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California

Cost of a Lower Back MRI Visit
in California

Reviewed by Momentary Medical Group West PC

California's healthcare market operates at costs approximately 18% above the national average, driven by high real estate costs and dense urban provider networks. Patients seeking a Lower Back MRI typically pay between $72 and $470, with a median out-of-pocket cost of $96 based on negotiated insurance rates. With over 6,500 active Lower Back MRI providers across the state, patients can browse all providers in California to find cost-effective options within their network.

Average

$213

Median

$96

Lowest

$72

Highest

$470

Providers

6,585

National avg: $383California: $213

44% below national average

Compare Similar Procedures

How does mri lumbar spine compare to related procedures in California?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$55$85$6549,774
MRI Knee

MRI of the knee without contrast

73721$75$80$50510,126
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$70$85$67215,496
CT Chest

CT scan of the chest with contrast

71260$25$85$52110,242

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 72148MRI lumbar spine without contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 72148 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 72148 (MRI lumbar spine without contrast), as mandated by the CMS Price Transparency Rule.

What CPT 72148 covers: the provider's professional fee for mri lumbar spine. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Lower Back MRI Visit Costs by City in California2026

Lower Back MRI visit costs fluctuate significantly across California cities due to the state's diverse geography spanning dense metropolitan areas and rural regions with varying provider concentrations. ---CITY_SUMMARIES---

CityMin CostMedian CostMax Cost
Tustin$80$368$699
Roseville$80$368$1,976
Thousand Oaks$102$368$565
Hayward$80$354$368
Travis Afb$65$249$599
South Lake Tahoe$149$225$669
La Jolla$79$216$543
West Hollywood$80$206$712
San Ramon$62$197$381
Santa Monica$63$177$652

Costs reflect self-pay estimates based on insurer-negotiated rates. Insured patients may pay significantly less depending on plan type, deductible status, and network tier.

Why Lower Back MRI Visit Costs Vary Across California

California's healthcare costs run approximately 18% above the national average, reflecting the state's high cost of living and expensive real estate markets that drive up facility overhead costs. The state's diverse geography creates significant cost disparities between densely populated coastal metros and rural inland regions with limited provider access.

Urban vs. Rural Provider Availability

California's coastal metropolitan areas including Los Angeles, San Francisco, and San Diego concentrate most imaging facilities, creating competitive pricing in these markets. Rural counties in the Central Valley and far northern regions often have limited imaging options, requiring patients to travel significant distances and potentially pay premium rates. This geographic imbalance affects both access and pricing for Lower Back MRI services.

Facility Type and Overhead Costs

Hospital-based outpatient imaging departments typically charge higher facility fees due to increased overhead costs and regulatory requirements in California. Independent imaging centers and radiology groups often provide more cost-effective options without compromising quality. Major health systems like Kaiser, Sutter Health, and Dignity Health operate extensive imaging networks with varying pricing structures.

Insurance Market Competition in California

The state's insurance landscape includes major carriers Anthem Blue Cross, Kaiser Permanente, and UnitedHealthcare competing alongside regional plans and Medicaid managed care organizations. Kaiser's integrated delivery model often provides different cost structures compared to traditional fee-for-service insurers. Competition among these carriers helps moderate negotiated rates with imaging providers across different regions.

Physician Supply and Demand in California

With over 6,500 active Lower Back MRI providers, California maintains relatively good specialist availability compared to national averages, particularly in metropolitan areas. This substantial provider network suggests adequate supply to meet patient demand, though distribution remains uneven between urban and rural areas. Higher provider density in competitive markets generally helps moderate pricing and reduces wait times for non-urgent imaging studies.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Lower Back MRI Costs in California

What is the average cost of a Lower Back MRI visit in California without insurance?

Without insurance coverage, patients in California typically pay between $72 and $470 for a Lower Back MRI, with a median cost of $96 based on negotiated rates from transparency data. These costs reflect what insurance companies actually pay providers, though self-pay patients may receive different pricing. Many facilities offer cash discounts that can reduce these amounts by 20-50% for upfront payment.

Does California Medicaid cover Lower Back MRI visits?

