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MRI lumbar spine with and without contrast
CPT 72149 · negotiated-rate distribution across hospitals in ID
Hospitals
1
Min
$1,174.32
Median
$1,174.32
Max
$1,174.32
Range multiplier
1.0×
By payer (9 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 1 | 2 | $1,040.15 | $1,053.88 | $1,067.60 | 1.0× |
| Aetna | 1 | 1 | $1,188.30 | $1,188.30 | $1,188.30 | 1.0× |
| dmba | 1 | 1 | $1,216.26 | $1,216.26 | $1,216.26 | 1.0× |
| first choice | 1 | 1 | $1,202.28 | $1,202.28 | $1,202.28 | 1.0× |
| mountain health co-op | 1 | 1 | $1,118.40 | $1,118.40 | $1,118.40 | 1.0× |
| Multiplan | 1 | 1 | $1,048.50 | $1,048.50 | $1,048.50 | 1.0× |
| three rivers | 1 | 1 | $1,258.20 | $1,258.20 | $1,258.20 | 1.0× |
| acpn | 1 | 1 | $1,188.30 | $1,188.30 | $1,188.30 | 1.0× |
| UnitedHealthcare | 1 | 1 | $1,160.34 | $1,160.34 | $1,160.34 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mountain View Hospital | Idaho Falls | ID | 9 | $1,398.00 | $978.60 | $1,040.15 | $1,174.32 | $1,258.20 |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.