CPT 72158 Radiology
Mri lumbar spine w/o & w/dye Cost
Body System: Musculoskeletal
Medicare Facility Rate
$318
CMS PFS CY2026
Medicare Non-Facility Rate
$318
Office/clinic setting
Hospital Outpatient
$356
OPPS rate
Surgery Center (ASC)
$193
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.23
Work RVU
7.14
Facility PE RVU
0.16
Malpractice RVU
9.53
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $370 | $482 — $741 |
| AL — ALABAMA | $288 | $374 — $575 |
| AR — ARKANSAS | $284 | $369 — $567 |
| AZ — ARIZONA | $312 | $405 — $623 |
| CA — BAKERSFIELD | $342 | $445 — $684 |
| CA — CHICO | $342 | $444 — $683 |
| CA — EL CENTRO | $342 | $444 — $683 |
| CA — FRESNO | $342 | $444 — $683 |
| CA — HANFORD-CORCORAN | $342 | $444 — $683 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $365 | $475 — $730 |
| CA — MADERA | $342 | $444 — $683 |
| CA — MERCED | $342 | $444 — $683 |
| CA — MODESTO | $342 | $444 — $683 |
| CA — NAPA | $398 | $518 — $796 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $364 | $473 — $727 |
| CA — REDDING | $342 | $444 — $683 |
| CA — REST OF CALIFORNIA | $342 | $444 — $683 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $343 | $447 — $687 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $359 | $467 — $718 |
| CA — SALINAS | $358 | $465 — $716 |
Frequently Asked Questions
How much does Mri lumbar spine w/o & w/dye cost?
The Medicare facility rate is $318. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $356. Ambulatory surgery center rate: $193.
How much does Mri lumbar spine w/o & w/dye cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $318.