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 2389 US hospitals across 52 states, from their machine-readable files.

$396median cash price · 2389 hospitals, 52 statestypically $129–$1,032 depending on the hospital
≈ 7.4× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$681
Cash / self-pay
$396
Insurer-negotiated
$155
Medicare pays
$53
$129$1,032
Median cash $396  ·  Medicare $53  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $396 — about 7.4× 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 $681 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 ★ 3/5 140 min —
Northwest Hills Surgical Hospital Austin, TX $61 $51 — — —
Jefferson Health-Northeast Philadelphia, PA $64 $22 ★ 2/5 316 min —
Prosser Memorial Hospital Prosser, WA $65 $23 ★ 3/5 112 min —
Fallon Medical Complex Hospital Baker, MT $66 $83 — 102 min —
Cordova Community Medical Center Cordova, AK $67 — — 130 min —
Mercyone North Iowa Medical Center Mason City, IA $67 $23 ★ 2/5 193 min —
Hancock County Hospital Sneedville, TN $68 $209 — 104 min —
Dickenson Community Hospital Clintwood, VA $68 $99 — 109 min —
Lee County Community Hospital Pennington Gap, VA $68 $89 — 109 min —
Johnson Memorial Hospital Franklin, IN $69 $99 ★ 5/5 139 min —
University of Iowa Health Care Medical Center Down Iowa City, IA $69 $87 ★ 4/5 149 min —
University of Iowa Hospital & Clinics Iowa City, IA $69 $87 ★ 2/5 210 min —
Wellmont Bristol Regional Medical Center Bristol, TN $69 $103 ★ 2/5 196 min —
Wellmont Holston Valley Medical Center Kingsport, TN $69 $103 ★ 2/5 204 min —
Sycamore Shoals Hospital Elizabethton, TN $69 $99 ★ 2/5 142 min —
Hawkins County Memorial Hospital Rogersville, TN $69 $100 — 113 min —
Greeneville Community Hospital Greeneville, TN $69 $101 ★ 2/5 154 min —
Johnson City Medical Center Johnson City, TN $69 $99 ★ 1/5 211 min —
Indian Path Community Hospital Kingsport, TN $69 $99 — 136 min —
Franklin Woods Community Hospital Johnson City, TN $69 $98 ★ 3/5 178 min —
Johnson County Community Hospital Mountain City, TN $69 $99 — 131 min —
Russell County Hospital Lebanon, VA $69 $102 ★ 4/5 130 min —
Smyth County Community Hospital Marion, VA $69 $105 ★ 3/5 141 min —
Johnston Memorial Hospital Abingdon, VA $69 $105 ★ 3/5 192 min —

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 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: $396; Medicare pays $53.

InsurerHospitalsNegotiated median
Medicaid 370
$33
$10 – $142
Univera 16
$39
$10 – $60
Amerigroup 177
$52
$25 – $141
Independent Health 36
$54
$13 – $233
Medicare 598
$55
$13 – $168
Highmark 141
$58
$15 – $211
Geisinger 74
$59
$20 – $493
Molina Healthcare 588
$69
$25 – $293
Anthem 615
$92
$20 – $343
Tricare / VA 438
$98
$13 – $353
Humana 1099
$102
$38 – $574
AmeriHealth 244
$102
$20 – $283
SelectHealth 48
$102
$34 – $459
Priority Health 61
$104
$19 – $391
MVP Health Care 88
$105
$16 – $511
Centene / Ambetter 820
$106
$24 – $343
Blue Cross Blue Shield 1333
$107
$21 – $525
Devoted Health 183
$107
$93 – $224
Workers' Comp / No-Fault 159
$113
$45 – $653
UPMC Health Plan 114
$113
$28 – $509
UCare 76
$115
$27 – $584
EmblemHealth 81
$131
$30 – $293
Harvard Pilgrim 58
$131
$31 – $611
UnitedHealthcare 1598
$134
$32 – $587
Kaiser Permanente 239
$142
$39 – $786
Oscar Health 176
$143
$29 – $302
Aetna 1493
$149
$37 – $774
Bright Health 40
$151
$58 – $1,137
Cigna 1239
$176
$59 – $835
HealthPartners 276
$187
$28 – $664
Medica 253
$199
$39 – $663
Security Health Plan 63
$276
$42 – $778
Health Net 333
$299
$37 – $1,358
Sanford Health Plan 84
$302
$48 – $657
Coventry 169
$383
$49 – $1,134
Healthcare Highways 50
$475
$153 – $889
MultiPlan / PHCS network 920
$583
$78 – $1,551
AvMed 67
$987
$164 – $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$126
Mississippi$142
Tennessee$144
Rhode Island$163
New Jersey$166
Arkansas$166

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 2389 US hospitals across 52 states, the typical (median) cash price is $396, versus a chargemaster (list) price around $681, a median insurer-negotiated rate of $155, a Medicare rate of about $53. Most cash prices fall between $129 and $1,032 — 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 2389 US hospitals is $396. Most hospitals fall between $129 and $1,032. 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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