X-ray of the lower back (lumbar spine) (4+ views) Cost

X-ray of the lower back (lumbar spine) (4+ views) is a diagnostic imaging scan. Prices are from 2363 US hospitals across 52 states, from their machine-readable files.

$401median cash price · 2363 hospitals, 52 statestypically $131–$1,050 depending on the hospital
≈ 7.5× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$685
Cash / self-pay
$401
Insurer-negotiated
$156
Medicare pays
$53
$131$1,050
Median cash $401  ·  Medicare $53  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $401 — about 7.5× the Medicare rate ($53). High vs Medicare. A fair cash price is usually within ~2× Medicare ($107).

💡 Asking for the cash price instead of the $685 list price could save about $285 (42%).

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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
King's Daughters Medical Center-Brookhaven Brookhaven, MS $61 $130 ★ 3/5 136 min 15.3%
Northwest Hills Surgical Hospital Austin, TX $61 $51 14.4%
Jefferson Health-Northeast Philadelphia, PA $64 $22 ★ 2/5 290 min 15.4%
Prosser Memorial Hospital Prosser, WA $65 $23 ★ 3/5 126 min 15.2%
Fallon Medical Complex Hospital Baker, MT $66 $83 92 min 15.2%
Cordova Community Medical Center Cordova, AK $67 127 min
Mercyone North Iowa Medical Center Mason City, IA $67 $23 ★ 2/5 188 min 14.3%
Hancock County Hospital Sneedville, TN $68 $209 106 min
Dickenson Community Hospital Clintwood, VA $68 $99 109 min
Lee County Community Hospital Pennington Gap, VA $68 $89 112 min 15.2%
Johnson Memorial Hospital Franklin, IN $69 $99 ★ 5/5 144 min 14.9%
University of Iowa Health Care Medical Center Down Iowa City, IA $69 $87 ★ 4/5 157 min 15.0%
University of Iowa Hospital & Clinics Iowa City, IA $69 $87 ★ 2/5 210 min 13.5%
Wellmont Bristol Regional Medical Center Bristol, TN $69 $103 ★ 2/5 192 min 15.8%
Wellmont Holston Valley Medical Center Kingsport, TN $69 $103 ★ 2/5 207 min 14.8%
Sycamore Shoals Hospital Elizabethton, TN $69 $99 ★ 2/5 154 min 15.0%
Hawkins County Memorial Hospital Rogersville, TN $69 $100 112 min 14.9%
Greeneville Community Hospital Greeneville, TN $69 $101 ★ 2/5 159 min 16.0%
Johnson City Medical Center Johnson City, TN $69 $99 ★ 1/5 208 min 15.5%
Indian Path Community Hospital Kingsport, TN $69 $99 147 min 14.5%
Franklin Woods Community Hospital Johnson City, TN $69 $98 ★ 3/5 176 min 14.2%
Johnson County Community Hospital Mountain City, TN $69 $99 126 min
Russell County Hospital Lebanon, VA $69 $102 ★ 4/5 117 min 15.8%
Smyth County Community Hospital Marion, VA $69 $105 ★ 3/5 142 min 14.7%
Johnston Memorial Hospital Abingdon, VA $69 $105 ★ 3/5 186 min 15.1%

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 August 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 X-ray of the lower back (lumbar spine) (4+ views)

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: $401; Medicare pays $53.

InsurerHospitalsNegotiated median
Medicaid 365
$33
$10 – $142
Univera 16
$39
$10 – $60
Amerigroup 176
$52
$24 – $141
Independent Health 36
$54
$13 – $233
Medicare 592
$55
$13 – $166
Highmark 135
$58
$15 – $211
Geisinger 71
$59
$20 – $493
Molina Healthcare 585
$69
$25 – $294
Anthem 597
$91
$20 – $348
Tricare / VA 433
$98
$13 – $360
Humana 1083
$102
$38 – $574
SelectHealth 48
$102
$34 – $459
AmeriHealth 240
$102
$20 – $283
MVP Health Care 86
$104
$16 – $511
Priority Health 62
$104
$19 – $390
Centene / Ambetter 802
$106
$24 – $343
Blue Cross Blue Shield 1323
$107
$21 – $526
Devoted Health 179
$107
$91 – $224
Workers' Comp / No-Fault 158
$113
$45 – $653
UPMC Health Plan 109
$114
$33 – $526
UCare 75
$115
$27 – $584
EmblemHealth 66
$131
$30 – $321
Harvard Pilgrim 58
$131
$31 – $611
UnitedHealthcare 1568
$134
$32 – $587
Oscar Health 162
$142
$29 – $305
Kaiser Permanente 237
$142
$39 – $786
Aetna 1466
$149
$37 – $768
Bright Health 40
$151
$55 – $1,137
Cigna 1211
$179
$59 – $835
HealthPartners 273
$187
$28 – $664
Medica 251
$199
$39 – $663
Security Health Plan 63
$276
$42 – $778
Health Net 332
$299
$37 – $1,358
Sanford Health Plan 82
$302
$48 – $657
Coventry 165
$398
$49 – $1,144
Healthcare Highways 50
$475
$153 – $889
MultiPlan / PHCS network 905
$583
$78 – $1,551
AvMed 65
$987
$160 – $1,962

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$77
Mississippi$142
Tennessee$144
Rhode Island$163
Arkansas$166
New Jersey$167

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Nathan Bennington, D.O.Diagnostic RadiologyPortsmouth, OH1,279
Christos Kosmas, MDDiagnostic RadiologyCleveland, OH1,049
Ravi Prasad, MDDiagnostic RadiologyWest Hollywood, CA885
Frank Mullens, M.D.Diagnostic RadiologyColumbia, MO823
Charles Wennogle, MDDiagnostic RadiologyOcoee, FL740
Tarek Karaman, M.D.Internal MedicineChicago, IL680
Antonio Nelson, M.D.Diagnostic RadiologyOwings Mills, MD673
Terrance Peabody, MDOrthopedic SurgeryBurr Ridge, IL660
Ngoc-Lam Nguyen, MDOrthopedic SurgerySarasota, FL627
Peter Campbell, M.D.NeurosurgeryShreveport, LA624
Michael Baskin, MDPain ManagementBoynton Beach, FL621
Rajeev Polasani, MDDiagnostic RadiologyEvanston, IL612

Browse doctors by specialty & city →

Does Medicare cover X-ray of the lower back (lumbar spine) (4+ views)?

Yes — Medicare generally covers X-ray of the lower back (lumbar spine) (4+ views). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $53. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $11 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2363 US hospitals across 52 states, the typical (median) cash price is $401, versus a chargemaster (list) price around $685, a median insurer-negotiated rate of $156, a Medicare rate of about $53. Most cash prices fall between $131 and $1,050 — 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 X-ray of the lower back (lumbar spine) (4+ views) cost without insurance?
The median cash (self-pay) price across 2363 US hospitals is $401. Most hospitals fall between $131 and $1,050. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover X-ray of the lower back (lumbar spine) (4+ views)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $53). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for X-ray of the lower back (lumbar spine) (4+ views)?
Medicare pays about $53. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do X-ray of the lower back (lumbar spine) (4+ views) 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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