X-Ray of Low Back, 4 Views

CPT Code 72110

At least four X-ray views of the lower back (lumbar region) that connects the spine to the pelvis, to evaluate back injuries, persistent numbness, and low back pain. 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 X-ray).

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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 $295
$42 62% $16 Medium
$515 91% $46 Medium
$175 57% $75 Medium
$888 91% $80 Medium
$84 0% $84 Medium
$116 0% $116 Medium
Seacoast Radiology
Dover, NH
$130 0% $130 Medium
$162 0% $162 Medium
$173 0% $173 Medium
$175 0% $175 Medium
$175 0% $175 Medium
$183 0% $183 Medium
$247 0% $247 High
$295 0% $295 Medium
Concord Hospital
Concord, NH
$910 67% $300 Medium
Exeter Hospital
Exeter, NH
$818 63% $303 High
Weeks Medical Center
Lancaster, NH
$544 44% $305 Medium
Concord Orthopaedics
Concord, NH
$306 0% $306 Medium
$544 41% $321 Medium
Elliot Hospital
Manchester, NH
$862 59% $353 Medium
St. Joseph Hospital
Nashua, NH
$922 61% $360 Medium
New London Hospital
New London, NH
$662 45% $364 Medium
$381 0% $381 High
$411 0% $411 Medium
$970 40% $582 Medium
$927 0% $927 Medium
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