MRI Lumbar Spine Cost in Missouri

Mri lumbar spine w/o dye

CPT 72148

Missouri Medicare physician rate (2026)

-6.1% vs national

Average of 3 localities. Office range $172.28–$184.99.

Missouri (Office)
$180.12
Non-facility physician fee
Missouri (Hospital)
$180.12
Facility physician fee
Private plan est.
$234–$360
~130–200% of Medicare
Cash / self-pay est.
$144–$270
~80–150% of Medicare

Your ZIP in Missouri

Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.

What this number is

The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply.

National vs Missouri

National office$191.72
National hospital (physician)$191.72
Missouri vs national6% below the national office rate of $191.72

Where Missouri ranks for this CPT

Rank (lowest physician fee first)#15 of 51
Lowest stateArkansas ($170.32)
Highest stateAlaska ($223.39)

CPT 72148 by Missouri locality

LocalityOffice
metropolitan st. louis$184.99
metropolitan kansas city$183.09
rest of missouri$172.28

PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.

MRI Lumbar Spine and how Missouri is priced

Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.

St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.

This procedure: A lumbar spine MRI without contrast images the lower back, the region responsible for most back pain and sciatica, showing discs, nerve roots, and the spinal canal. It is the definitive test before considering injections or surgery for a suspected herniated disc or spinal stenosis. You lie on your back in the scanner for 20 to 40 minutes; it is painless but the flat position can be uncomfortable if lying down aggravates your pain.

What Is MRI Lumbar Spine?

A lumbar spine MRI without contrast images the lower back, the region responsible for most back pain and sciatica, showing discs, nerve roots, and the spinal canal. It is the definitive test before considering injections or surgery for a suspected herniated disc or spinal stenosis. You lie on your back in the scanner for 20 to 40 minutes; it is painless but the flat position can be uncomfortable if lying down aggravates your pain.

What Affects the Cost

  • This is one of the most shopped scans in America, and prices between hospitals and independent centers commonly differ several-fold.
  • Insurer rules pushing six weeks of conservative care first mean therapy visit costs often precede the scan.
  • Findings frequently lead to epidural injections or surgical consultations, so the MRI is often the gateway to a much larger episode of spending.
  • Contrast is only added for specific concerns like prior surgery or infection, at a higher-code price.
  • Open or wide-bore scanners for larger or claustrophobic patients can carry different pricing at specialty centers.

Questions to Ask Before Booking

  • 1.Do I meet my insurer's criteria yet, or will this be denied for lack of conservative treatment first?
  • 2.What is the cash or negotiated price at nearby freestanding imaging centers?
  • 3.Is my scan authorized at the specific location I am booked at?
  • 4.Given my history, does the radiologist need contrast, and what would that add?
  • 5.If the MRI shows a disc problem, what are the typical next-step costs I should anticipate?

MRI Lumbar Spine in Missouri: questions

How much does mri lumbar spine cost in Missouri?

The 2026 Medicare physician office rate for CPT 72148 averages $180.12 across 3 Missouri localities, from $172.28 in REST OF MISSOURI to $184.99 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $180.12. Enter a ZIP for the exact locality.

Does the rate change inside Missouri?

Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $12.71 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.

What will a Medicare patient owe for the physician fee?

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $36 for the office physician line or $36 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.

Is this the full mri lumbar spine bill in Missouri?

No. $180.12 is the Medicare physician allowed amount for CPT 72148. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #15 of 51 states on this physician line (6% below the national office rate of $191.72).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.