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Delaware

Cost of a Lower Back MRI Visit
in Delaware

Reviewed by Momentary Medical Group West PC

Delaware's concentrated healthcare market, with 187 active Lower Back MRI providers serving just under one million residents, creates unique cost dynamics for patients seeking specialized care. Lower Back MRI patients typically pay between $65.97 and $363.48, with a median out-of-pocket cost of $203.15 based on negotiated insurance rates. The First State's compact geography means patients can browse all providers in Delaware to find the most cost-effective option for their needs.

Average

$211

Median

$203

Lowest

$66

Highest

$363

Providers

187

National avg: $383Delaware: $211

45% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$98$340$596199
MRI Knee

MRI of the knee without contrast

73721$63$215$399201
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$73$225$651103
CT Chest

CT scan of the chest with contrast

71260$61$177$273205

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.

Why Lower Back MRI Visit Costs Vary Across Delaware

Delaware's healthcare costs run approximately 11% above national averages, reflecting the state's unique position as a small, densely populated state with limited provider competition. The First State's compact geography creates interesting dynamics where patients can easily travel between urban and rural providers, yet market concentration keeps prices elevated.

Urban vs. Rural Provider Availability

Delaware's healthcare landscape centers heavily around the Wilmington-Newark corridor, where most specialists practice within ChristianaCare and other major health systems. Rural Sussex and Kent counties have fewer Lower Back MRI options, sometimes requiring patients to travel north for specialized care or accept higher costs at local facilities.

Facility Type and Overhead Costs

Hospital-based outpatient clinics in Delaware typically charge 20-40% more than independent practices due to facility fees and higher overhead costs. ChristianaCare's dominance in northern Delaware means many specialists operate within hospital-owned networks, which can drive up costs compared to standalone practices in Dover or the beach communities.

Insurance Market Competition in Delaware

With Highmark, Aetna, and UHC controlling most of Delaware's insurance market, limited competition can result in higher negotiated rates for providers. This concentrated market structure gives insurers and large health systems more pricing power, often reflected in the costs patients ultimately face.

Physician Supply and Demand in Delaware

Delaware's 187 active Lower Back MRI providers serve a population of nearly one million residents, creating adequate supply in urban areas but potential access challenges in rural counties. This geographic mismatch can drive up costs in underserved areas while creating more competitive pricing in the Wilmington metropolitan region.

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 Delaware

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

Uninsured patients in Delaware can expect to pay between $65.97 and $363.48 for a Lower Back MRI visit, with a median cost of $203.15 based on current negotiated rates. Many providers offer cash-pay discounts that can reduce these amounts by 20-40%. Community health centers and federally qualified health centers may provide additional sliding-scale options for qualifying patients.

Does Delaware Medicaid cover Lower Back MRI visits?

Yes, Delaware expanded Medicaid under the Affordable Care Act, providing coverage for Lower Back MRI visits for eligible adults earning up to 138% of the federal poverty level. Coverage typically includes both the consultation and any medically necessary follow-up care. Patients should verify that their chosen provider accepts Delaware Medicaid before scheduling, as not all specialists participate in the program.

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

Start by comparing costs between hospital-based clinics and independent practices, as independents often charge 20-40% less than hospital-owned facilities. Look into federally qualified health centers for sliding-scale fees, and ask providers directly about cash-pay discounts. Delaware's compact size means you can easily compare options statewide, potentially finding significant savings by traveling to different regions.

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

Based on current negotiated rates in Delaware, initial Lower Back MRI consultations typically cost between $65.97 and $363.48 with a median of $203.15. Follow-up visits generally cost less than initial consultations, though specific pricing depends on the complexity of your case and whether additional procedures or tests are needed during the visit.

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

Yes, Lower Back MRI consultations qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the consultation fee, any diagnostic tests ordered, and prescribed treatments. Keep all receipts and documentation for reimbursement, and remember that HSA funds roll over year to year while FSA funds typically must be used within the plan year.

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

Telemedicine consultations for Lower Back MRI typically cost 30-50% less than in-person visits, ranging from $50-150 in Delaware. However, initial evaluations often require physical examination, so telehealth is more commonly used for follow-up visits or second opinions. Delaware's expanded telehealth coverage during recent years has made these options more widely available and insurance-covered.

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