Yes, California's expanded Medicaid program (Medi-Cal) covers medically necessary Lower Back MRI studies when ordered by a physician. Coverage typically requires prior authorization and documentation that conservative treatments have been attempted first. Medi-Cal patients generally have no out-of-pocket costs for covered imaging services when performed at participating providers.

How do I find an affordable Lower Back MRI near me in California?

Compare costs across multiple imaging facilities in your area, as prices can vary significantly between hospital-based centers and independent clinics. Ask about self-pay discounts if you're uninsured or have a high deductible plan. Community health centers and university medical centers sometimes offer sliding scale fees based on income, providing more affordable options for qualifying patients.

What is the difference in cost between an initial consultation and a follow-up visit?

Lower Back MRI is typically a one-time imaging procedure rather than an office visit, so the cost structure differs from consultation visits. The $72-$470 range represents the complete imaging study including both the technical component (taking the images) and professional component (radiologist interpretation). Follow-up visits to discuss results with your referring physician would be billed separately as office visits.

Can I use an HSA or FSA to pay for a Lower Back MRI visit in California?

Yes, Lower Back MRI procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) when ordered by a physician. You can use pre-tax dollars from these accounts to pay deductibles, copays, or the full cost if you're uninsured. Keep all receipts and documentation showing the medical necessity for tax and account administration purposes.

How does telemedicine affect the cost of seeing a Lower Back MRI in California?

Telemedicine consultations may reduce the cost of initial evaluations or follow-up appointments to discuss MRI results, typically ranging from $50-150 versus $200-400 for in-person visits. However, the actual Lower Back MRI procedure must be performed in-person at an imaging facility. California has expanded telehealth coverage during recent years, with many insurance plans now covering virtual consultations at the same rate as office visits.

Click a state to compare costs

Average Visit Cost

$181
$1,925

Office visit (CPT 72148)

Compare With Other States

RankStateAverage
1Alaska
Range: $73$2,851
$1,925
2Montana
Range: $73$2,851
$1,097
3Washington
Range: $65$2,851
$1,095
4Idaho
Range: $65$2,851
$1,068
5North Dakota
Range: $145$2,450
$987
6Minnesota
Range: $88$2,450
$969
7Wisconsin
Range: $73$1,477
$577
8Georgia
Range: $69$949
$416
9Nevada
Range: $102$750
$400
10Hawaii
Range: $85$577
$373
11Louisiana
Range: $60$702
$372
12Massachusetts
Range: $74$590
$344
13Maine
Range: $116$659
$344
14New Mexico
Range: $62$720
$323
15Wyoming
Range: $65$663
$320
16Nebraska
Range: $129$477
$310
17Colorado
Range: $65$663
$305
18Oregon
Range: $88$447
$301
19Utah
Range: $65$603
$298
20South Dakota
Range: $142$368
$293
21West Virginia
Range: $79$418
$289
22New Hampshire
Range: $85$579
$288
23North Carolina
Range: $72$572
$285
24Iowa
Range: $85$513
$284
25Illinois
Range: $76$553
$271
26Indiana
Range: $64$554
$269
27Vermont
Range: $63$583
$267
28Rhode Island
Range: $65$527
$261
29District of Columbia
Range: $59$527
$259
30Michigan
Range: $67$527
$258
31Tennessee
Range: $72$499
$253
32Virginia
Range: $49$553
$253
33Kentucky
Range: $64$516
$249
34Kansas
Range: $71$502
$244
35New York
Range: $53$529
$243
36Pennsylvania
Range: $55$527
$238
37South Carolina
Range: $63$465
$229
38Alabama
Range: $59$452
$223
39Oklahoma
Range: $61$473
$222
40Texas
Range: $65$447
$220
41New Jersey
Range: $52$459
$218
42Missouri
Range: $76$415
$218
43Maryland
Range: $29$447
$217
44Ohio
Range: $49$457
$214
45California
Range: $72$470
$213
46Mississippi
Range: $58$447
$213
47Delaware
Range: $66$363
$211
48Connecticut
Range: $55$456
$206
49Arkansas
Range: $72$380
$205
50Florida
Range: $35$473
$189
51Arizona
Range: $65$356
$181
MRI Lumbar Spine in Other States