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
45% below national average
Compare Similar Procedures
How does mri lumbar spine compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| MRI Brain MRI of the brain with and without contrast | 70553 | $98 | $340 | $596 | 199 |
| MRI Knee MRI of the knee without contrast | 73721 | $63 | $215 | $399 | 201 |
| CT Abdomen & Pelvis CT scan of abdomen and pelvis with contrast | 74177 | $73 | $225 | $651 | 103 |
| CT Chest CT scan of the chest with contrast | 71260 | $61 | $177 | $273 | 205 |
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 72148 — MRI 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.
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.
Frequently Asked Questions — Lower Back MRI Costs in Delaware
What is the average cost of a Lower Back MRI visit in Delaware without insurance?
Does Delaware Medicaid cover Lower Back MRI visits?
How do I find an affordable Lower Back MRI near me in Delaware?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Lower Back MRI visit in Delaware?
How does telemedicine affect the cost of seeing a Lower Back MRI in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 72148)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Alaska Range: $73 – $2,851 | $1,925 |
| 2 | Montana Range: $73 – $2,851 | $1,097 |
| 3 | Washington Range: $65 – $2,851 | $1,095 |
| 4 | Idaho Range: $65 – $2,851 | $1,068 |
| 5 | North Dakota Range: $145 – $2,450 | $987 |
| 6 | Minnesota Range: $88 – $2,450 | $969 |
| 7 | Wisconsin Range: $73 – $1,477 | $577 |
| 8 | Georgia Range: $69 – $949 | $416 |
| 9 | Nevada Range: $102 – $750 | $400 |
| 10 | Hawaii Range: $85 – $577 | $373 |
| 11 | Louisiana Range: $60 – $702 | $372 |
| 12 | Massachusetts Range: $74 – $590 | $344 |
| 13 | Maine Range: $116 – $659 | $344 |
| 14 | New Mexico Range: $62 – $720 | $323 |
| 15 | Wyoming Range: $65 – $663 | $320 |
| 16 | Nebraska Range: $129 – $477 | $310 |
| 17 | Colorado Range: $65 – $663 | $305 |
| 18 | Oregon Range: $88 – $447 | $301 |
| 19 | Utah Range: $65 – $603 | $298 |
| 20 | South Dakota Range: $142 – $368 | $293 |
| 21 | West Virginia Range: $79 – $418 | $289 |
| 22 | New Hampshire Range: $85 – $579 | $288 |
| 23 | North Carolina Range: $72 – $572 | $285 |
| 24 | Iowa Range: $85 – $513 | $284 |
| 25 | Illinois Range: $76 – $553 | $271 |
| 26 | Indiana Range: $64 – $554 | $269 |
| 27 | Vermont Range: $63 – $583 | $267 |
| 28 | Rhode Island Range: $65 – $527 | $261 |
| 29 | District of Columbia Range: $59 – $527 | $259 |
| 30 | Michigan Range: $67 – $527 | $258 |
| 31 | Tennessee Range: $72 – $499 | $253 |
| 32 | Virginia Range: $49 – $553 | $253 |
| 33 | Kentucky Range: $64 – $516 | $249 |
| 34 | Kansas Range: $71 – $502 | $244 |
| 35 | New York Range: $53 – $529 | $243 |
| 36 | Pennsylvania Range: $55 – $527 | $238 |
| 37 | South Carolina Range: $63 – $465 | $229 |
| 38 | Alabama Range: $59 – $452 | $223 |
| 39 | Oklahoma Range: $61 – $473 | $222 |
| 40 | Texas Range: $65 – $447 | $220 |
| 41 | New Jersey Range: $52 – $459 | $218 |
| 42 | Missouri Range: $76 – $415 | $218 |
| 43 | Maryland Range: $29 – $447 | $217 |
| 44 | Ohio Range: $49 – $457 | $214 |
| 45 | California Range: $72 – $470 | $213 |
| 46 | Mississippi Range: $58 – $447 | $213 |
| 47 | Delaware Range: $66 – $363 | $211 |
| 48 | Connecticut Range: $55 – $456 | $206 |
| 49 | Arkansas Range: $72 – $380 | $205 |
| 50 | Florida Range: $35 – $473 | $189 |
| 51 | Arizona Range: $65 – $356 | $181 |
