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Maryland

Cost of a Lower Back MRI Visit
in Maryland

Reviewed by Momentary Medical Group West PC

Maryland's rate-setting hospital system creates unique transparency for Lower Back MRI costs, with negotiated rates ranging from $28.77 to $447.07 across 4,003 active providers throughout the state. The median cost patients encounter is $176.60, though your out-of-pocket expense depends heavily on your insurance plan and deductible status. Maryland residents benefit from this extensive provider network, allowing patients to compare options across urban centers like Baltimore and suburban markets in Montgomery County.

Average

$217

Median

$177

Lowest

$29

Highest

$447

Providers

4,003

National avg: $383Maryland: $217

43% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$46$271$7374,016
MRI Knee

MRI of the knee without contrast

73721$26$172$4574,019
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$36$204$5944,071
CT Chest

CT scan of the chest with contrast

71260$24$124$3354,048

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 Maryland

Maryland's healthcare costs run approximately 13% above the national average, driven by the state's proximity to Washington D.C.'s high-income healthcare market and concentration of academic medical centers. The state's unique hospital rate-setting system provides cost transparency but maintains premium pricing for specialized imaging services.

Urban vs. Rural Provider Availability

The Baltimore-Washington metropolitan corridor contains the majority of Maryland's 4,003 Lower Back MRI providers, while rural areas on the Eastern Shore and Western Maryland face significant access challenges requiring patients to travel 30+ miles for imaging services. This geographic concentration drives higher costs in rural areas due to limited competition and transportation barriers.

Facility Type and Overhead Costs

Hospital-owned outpatient imaging centers in Maryland, particularly those affiliated with Johns Hopkins, University of Maryland, and MedStar systems, typically charge 40-60% more than independent imaging facilities due to higher overhead costs and premium positioning. Freestanding imaging centers often provide identical quality at significantly lower negotiated rates with insurers.

Insurance Market Competition in Maryland

CareFirst BlueCross BlueShield maintains dominant market share in Maryland, followed by UnitedHealthcare and Aetna, creating moderate competition that helps contain some imaging costs through negotiated rate pressure. The state's individual marketplace offers additional insurer options, though provider networks can be narrow and may limit Lower Back MRI facility choices.

Physician Supply and Demand in Maryland

Maryland's 4,003 active Lower Back MRI providers indicate robust supply relative to the state's 6.2 million residents, though distribution heavily favors urban and suburban areas over rural counties. This adequate supply in metropolitan areas helps moderate pricing and reduces wait times, while rural residents face both higher costs and longer scheduling delays.

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 Maryland

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

Uninsured patients in Maryland typically pay between $28.77 and $447.07 for a Lower Back MRI, with a median cost of $176.60 across the state's 4,003 providers. Many facilities offer self-pay discounts of 20-40% when payment is made at the time of service. Independent imaging centers often charge less than hospital-owned facilities, making provider selection crucial for cost-conscious patients.

Does Maryland Medicaid cover Lower Back MRI visits?

Yes, Maryland's expanded Medicaid program covers medically necessary Lower Back MRI studies when properly authorized by a healthcare provider. Most Medicaid beneficiaries are enrolled in HealthChoice managed care plans that require prior authorization for imaging studies. Coverage is typically complete with no patient cost-sharing, though referral and authorization requirements must be met.

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

Compare prices between hospital-owned imaging centers and independent facilities, as costs can vary by over $400 for the same study. Ask about self-pay discounts if you're uninsured, check if your insurance has preferred imaging network tiers with lower copays, and consider traveling to suburban areas where competition may drive down prices. Community health centers may also provide referrals to lower-cost imaging options.

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

Lower Back MRI is an imaging study rather than a consultation, so the cost remains consistent at $28.77 to $447.07 regardless of whether it's your first or repeat study. However, the radiologist consultation to review results may be billed separately, and follow-up MRIs sometimes receive different insurance authorization compared to initial diagnostic studies. Your ordering physician's visit to discuss results would be billed as a separate service.

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

Yes, Lower Back MRI studies qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) when medically necessary. You can use these pre-tax funds to pay deductibles, copays, or the full cost if you're uninsured. Keep receipts and documentation of medical necessity for tax purposes, as the IRS may require proof that the imaging was prescribed by a healthcare provider.

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

While the MRI scan itself must be performed in-person at an imaging facility, many Maryland providers offer telemedicine consultations to review results and discuss treatment options, typically costing $50-150 less than in-person visits. Some insurance plans cover telehealth follow-ups at the same rate as office visits, while others apply different copays. Telemedicine can reduce overall healthcare costs by eliminating travel time and allowing for more convenient scheduling of results discussions.

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