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 event consists of a number of health care services that often occur at the same time. The cost shown reflects the services provided bundled into one cost estimate.
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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 | $6,179 | ||||
|
Portsmouth Regional Hospital
Portsmouth, NH |
$7,741 | 91% | $697 | Medium | |
|
Southern New Hampshire Health
Nashua, NH |
$5,161 | 65% | $1,806 | High | |
|
Seacoast Dermatology
Portsmouth, NH |
$2,003 | 0% | $2,003 | Medium | |
|
Derry Imaging Center
Derry, NH |
$2,174 | 0% | $2,174 | High | |
|
Exeter Hospital
Exeter, NH |
$6,085 | 63% | $2,251 | Medium | |
|
Cheshire Medical Center
Keene, NH |
$7,573 | 69% | $2,348 | Medium | |
|
St. Joseph Hospital
Nashua, NH |
$6,482 | 61% | $2,528 | High | |
|
Concord Hospital
Concord, NH |
$7,734 | 67% | $2,552 | High | |
|
Elliot Hospital
Manchester, NH |
$6,872 | 59% | $2,818 | High | |
|
Mary Hitchcock Memorial Hospital
Lebanon, NH |
$7,851 | 62% | $2,983 | High | |
|
Dartmouth-Hitchcock Medical Center
Lebanon, NH |
$7,906 | 62% | $3,004 | Medium | |
|
New London Hospital
New London, NH |
$5,977 | 45% | $3,287 | Medium | |
|
New Hampshire Neurospine Institute
Bedford, NH |
$3,390 | 0% | $3,390 | Medium | |
|
Concord Imaging Center
Concord, NH |
$3,415 | 0% | $3,415 | Medium | |
|
Bedford Ambulatory Surgical Center Imaging
Bedford, NH |
$4,116 | 0% | $4,116 | High | |
|
Alice Peck Day Memorial Hospital
Lebanon, NH |
$7,002 | 37% | $4,411 | Medium | |
|
Monadnock Community Hospital
Peterborough, NH |
$7,250 | 38% | $4,495 | High | |
|
Concord Orthopaedics
Concord, NH |
$4,610 | 0% | $4,610 | Medium | |
|
X-Ray Professional Association
Concord, NH |
$4,681 | 0% | $4,681 | High | |
|
New Hampshire Orthopaedic Center
Nashua, NH |
$7,022 | 0% | $7,022 | Medium | |
|
Wentworth-Douglass Hospital
Dover, NH |
$11,835 | 40% | $7,101 | Medium | |
|
Radiology Associates of Keene
Keene, NH |
$7,552 | 0% | $7,552 | Medium | |
|
Southern New Hampshire Radiology Consultants
Bedford, NH |
$7,667 | 0% | $7,667 | 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.