Lumbar facet injection cost in Detroit, MI
In Detroit-Warren-Dearborn, MI, 20 hospitals list a cash price for facet joint injection, lower back, one level, with imaging guidance: from $168.40 to $4,079.25, with a median of $1,755.75. The lowest listed price is at McLaren Lapeer Region and 3 other hospitals — $1,587.35 less than the median here. Across Michigan, the median is $1,176.00 at 45 hospitals.
Cash prices at 20 facilities across 14 cities for code 64493, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 2, 2026.
Lowest$168.40McLaren Lapeer Region + 3 more
Median$1,755.75half pay less
Highest$4,079.25in this market
Difference24.2×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 $168.40Highest $4,079.25
one sideboth sides
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| McLaren Lapeer Region lowest Lapeer, MI · (810) 667-5500 SP Injection Paravertical Facet Joint Lumbar or Sacral W/Image Guidance Single 64493 | $168.40 | $336.80 | $58.15–$145.40 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron lowest Port Huron, MI · (810) 987-5000 SP Injection Paravertical Facet Joint Lumbar or Sacral W/Image Guidance Single 64493 | $168.40 | $336.80 | $58.15–$145.40 | 50% | Dec 31, 2025 source file |
| McLaren Macomb lowest Mount Clemens, MI · (586) 493-8000 SP Injection Paravertical Facet Joint Lumbar or Sacral W/Image Guidance Single 64493 | $168.40 | $336.80 | $58.15–$145.40 | 50% | Dec 31, 2025 source file |
| McLaren Oakland lowest Pontiac, MI · (248) 338-5000 SP Injection Paravertical Facet Joint Lumbar or Sacral W/Image Guidance Single 64493 | $168.40 | $336.80 | $58.15–$145.40 | 50% | Dec 31, 2025 source file |
| Karmanos Cancer Center Detroit, MI · (800) 576-6266 CT/FL GD FACT BLK LUM 1LV | $710.55 | $1,421.10 | $486.99–$1,204.19 | 50% | Dec 31, 2025 source file |
| McLaren Oakland one side Pontiac, MI · (248) 338-5000 64493-XR Facet Injection Lumb/Sacr Left | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% | Dec 31, 2025 source file |
| McLaren Oakland one side Pontiac, MI · (248) 338-5000 64493-XR Facet Injection Lumb/Sacr Right | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% | Dec 31, 2025 source file |
| McLaren Oakland Pontiac, MI · (248) 338-5000 Inj Paravert Facet Jnt Lumbar/Sacral W/Guide Single Lvl 64493 | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% | Dec 31, 2025 source file |
| McLaren Oakland one side Pontiac, MI · (248) 338-5000 64493- IR Inj Paravert F Jnt L/S 1 Level LT | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% | Dec 31, 2025 source file |
| McLaren Oakland one side Pontiac, MI · (248) 338-5000 64493- IR Inj Paravert F Jnt L/S 1 Level RT | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% | Dec 31, 2025 source file |
| McLaren Macomb one side Mount Clemens, MI · (586) 493-8000 64493-XR Facet Injection Lumb/Sacr Right | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% | Dec 31, 2025 source file |
| McLaren Macomb one side Mount Clemens, MI · (586) 493-8000 64493- IR Inj Paravert F Jnt L/S 1 Level RT | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% | Dec 31, 2025 source file |
| McLaren Macomb one side Mount Clemens, MI · (586) 493-8000 64493-XR Facet Injection Lumb/Sacr Left | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 Inj Paravert Facet Jnt Lumbar/Sacral W/Guide Single Lvl 64493 | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% | Dec 31, 2025 source file |
| McLaren Macomb one side Mount Clemens, MI · (586) 493-8000 64493- IR Inj Paravert F Jnt L/S 1 Level LT | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 Inj Paravert Facet Jnt Lumbar/Sacral W/Guide Single Lvl 64493 | $1,083.70 | $2,167.40 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 IR Pain injection of the paravertbral facet joint Lumbar/sacrum | $1,083.70 | $2,167.40 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron one side Port Huron, MI · (810) 987-5000 64493-XR Facet Injection Lumb/Sacr Left | $1,083.70 | $2,167.40 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron one side Port Huron, MI · (810) 987-5000 64493-XR Facet Injection Lumb/Sacr Right | $1,083.70 | $2,167.40 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region one side Lapeer, MI · (810) 667-5500 64493-XR Facet Injection Lumb/Sacr Right | $1,187.45 | $2,374.90 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region one side Lapeer, MI · (810) 667-5500 64493-XR Facet Injection Lumb/Sacr Left | $1,187.45 | $2,374.90 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region one side Lapeer, MI · (810) 667-5500 64493- IR Inj Paravert F Jnt L/S 1 Level RT | $1,187.45 | $2,374.90 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Inj Paravert Facet Jnt Lumbar/Sacral W/Guide Single Lvl 64493 | $1,187.45 | $2,374.90 | $486.99–$1,474.81 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region one side Lapeer, MI · (810) 667-5500 64493- IR Inj Paravert F Jnt L/S 1 Level LT | $1,187.45 | $2,374.90 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB INJ(S) FACET LUMBAR/SACRAL SINGLE LVL | $1,216.18 | $1,770.00 | $56.94–$1,714.53 | 31% | Jun 28, 2026 source file |
