Low Back MRI, Before and After Contrast

CPT Code 72158

A diagnostic procedure using magnetic resonance imaging (MRI) of the lumbar spinal canal and contents, first without contrast material and again with contrast material. This cost estimate includes the costs for the facility (place where the procedure was performed, including supplies and staff) and the professional (provider who interprets the MRI).

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Provider NameSort by Provider Name Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured.
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Uninsured Discount Uninsured Discount
The minimum discount rate that the health care provider gives to the New Hampshire Insurance Department. The actual discount depends on your financial status and the health care provider’s charity care policy.
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What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
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Typical Patient Complexity Typical Patient Complexity
This indicates how healthy or sick the patients are that receive care for this procedure at this health care provider. Some health care providers see patients that have more complex health issues or are less healthy than others, and it may be more expensive to treat them.
Statewide Averages $5,801
$741 62% $281 Medium
$7,554 91% $680 Medium
$4,621 57% $1,987 Medium
Exeter Hospital
Exeter, NH
$5,801 63% $2,146 Medium
$2,174 0% $2,174 Medium
$7,432 69% $2,304 High
St. Joseph Hospital
Nashua, NH
$5,948 61% $2,320 High
Concord Hospital
Concord, NH
$7,648 67% $2,524 Medium
Elliot Hospital
Manchester, NH
$6,579 59% $2,698 High
$3,103 0% $3,103 Medium
$3,380 0% $3,380 Medium
$4,322 0% $4,322 Medium
$7,721 40% $4,632 Medium
$4,734 0% $4,734 Medium
Concord Orthopaedics
Concord, NH
$4,734 0% $4,734 Medium
$7,431 33% $4,979 Medium
$6,077 0% $6,077 Medium
$7,553 0% $7,553 Medium
$7,553 0% $7,553 High
$7,914 0% $7,914 High
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