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
$130 91% $12 Medium
$42 62% $16 Medium
$533 91% $48 Medium
$175 57% $75 Medium
$888 91% $80 High
$116 0% $116 Medium
Seacoast Radiology
Dover, NH
$130 0% $130 Medium
$142 0% $142 Medium
$142 0% $142 Medium
$164 0% $164 Medium
$173 0% $173 Medium
$175 0% $175 High
Concord Hospital
Concord, NH
$644 67% $212 Medium
$247 0% $247 Medium
$295 0% $295 Medium
Exeter Hospital
Exeter, NH
$818 63% $303 High
Concord Orthopaedics
Concord, NH
$306 0% $306 Medium
$544 41% $321 Medium
Weeks Medical Center
Lancaster, NH
$586 44% $328 Medium
Elliot Hospital
Manchester, NH
$862 59% $353 Medium
Dartmouth Health
Lebanon, NH
$354 0% $354 Medium
St. Joseph Hospital
Nashua, NH
$922 61% $360 Medium
Monadnock Community Hospital
Peterborough, NH
$624 38% $387 Medium
$738 42% $428 High
$442 0% $442 Medium
Huggins Hospital
Wolfeboro, NH
$905 50% $453 Medium
$970 40% $582 Medium
$662 0% $662 Medium
$965 0% $965 Medium
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