Scans and imaging CPT 72158 Outpatient

Lower back MRI with contrast cost in Green Bay, WI

In Green Bay, WI, 6 hospitals list a cash price for MRI of the lower back, without and then with contrast dye: from $808.40 to $3,265.00, with a median of $2,700.06. The lowest listed price is at Bellin Memorial Health — $1,891.66 less than the median here. Across Wisconsin, the median is $2,700.06 at 78 hospitals.

Cash prices at 6 facilities across 3 cities for code 72158, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Jun 27, 2026.

Lowest$808.40Bellin Memorial Health
Median$2,700.06half pay less
Highest$3,265.00in this market
Difference4.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Green Bay, WI.

median
Lowest $808.40Highest $3,265.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bellin Memorial Health lowest Green Bay, WI · (920) 433-3500 HCHG 72158 MRI L-SPINE W&WO CONTRAST $808.40 $1,746.00 $450.47–$1,571.40 54% Jun 27, 2026
source file
Bellin Health Oconto Hospital Oconto, WI · (920) 835-1101 HCHG 72158 MRI L-SPINE W&WO CONTRAST $968.60 $2,092.00 $606.68–$1,882.80 54% Jun 27, 2026
source file
Bellin Memorial Health Green Bay, WI · (920) 433-3500 HCHG 72158 MRI L-SPINE W&WO CONTRAST $2,127.95 $4,596.00 $171.77–$373.25 54% Jun 27, 2026
source file
St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC MRI L-SPINE W&W/O CON $2,700.06 $4,091.00 $179.97–$4,091.00 34% —
source file
St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC MRI L-SPINE W&W/O CON $2,700.06 $4,091.00 $186.59–$4,091.00 34% —
source file
St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC MRI L-SPINE W&W/O CON $2,700.06 $4,091.00 $356.43–$4,091.00 34% —
source file
Aurora BayCare Medical Center Green Bay, WI · (920) 288-8000 MR L SPINE W/WO DYE $3,265.00 $6,530.00 $650.00–$5,550.50 50% Nov 21, 2025
source file

Outpatient: lowest $808.40, median $2,700.06, highest $3,265.00 — a 4.0× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $2,700.06. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 6 of 6 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This MRI of the lumbar spine takes one set of pictures without contrast dye and a second set after the dye is injected into a vein. The dye helps tell scar tissue from a new disc problem after back surgery and can show infection, inflammation or tumors.

What the price covers

The hospital price usually covers both sets of images; the contrast agent may appear as a separate line on some bills. The radiologist's reading is often billed separately.