Lower back X-ray cost in Maryland
In Maryland, 16 hospitals publish a cash price for X-ray of the lower back (lumbar spine), 2 or 3 views: from $29.40 to $415.20, with a median of $223.52. The lowest price is at UPMC Western Maryland (Cumberland). The highest price is 14.1× the lowest.
- The median here, $223.52, is 26% below the US median of $303.00.
- That is 2.1× Medicare's 2026 national rate for the same service ($106.81).
- Maryland ranks 13th of 51 states by median, cheapest first.
- 2 of 16 hospitals list a cash price equal to their full list price, with no self-pay discount.
Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 72100. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 29, 2026. See them on a map
Hospitals in Maryland, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| UPMC Western Maryland lowest Cumberland · Cumberland, MD-WV XR LUMBOSACRAL SPINE AP & LAT | $29.40 | $49.00 | Mar 2, 2026 source file |
| Greater Baltimore Medical Center Towson · Baltimore-Columbia-Towson, MD HC L-Spine, 2-3 Views | $101.63 | $103.70 | Jul 1, 2026 source file |
| Frederick Health Hospital Frederick · Washington-Arlington-Alexandria, DC-VA-MD-WV XR LUMBAR SPINE 2 OR 3 VWS | $136.01 | $138.79 | Mar 17, 2025 source file |
| MedStar St. Mary's Hospital Leonardtown · Lexington Park, MD SPINE, LUMBAR AP + LAT | $147.73 | $150.74 | Apr 1, 2026 source file |
| Mercy Medical Center Baltimore · Baltimore-Columbia-Towson, MD HC X-RAY LUMBAR SPINE 2/3 VW | $171.90 | $175.41 | Jan 1, 2026 source file |
| Union Hospital of Cecil County Elkton · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD XRAY,SPINE,LUMBOSACRAL,2 OR 3 VIEWS GLR | $184.50 | $184.50 | Apr 1, 2026 source file |
| TidalHealth Peninsula Salisbury · Salisbury, MD HC LUMBAR SPINE 2 VIEWS | $210.64 | $214.94 | Mar 19, 2026 source file |
| MedStar Southern Hospital Center Clinton · Washington-Arlington-Alexandria, DC-VA-MD-WV SPINE, LUMBAR AP + LAT | $223.10 | $227.65 | Apr 1, 2026 source file |
| MedStar Harbor Hospital Baltimore · Baltimore-Columbia-Towson, MD SPINE, LUMBAR AP + LAT | $223.93 | $228.50 | Apr 1, 2026 source file |
| Atlantic General Hospital Berlin · Ocean Pines, MD Radiologic examination, spine, lumbosacral; 2 or 3 views | $238.72 | $238.72 | Apr 10, 2026 source file |
| MedStar Good Samaritan Hospital Baltimore · Baltimore-Columbia-Towson, MD SPINE, LUMBAR AP + LAT | $254.87 | $260.07 | Apr 1, 2026 source file |
| MedStar Franklin Square Medical Center Baltimore · Baltimore-Columbia-Towson, MD SPINE, LUMBAR AP + LAT | $261.05 | $266.38 | Apr 1, 2026 source file |
| Mt. Washington Pediatric Hospital Baltimore · Baltimore-Columbia-Towson, MD LUMBER SPINE XRAY 2-3 Views | $286.61 | $292.46 | Nov 5, 2025 source file |
| MedStar Montgomery Medical Center Olney · Washington-Arlington-Alexandria, DC-VA-MD-WV SPINE, LUMBAR AP + LAT | $318.78 | $325.29 | Apr 1, 2026 source file |
| MedStar Union Memorial Hospital Baltimore · Baltimore-Columbia-Towson, MD SPINE, LUMBAR AP + LAT | $339.37 | $346.30 | Apr 1, 2026 source file |
| The Kennedy Krieger Institute Baltimore · Baltimore-Columbia-Towson, MD HC LUMBAR SPINE, 2-3 VIEWS | $415.20 | $519.00 | Aug 27, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Baltimore-Columbia-Towson, MD | 8 | $101.63 | $257.96 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 3 | $136.01 | $223.10 |
| Cumberland, MD-WV | 1 | $29.40 | $29.40 |
| Lexington Park, MD | 1 | $147.73 | $147.73 |
| Ocean Pines, MD | 1 | $238.72 | $238.72 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $184.50 | $184.50 |
| Salisbury, MD | 1 | $210.64 | $210.64 |
What lower back X-ray is, what the price covers and why prices differ: Lower back X-ray explained.
X-ray of the lower back (lumbar spine), 2 or 3 views in other states
- Alabama$201.67
- Alaska$513.02
- Arizona$192.43
- Arkansas$127.17
- California$471.04
- Colorado$361.68
- Connecticut$384.01
- Delaware$343.80
- District of Columbia$400.96, 3 hospitals
- Florida$691.60
- Georgia$341.64
- Hawaii$281.40
- Idaho$301.60
- Illinois$445.80
- Indiana$251.36
- Iowa$276.60
- Kansas$271.20
- Kentucky$337.51
- Louisiana$152.18
- Maine$241.55
- Massachusetts$368.90
- Michigan$214.00
- Minnesota$255.50
- Mississippi$140.80
- Missouri$291.38
- Montana$253.13
- Nebraska$436.75
- Nevada$450.00
- New Hampshire$303.56
- New Jersey$130.16
- New Mexico$310.60
- New York$275.16
- North Carolina$301.35
- North Dakota$193.00
- Ohio$322.55
- Oklahoma$211.66
- Oregon$319.90
- Pennsylvania$364.35
- Puerto Rico$81.50
- Rhode Island$274.00
- South Carolina$350.00
- South Dakota$401.39
- Tennessee$174.01
- Texas$443.92
- Utah$615.52
- Vermont$664.09
- Virginia$366.50
- Washington$370.62
- West Virginia$217.03
- Wisconsin$291.20
- Wyoming$327.18
Median cash price across the state's hospitals.