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.
Price comparison (median)
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%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| 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.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Medicaid | 365 |
$10 – $142 |
| Univera | 16 |
$10 – $60 |
| Amerigroup | 176 |
$24 – $141 |
| Independent Health | 36 |
$13 – $233 |
| Medicare | 592 |
$13 – $166 |
| Highmark | 135 |
$15 – $211 |
| Geisinger | 71 |
$20 – $493 |
| Molina Healthcare | 585 |
$25 – $294 |
| Anthem | 597 |
$20 – $348 |
| Tricare / VA | 433 |
$13 – $360 |
| Humana | 1083 |
$38 – $574 |
| SelectHealth | 48 |
$34 – $459 |
| AmeriHealth | 240 |
$20 – $283 |
| MVP Health Care | 86 |
$16 – $511 |
| Priority Health | 62 |
$19 – $390 |
| Centene / Ambetter | 802 |
$24 – $343 |
| Blue Cross Blue Shield | 1323 |
$21 – $526 |
| Devoted Health | 179 |
$91 – $224 |
| Workers' Comp / No-Fault | 158 |
$45 – $653 |
| UPMC Health Plan | 109 |
$33 – $526 |
| UCare | 75 |
$27 – $584 |
| EmblemHealth | 66 |
$30 – $321 |
| Harvard Pilgrim | 58 |
$31 – $611 |
| UnitedHealthcare | 1568 |
$32 – $587 |
| Oscar Health | 162 |
$29 – $305 |
| Kaiser Permanente | 237 |
$39 – $786 |
| Aetna | 1466 |
$37 – $768 |
| Bright Health | 40 |
$55 – $1,137 |
| Cigna | 1211 |
$59 – $835 |
| HealthPartners | 273 |
$28 – $664 |
| Medica | 251 |
$39 – $663 |
| Security Health Plan | 63 |
$42 – $778 |
| Health Net | 332 |
$37 – $1,358 |
| Sanford Health Plan | 82 |
$48 – $657 |
| Coventry | 165 |
$49 – $1,144 |
| Healthcare Highways | 50 |
$153 – $889 |
| MultiPlan / PHCS network | 905 |
$78 – $1,551 |
| AvMed | 65 |
$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
| State | Median 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.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Nathan Bennington, D.O. | Diagnostic Radiology | Portsmouth, OH | 1,279 |
| Christos Kosmas, MD | Diagnostic Radiology | Cleveland, OH | 1,049 |
| Ravi Prasad, MD | Diagnostic Radiology | West Hollywood, CA | 885 |
| Frank Mullens, M.D. | Diagnostic Radiology | Columbia, MO | 823 |
| Charles Wennogle, MD | Diagnostic Radiology | Ocoee, FL | 740 |
| Tarek Karaman, M.D. | Internal Medicine | Chicago, IL | 680 |
| Antonio Nelson, M.D. | Diagnostic Radiology | Owings Mills, MD | 673 |
| Terrance Peabody, MD | Orthopedic Surgery | Burr Ridge, IL | 660 |
| Ngoc-Lam Nguyen, MD | Orthopedic Surgery | Sarasota, FL | 627 |
| Peter Campbell, M.D. | Neurosurgery | Shreveport, LA | 624 |
| Michael Baskin, MD | Pain Management | Boynton Beach, FL | 621 |
| Rajeev Polasani, MD | Diagnostic Radiology | Evanston, IL | 612 |
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?
Does Medicare cover X-ray of the lower back (lumbar spine) (4+ views)?
What does Medicare pay for X-ray of the lower back (lumbar spine) (4+ views)?
Why do X-ray of the lower back (lumbar spine) (4+ views) prices vary between hospitals?
Is the cash price lower than using insurance?
Related Imaging & Radiology
See more Imaging & Radiology.