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District of Columbia

Cost of a Lower Back MRI Visit
in District of Columbia

Reviewed by Momentary Medical Group West PC

The District of Columbia's concentrated healthcare market, dominated by major academic medical centers and government-affiliated facilities, creates unique pricing dynamics for specialized imaging services. Lower Back MRI patients in DC typically encounter negotiated rates ranging from $58.77 to $526.87, with a median cost of $191.07 based on transparency data from 331 active providers across the district. Browse all Lower Back MRI providers in District of Columbia to compare costs and find in-network options that fit your budget.

Average

$259

Median

$191

Lowest

$59

Highest

$527

Providers

331

National avg: $383District of Columbia: $259

32% below national average

Compare Similar Procedures

How does mri lumbar spine compare to related procedures in District of Columbia?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$90$310$879333
MRI Knee

MRI of the knee without contrast

73721$53$201$560333
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$72$266$827350
CT Chest

CT scan of the chest with contrast

71260$49$165$454338

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 District of Columbia

District of Columbia's healthcare costs run approximately 20% above national averages, reflecting the area's high cost of living and concentrated market of premium providers. The district's unique federal jurisdiction and dense population create distinct pricing pressures not found in traditional states.

Urban vs. Rural Provider Availability

As a fully urban jurisdiction, District of Columbia lacks the rural-urban cost disparities seen in other states, instead featuring concentrated provider networks within a compact geographic area. This density creates competitive pricing in some sectors while premium positioning dominates others, particularly near federal and academic institutions.

Facility Type and Overhead Costs

Hospital-based outpatient imaging at major systems like MedStar Washington Hospital Center or Children's National typically carries higher facility fees than independent imaging centers. The district's high real estate costs and regulatory environment contribute to elevated operational expenses across all facility types.

Insurance Market Competition in District of Columbia

The market concentration among CareFirst BCBS, UnitedHealthcare, and Aetna creates established negotiated rate patterns with limited price competition. Federal employee health benefits add another layer of standardized pricing that influences the broader commercial market dynamics.

Physician Supply and Demand in District of Columbia

With 331 active Lower Back MRI providers serving the district's compact population, provider density is high relative to geographic area but reflects the concentration of major medical centers. This supply supports reasonable access times but premium pricing persists due to the affluent patient population and proximity to federal institutions.

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 District of Columbia

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

Without insurance, Lower Back MRI costs in District of Columbia range from $58.77 to $526.87, with a median cost of $191.07 based on negotiated rate data from 331 providers. Many facilities offer cash-pay discounts that can reduce these costs by 30-50% for uninsured patients. Independent imaging centers typically offer lower rates than hospital-based facilities for self-pay patients.

Does District of Columbia Medicaid cover Lower Back MRI visits?

Yes, District of Columbia expanded Medicaid covers Lower Back MRI when medically necessary with proper prior authorization from your healthcare provider. Coverage typically requires documentation of conservative treatment attempts or specific clinical indications. The district's Medicaid expansion provides more comprehensive imaging benefits compared to non-expansion states.

How do I find an affordable Lower Back MRI near me in District of Columbia?

Compare costs across multiple imaging facilities, as prices can vary significantly between hospital-based and independent centers in DC. Ask about self-pay discounts if uninsured, and consider community health centers that may offer sliding-scale pricing. Some facilities offer payment plans or same-day payment discounts to reduce overall costs.

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

Lower Back MRI involves imaging procedures rather than consultation visits, with costs based on the technical component (performing the scan) and professional component (radiologist interpretation). The median cost of $191.07 represents the combined technical and professional fees, though these may be billed separately depending on the facility and your insurance plan.

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

Yes, Lower Back MRI is considered a qualified medical expense eligible for HSA or FSA reimbursement when prescribed by a healthcare provider. You can use these tax-advantaged accounts to pay deductibles, copays, or the full cost if uninsured. Keep all receipts and documentation for reimbursement purposes.

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

While the actual MRI scan requires in-person imaging, telemedicine consultations can reduce overall costs by eliminating office visit fees for result discussions or follow-up appointments. Many District of Columbia providers offer virtual consultations for reviewing MRI results, which typically cost less than in-person visits and may improve access to specialist interpretation.

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