CT scan of the lower back (lumbar spine) with contrast Cost

CT scan of the lower back (lumbar spine) with contrast is a diagnostic imaging scan. Prices are from 2234 US hospitals across 52 states, from their machine-readable files.

$1,580median cash price · 2234 hospitals, 52 statestypically $507–$4,684 depending on the hospital
≈ 9.4× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$2,845
Cash / self-pay
$1,580
Insurer-negotiated
$616
Medicare pays
$169
$507$4,684
Median cash $1,580  ·  Medicare $169  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $1,580 — about 9.4× the Medicare rate ($169). High vs Medicare. A fair cash price is usually within ~2× Medicare ($337).

💡 Asking for the cash price instead of the $2,845 list price could save about $1,265 (44%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Wayne County Hospital Monticello, KY $243
Good Samaritan Hospital Vincennes, IN $244 $249 ★ 2/5 117 min 14.2%
Medstar Good Samaritan Hospital Baltimore, MD $244 $249 ★ 3/5 234 min 14.9%
North Arkansas Regional Medical Center Harrison, AR $247 $183 ★ 2/5 146 min 15.1%
Doctor's Center De San Juan Santurce, PR $250 $300 15.5%
Doctors' Center Bayamon Bayamon, PR $250 $300 16.6%
Doctors' Center Hospital, Inc Manati, PR $250 $300 ★ 1/5 16.3%
Doctors Center Hospital Carolina Llc Carolina, PR $250 $300 315 min 15.8%
Rochester General Hospital Rochester, NY $252 $126 ★ 2/5 237 min 15.8%
Greater Baltimore Medical Center Baltimore, MD $254 $259 ★ 5/5 231 min 13.5%
Acadia General Hospital Crowley, LA $256 $325 ★ 3/5 108 min 15.4%
University of Iowa Health Care Medical Center Down Iowa City, IA $258 $313 ★ 4/5 157 min 15.0%
University of Iowa Hospital & Clinics Iowa City, IA $258 $313 ★ 2/5 210 min 13.5%
Calverthealth Medical Center Prince Frederick, MD $262 ★ 5/5 200 min 14.3%
University of Illinois Hospital and Clinics Chicago, IL $263 $196 ★ 4/5 319 min 15.9%
Medstar Harbor Hospital Baltimore, MD $265 $270 ★ 4/5 208 min 13.7%
University of Texas Medical Branch Galveston Galveston, TX $273 $284 ★ 3/5 191 min 16.0%
Ochsner St Mary Morgan City, LA $274 $348 ★ 2/5 81 min 15.4%
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $274 $348 ★ 2/5
Atlantic General Hospital Berlin, MD $284 $284 ★ 3/5 146 min 14.9%
Gordon Memorial Hospital District Gordon, NE $285 $268 105 min 15.4%
White Mountain Regional Medical Center Springerville, AZ $290 $80 132 min 14.9%
Mount Desert Island Hospital Bar Harbor, ME $290 $201 130 min 14.6%
Adventist Healthcare Fort Washington Medical Ctr Fort Washington, MD $295 $301 ★ 4/5 214 min 14.9%
Hospital Comunitario Buen Samaritano Inc Aguadilla, PR $295 $130 15.7%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for CT scan of the lower back (lumbar spine) with contrast

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $1,580; Medicare pays $169.

InsurerHospitalsNegotiated median
Univera 16
$136
$48 – $205
Medicaid 338
$164
$44 – $641
Independent Health 29
$180
$61 – $737
Highmark 129
$200
$115 – $746
Amerigroup 167
$229
$97 – $542
MVP Health Care 79
$270
$62 – $2,129
Geisinger 70
$338
$82 – $1,314
Medicare 558
$339
$60 – $738
Molina Healthcare 539
$340
$91 – $1,494
Tricare / VA 410
$342
$94 – $1,363
AmeriHealth 220
$342
$82 – $1,192
Anthem 537
$348
$93 – $1,334
Priority Health 59
$348
$83 – $1,827
SelectHealth 46
$357
$164 – $2,375
Devoted Health 165
$360
$324 – $734
UPMC Health Plan 94
$381
$140 – $1,320
Harvard Pilgrim 52
$386
$132 – $2,292
Centene / Ambetter 784
$397
$104 – $1,131
UCare 61
$403
$84 – $2,657
UnitedHealthcare 1468
$439
$116 – $2,447
Blue Cross Blue Shield 1254
$442
$125 – $2,634
EmblemHealth 62
$450
$172 – $936
Humana 997
$452
$151 – $2,013
Kaiser Permanente 229
$469
$164 – $2,734
Oscar Health 145
$479
$146 – $1,480
Workers' Comp / No-Fault 149
$525
$148 – $2,387
Bright Health 41
$529
$422 – $3,578
Cigna 1130
$635
$207 – $3,356
HealthPartners 231
$730
$118 – $2,556
Aetna 1394
$731
$158 – $3,053
Medica 224
$945
$156 – $3,032
Health Net 316
$1,182
$244 – $6,652
Security Health Plan 55
$1,259
$125 – $2,383
Sanford Health Plan 69
$1,482
$165 – $2,733
Healthcare Highways 41
$1,760
$641 – $3,102
Coventry 148
$1,961
$336 – $4,862
AvMed 61
$2,097
$738 – $5,079
MultiPlan / PHCS network 861
$2,435
$344 – $6,996

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$250
Maryland$254
New Jersey$574
Rhode Island$616
Arizona$695
Arkansas$762

Prices by city

Prices by state

About these prices

Based on prices published by 2234 US hospitals across 52 states, the typical (median) cash price is $1,580, versus a chargemaster (list) price around $2,845, a median insurer-negotiated rate of $616, a Medicare rate of about $169. Most cash prices fall between $507 and $4,684 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does CT scan of the lower back (lumbar spine) with contrast cost without insurance?
The median cash (self-pay) price across 2234 US hospitals is $1,580. Most hospitals fall between $507 and $4,684. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for CT scan of the lower back (lumbar spine) with contrast?
Medicare pays about $169. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do CT scan of the lower back (lumbar spine) with contrast prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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