sacr Bilat File of Dec 31, 2025 · source file | $1,187.45 | $2,374.90 | $486.99–$1,389.25 | 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
Outpatient: lowest $710.55, median $2,075.09, highest $4,079.25 — a 5.7× difference within the same market.
Both sides : lowest $841.50, median $1,052.60, highest $1,187.45 — a 1.4× difference within the same market.
The two groups are not comparable and are not averaged together: a
price for both sides of the body covers twice the work. Merging them is how a single
published "median" ends up far above what one side actually costs.
As an inpatient, the same code is billed by 20 facilities here, median $2,553.96. 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 13 of 14 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 lumbar facet injection is, what the price covers and why prices differ: Lumbar facet injection explained.