Scans and imaging CPT 72158 Outpatient

Lower back MRI with contrast cost in Waupaca, WI

In Waupaca, WI, 1 hospital lists a cash price for MRI of the lower back, without and then with contrast dye: from $2,306.08 to $2,306.08, with a median of $2,306.08. Across Wisconsin, the median is $2,700.06 at 78 hospitals.

Cash prices at 1 facility 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 — and —.

Lowest$2,306.08ThedaCare Regional Medical Center-Waupaca
Median$2,306.08half pay less
Highest$2,306.08in this market
Difference1.0×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 Waupaca, WI.

median
Lowest $2,306.08Highest $2,993.37

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
ThedaCare Regional Medical Center-Waupaca lowest Waupaca, WI · (715) 258-1000 HC MRI, Lumbar Spine Combo $2,306.08 $4,118.00 $568.28–$4,864.22 44% —
source file
ThedaCare Regional Medical Center-Waupaca Waupaca, WI · (715) 258-1000 HC MRI, LUMBAR SPINE COMBO $2,993.37 $5,345.30 $568.28–$4,864.22 44% —
source file

Outpatient: lowest $2,306.08, median $2,306.08, highest $2,306.08.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.