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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Compare Procedure Costs
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
| 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. |
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. |
What You Will Pay
What You Will Pay The estimated charge amount minus the uninsured discount (when available). |
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 | $4,734 | ||||
|
Dartmouth-Hitchcock Medical Center
Lebanon, NH |
$373 | 62% | $142 | Medium | |
|
Portsmouth Regional Hospital
Portsmouth, NH |
$7,839 | 91% | $706 | Medium | |
|
Seacoast Dermatology
Portsmouth, NH |
$886 | 0% | $886 | High | |
|
Southern New Hampshire Health
Nashua, NH |
$4,317 | 57% | $1,856 | High | |
|
Derry Imaging Center
Derry, NH |
$2,174 | 0% | $2,174 | Medium | |
|
Exeter Hospital
Exeter, NH |
$6,223 | 63% | $2,303 | High | |
|
Concord Hospital
Concord, NH |
$7,606 | 67% | $2,510 | Medium | |
|
Southern New Hampshire Radiology Consultants
Bedford, NH |
$2,808 | 0% | $2,808 | Medium | |
|
Elliot Hospital
Manchester, NH |
$7,178 | 59% | $2,943 | High | |
|
Concord Imaging Center
Concord, NH |
$3,103 | 0% | $3,103 | Medium | |
|
New Hampshire Neurospine Institute
Bedford, NH |
$3,380 | 0% | $3,380 | Medium | |
|
X-Ray Professional Association
Concord, NH |
$3,919 | 0% | $3,919 | Medium | |
|
Androscoggin Valley Hospital
Berlin, NH |
$6,221 | 37% | $3,919 | Medium | |
|
Bedford Ambulatory Surgical Center Imaging
Bedford, NH |
$4,538 | 0% | $4,538 | Medium | |
|
Monadnock Community Hospital
Peterborough, NH |
$7,455 | 38% | $4,622 | Medium | |
|
Wentworth-Douglass Hospital
Dover, NH |
$7,837 | 40% | $4,702 | Medium | |
|
Concord Orthopaedics
Concord, NH |
$4,734 | 0% | $4,734 | Medium | |
|
Mary Hitchcock Memorial Hospital
Lebanon, NH |
$8,514 | 33% | $5,705 | Medium | |
|
Memorial Hospital
North Conway, NH |
$8,523 | 33% | $5,710 | Medium | |
|
Radiology Associates of Keene
Keene, NH |
$7,914 | 0% | $7,914 | Medium | |
|
Alliance Health Services
Bedford, NH |
$8,822 | 0% | $8,822 | Medium | |
|
Dartmouth Health (Nashua)
Nashua, NH |
$8,822 | 0% | $8,822 | Medium | |
Compare Selected
Compare Procedure Costs
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Before seeking care, contact your health or dental insurance company to confirm if a provider is covered by your plan.