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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Actual driving distances may vary
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
Exeter Hospital
Exeter, NH
$183 63% $68 Medium
$175 57% $75 Medium
Convenient MD
Concord, NH
$111 0% $111 Medium
Concord Hospital
Concord, NH
$393 67% $130 Medium
$393 67% $130 Medium
$142 0% $142 Medium
$142 0% $142 Medium
$142 0% $142 Medium
$170 0% $170 Medium
$173 0% $173 Medium
Core Physicians
Exeter, NH
$183 0% $183 Medium
$183 0% $183 Medium
$295 0% $295 Medium
$517 33% $346 Medium
Weeks Medical Center
Lancaster, NH
$629 44% $352 Medium
$599 41% $353 High
Concord Orthopaedics
Concord, NH
$364 0% $364 Medium
New London Hospital
New London, NH
$684 45% $376 Medium
Dartmouth Health
Lebanon, NH
$387 0% $387 High
Monadnock Community Hospital
Peterborough, NH
$624 38% $387 Medium
St. Joseph Hospital
Nashua, NH
$1,010 61% $394 High
Elliot Hospital
Manchester, NH
$973 59% $399 Medium
Cottage Hospital
Woodsville, NH
$807 50% $404 Medium
$738 42% $428 Medium
Mobility Bone & Joint
Andover, MA
$526 0% $526 Medium
$1,009 40% $605 Medium
$965 0% $965 Medium
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