Scans and imaging CPT 72158 Outpatient

Lower back MRI with contrast cost in Manchester, NH

In Manchester-Nashua, NH, 3 hospitals list a cash price for MRI of the lower back, without and then with contrast dye: from $2,494.54 to $4,747.48, with a median of $2,497.56. The lowest listed price is at Elliot Hospital — $3.02 less than the median here. Across New Hampshire, the median is $2,814.63 at 6 hospitals.

Cash prices at 3 facilities across 3 cities for code 72158, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$2,494.54Elliot Hospital
Median$2,497.56half pay less
Highest$4,747.48in this market
Difference1.9×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 Manchester-Nashua, NH.

median
Lowest $2,494.54Highest $4,747.48

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Elliot Hospital lowest Manchester, NH · (603) 669-5300 Hc Mr Spine Lumbar Wo&W Contrast $2,494.54 $6,742.00 — 63% Apr 1, 2026
source file
St Joseph Hospital of Nashua Nashua, NH · (603) 882-3000 HC MRI-SPINE LUMBAR WO & W CONT $2,497.56 $6,404.00 — 61% —
source file
Monadnock Community Hospital Peterborough, NH · (603) 924-7191 MR L SPINE W AND W/O CONTRAST $4,747.48 $7,912.46 — 40% Apr 1, 2026
source file

Outpatient: lowest $2,494.54, median $2,497.56, highest $4,747.48 — a 1.9× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $2,497.56. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.