X-Ray of Spine, 4 Views

CPT Code 72110

At least four X-ray views of the lower back (lumbosacral region) that connects the spine to the pelvis, to evaluate back injuries, persistent numbness, and low back pain. 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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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 $721
$42 62% $16 Medium
$481 91% $43 Medium
$1,049 91% $94 Medium
$1,090 91% $98 Medium
$627 57% $270 High
$289 0% $289 Medium
Weeks Medical Center
Lancaster, NH
$547 44% $306 Medium
Exeter Hospital
Exeter, NH
$818 60% $327 Medium
$358 0% $358 High
St. Joseph Hospital
Nashua, NH
$964 61% $376 Medium
$396 0% $396 Medium
New London Hospital
New London, NH
$861 52% $413 Medium
Elliot Hospital
Manchester, NH
$1,092 57% $470 Medium
$494 0% $494 Medium
Monadnock Community Hospital
Peterborough, NH
$774 36% $495 Medium
$509 0% $509 Medium
Core Physicians
Exeter, NH
$511 0% $511 Medium
$513 0% $513 High
$1,398 62% $531 High
$914 41% $539 Medium
$948 42% $550 Medium
$562 0% $562 Medium
DMC Primary Care
Derry, NH
$572 0% $572 High
$618 0% $618 Medium
$653 0% $653 Medium
York Hospital
York, ME
$672 0% $672 Medium
Concord Orthopaedics
Concord, NH
$716 0% $716 Medium
$1,284 40% $770 High
Steward Medical Group
Methuen, MA
$903 0% $903 Medium
$927 0% $927 Medium
Seacoast Radiology
Dover, NH
$1,230 0% $1,230 Medium
$1,361 0% $1,361 Medium
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