| Henry Ford Wyandotte Hospital Wyandotte, MI HB INJ(S) FACET LUMBAR/SACRAL SINGLE LVL | $1,216.18 | $1,770.00 | $84.36–$2,056.00 | 31% | Jun 28, 2026 source file |
| Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB INJ(S) FACET LUMBAR/SACRAL SINGLE LVL | $1,216.18 | $1,770.00 | $84.36–$2,026.97 | 31% | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB INJ(S) FACET LUMBAR/SACRAL SINGLE LVL | $1,216.18 | $1,770.00 | $56.94–$1,710.06 | 31% | Jun 28, 2026 source file |
| McLaren Oakland Pontiac, MI · (248) 338-5000 INJ PARAVERT F JNT L/S 1 LEV | $1,320.33 | $2,640.65 | $486.99–$1,771.63 | 50% | Dec 31, 2025 source file |
| VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 L SP FACET INJ+IMAG LVL1 | $1,619.25 | $2,159.00 | $0.17–$3,791.00 | 25% | May 20, 2026 source file |
| Harper University Hospital Detroit, MI · (313) 745-6211 L SP FACET INJ+IMAG LVL1 | $1,892.25 | $2,523.00 | $0.22–$3,791.00 | 25% | Sep 2, 2026 source file |
| Harper University Hospital Detroit, MI · (313) 745-6211 L SP FACET INJ+IMAG LVL1 | $1,892.25 | $2,523.00 | $0.22–$3,791.00 | 25% | Aug 20, 2026 source file |
| Henry Ford Health Detroit, MI · (313) 343-4000 INJ JT/NRV LUMB/SAC WGUID SNGL | $2,257.92 | $4,032.00 | $247.51–$2,903.04 | 44% | — source file |
| Henry Ford Health Detroit, MI · (313) 343-4000 INJ JT/NRV LUMB/SAC WGUID SNGL | $2,257.92 | $4,032.00 | $247.51–$2,903.04 | 44% | — source file |
| VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 L SP FACET INJ+IMAG LVL1 | $2,382.00 | $3,176.00 | — | 25% | Apr 8, 2026 source file |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 INJ PARAVERT F JNT L/S 1 LEV | $2,473.15 | $4,946.30 | $486.99–$2,512.72 | 50% | Dec 31, 2025 source file |
| VHS Rehabilitation Institute of Michigan Detroit, MI L SP FACET INJ+IMAG LVL1 | $3,319.50 | $4,426.00 | — | 25% | Apr 8, 2026 source file |
| William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Tx Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Tx Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Tx Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Tx Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Tx Inj Facet Jt Lumb Sacr Single | $3,358.54 | $3,358.54 | — | — | — source file |
| VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 L SP FACET INJ+IMAG LVL1 | $4,079.25 | $5,439.00 | — | 25% | Apr 6, 2026 source file |
| McLaren Port Huron both sides Port Huron, MI · (810) 987-5000 XR Facet Injection Lumb/Sacr Bilat - Report | $168.40 | $336.80 | $58.15–$145.40 | 50% | Dec 31, 2025 source file |
| McLaren Macomb both sides Mount Clemens, MI · (586) 493-8000 XR Facet Injection Lumb/Sacr Bilat - Report | $168.40 | $336.80 | $58.15–$145.40 | 50% | Dec 31, 2025 source file |
| McLaren Oakland both sides Pontiac, MI · (248) 338-5000 XR Facet Injection Lumb/Sacr Bilat - Report | $168.40 | $336.80 | $58.15–$145.40 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region both sides Lapeer, MI · (810) 667-5500 XR Facet Injection Lumb/Sacr Bilat - Report | $168.40 | $336.80 | $58.15–$145.40 | 50% | Dec 31, 2025 source file |
| McLaren Oakland both sides Pontiac, MI · (248) 338-5000 64493-XR Facet Injection Lumb/Sacr Bilat | $841.50 | $1,683.00 | $486.99–$1,771.63 | 50% | Dec 31, 2025 source file |
| McLaren Macomb both sides Mount Clemens, MI · (586) 493-8000 64493-XR Facet Injection Lumb/Sacr Bilat | $1,021.50 | $2,043.00 | $486.99–$1,994.37 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron both sides Port Huron, MI · (810) 987-5000 64493-XR Facet Injection Lumb/Sacr Bilat | $1,083.70 | $2,167.40 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region both sides Lapeer, MI · (810) 667-5500 64493-XR Facet Injection Lumb/Sacr Bilat | $1,187.45 | $2,374.90 | $486.99–$1,389.25 | 50% | Dec 31, 2025 source file |
Outpatient: lowest $168.40, median $1,755.75, highest $4,079.25 — a 24.2× difference within the same market.
Both sides : lowest $168.40, median $168.40, highest $168.40.
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 9 facilities here, median $3,358.54. 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 8 of 12 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 it is
This injection puts numbing medicine or a steroid into or near a facet joint of the lower back, using imaging to guide the needle.
What the price covers
The price usually covers the injection and imaging guidance. The steroid or other medicine may be billed separately.
4 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 64493 ($1,512.38). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Henry Ford Health West Bloomfield Hospital West Bloomfield, MIPR INJ DX/TX AGENT PARAVERT FCT LUMB/SACR 1ST LVL | $115.58 | file |
| Henry Ford Wyandotte Hospital Wyandotte, MIPR INJ DX/TX AGENT PARAVERT FCT LUMB/SACR 1ST LVL | $115.58 | file |
| Henry Ford Macomb Hospital Clinton Twp, MIPR INJ DX/TX AGENT PARAVERT FCT LUMB/SACR 1ST LVL | $115.58 | file |
| Henry Ford Health Hospital Detroit, MIPR INJ DX/TX AGENT PARAVERT FCT LUMB/SACR 1ST LVL | $115.58 | file |