CT scan of the lower back (lumbar spine) is a diagnostic imaging scan. Prices are from 2387 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $1,538 — about 9.1× 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 $2,672 list price could save about $1,134 (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 |
|---|---|---|---|---|---|---|
| Little Falls Hospital | Little Falls, NY | $233 | $234 | ★ 2/5 | 109 min | — |
| The University Hospital | Newark, NJ | $234 | $515 | ★ 1/5 | 307 min | — |
| Oklahoma Spine Hospital | Oklahoma City, OK | $235 | $159 | — | 112 min | — |
| Citizens Memorial Hospital | Bolivar, MO | $235 | $256 | ★ 3/5 | 186 min | — |
| Frederick Health Hospital | Frederick, MD | $236 | — | ★ 3/5 | 230 min | — |
| Tidalhealth Peninsula Regional, Inc | Salisbury, MD | $237 | $242 | ★ 4/5 | 177 min | — |
| Morristown Medical Center | Morristown, NJ | $238 | $383 | ★ 5/5 | 250 min | — |
| Chilton Medical Center | Pompton Plains, NJ | $238 | $383 | ★ 5/5 | 207 min | — |
| Overlook Medical Center | Summit, NJ | $238 | $383 | ★ 5/5 | 192 min | — |
| Good Samaritan Hospital | Vincennes, IN | $244 | $249 | ★ 2/5 | 119 min | — |
| Medstar Good Samaritan Hospital | Baltimore, MD | $244 | $249 | ★ 3/5 | 247 min | — |
| Family Health West Hospital | Fruita, CO | $248 | $511 | — | 48 min | — |
| University of Illinois Hospital and Clinics | Chicago, IL | $251 | $189 | ★ 4/5 | 298 min | — |
| Surgical Institute of Reading | Wyomissing, PA | $253 | $366 | — | — | — |
| Greater Baltimore Medical Center | Baltimore, MD | $254 | $259 | ★ 5/5 | 228 min | — |
| University of Iowa Health Care Medical Center Down | Iowa City, IA | $258 | $305 | ★ 4/5 | 149 min | — |
| University of Iowa Hospital & Clinics | Iowa City, IA | $258 | $305 | ★ 2/5 | 210 min | — |
| Calverthealth Medical Center | Prince Frederick, MD | $262 | — | ★ 5/5 | 194 min | — |
| Medstar Harbor Hospital | Baltimore, MD | $265 | $270 | ★ 4/5 | 212 min | — |
| University of Texas Medical Branch Galveston | Galveston, TX | $265 | $196 | ★ 3/5 | 190 min | — |
| Northwest Hills Surgical Hospital | Austin, TX | $267 | $237 | — | — | — |
| Gateway Regional Medical Center | Granite City, IL | $268 | — | ★ 2/5 | 140 min | — |
| Wayne County Hospital | Monticello, KY | $269 | — | — | — | — |
| Ochsner St Mary | Morgan City, LA | $274 | $325 | ★ 2/5 | 89 min | — |
| Ochsner LSU Health Shreveport-St Mary Medical Cent | Shreveport, LA | $274 | $325 | ★ 2/5 | — | — |
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 October 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)
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: $1,538; Medicare pays $169.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Univera | 16 |
$49 – $205 |
| Medicaid | 367 |
$43 – $634 |
| Independent Health | 32 |
$51 – $432 |
| Highmark | 140 |
$85 – $422 |
| Medicare | 619 |
$58 – $740 |
| Tricare / VA | 436 |
$60 – $1,399 |
| Amerigroup | 177 |
$88 – $507 |
| Devoted Health | 183 |
$100 – $611 |
| Molina Healthcare | 584 |
$67 – $1,305 |
| MVP Health Care | 83 |
$64 – $2,124 |
| Centene / Ambetter | 837 |
$83 – $1,280 |
| Geisinger | 75 |
$86 – $1,300 |
| AmeriHealth | 244 |
$73 – $1,109 |
| SelectHealth | 48 |
$107 – $2,131 |
| EmblemHealth | 79 |
$131 – $689 |
| Priority Health | 60 |
$68 – $1,685 |
| Anthem | 617 |
$85 – $1,261 |
| Oscar Health | 175 |
$112 – $1,290 |
| UnitedHealthcare | 1639 |
$97 – $2,284 |
| UCare | 72 |
$85 – $2,414 |
| UPMC Health Plan | 114 |
$102 – $1,368 |
| Kaiser Permanente | 234 |
$121 – $2,459 |
| Harvard Pilgrim | 59 |
$113 – $1,977 |
| Blue Cross Blue Shield | 1373 |
$102 – $2,417 |
| Humana | 1091 |
$101 – $1,824 |
| Bright Health | 44 |
$139 – $4,002 |
| Workers' Comp / No-Fault | 160 |
$148 – $2,394 |
| Cigna | 1228 |
$126 – $3,299 |
| HealthPartners | 283 |
$97 – $2,620 |
| Aetna | 1518 |
$106 – $2,997 |
| Medica | 264 |
$117 – $2,861 |
| Security Health Plan | 64 |
$104 – $2,163 |
| Health Net | 345 |
$134 – $6,132 |
| Sanford Health Plan | 80 |
$127 – $2,551 |
| Healthcare Highways | 41 |
$517 – $3,272 |
| Coventry | 164 |
$169 – $4,662 |
| AvMed | 67 |
$738 – $4,398 |
| MultiPlan / PHCS network | 923 |
$307 – $6,825 |
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 |
|---|---|
| Maryland | $249 |
| Rhode Island | $415 |
| New Jersey | $518 |
| Arkansas | $740 |
| Tennessee | $762 |
| Mississippi | $762 |
Prices by city
Prices by state
Does Medicare cover CT scan of the lower back (lumbar spine)?
Yes — Medicare generally covers CT scan of the lower back (lumbar spine). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $169. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $34 — 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 2387 US hospitals across 52 states, the typical (median) cash price is $1,538, versus a chargemaster (list) price around $2,672, a median insurer-negotiated rate of $496, a Medicare rate of about $169. Most cash prices fall between $454 and $4,189 — 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) cost without insurance?
Does Medicare cover CT scan of the lower back (lumbar spine)?
What does Medicare pay for CT scan of the lower back (lumbar spine)?
Why do CT scan of the lower back (lumbar spine) prices vary between hospitals?
Is the cash price lower than using insurance?
Related Imaging & Radiology
See more Imaging & Radiology.