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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in KS

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Hospitals
14
Min
$44.00
Median
$336.89
Max
$4,544.25
Range multiplier
103.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1151$40.00$362.06$1,782.0044.5×
Blue Cross Blue Shield1245$212.89$682.99$5,063.9923.8×
Aetna1243$72.48$407.33$6,405.8588.4×
Cigna727$90.00$870.00$5,220.8058.0×
Medicare725$325.72$333.58$358.481.1×
Medicare Advantage522$330.28$330.28$365.651.1×
Humana1021$40.00$330.28$362.069.1×
providrs care316$113.59$271.17$384.763.4×
Ambetter814$44.00$561.48$681.1115.5×
smarthealth510$462.39$462.39$501.871.1×
kancare healthy blue39$72.48$214.96$325.704.5×
kancare amerigroup39$73.17$162.42$371.815.1×
First Health59$1,155.99$3,997.25$4,300.633.7×
kancare sunflower39$72.48$214.96$325.704.5×
va48$330.28$330.28$330.281.0×
Medicaid17$206.69$227.36$456.682.2×
transplants-case rates [5750]16$407.33$2,528.63$6,743.0016.6×
vc hope24$330.28$330.28$330.281.0×
php [503200005]24$1,338.60$3,934.53$4,822.713.6×
commercial-contracted [8000]13$1,439.00$5,057.25$5,455.093.8×
sunflower state13$40.00$44.00$224.375.6×
alt wppa [5032000964]23$651.44$937.02$3,953.456.1×
Meritain Health23$937.02$1,338.60$5,481.845.9×
healthcare highways [2210]13$1,259.21$1,259.21$1,259.211.0×
celtic insurance company13$40.00$44.00$44.001.1×
WellCare23$40.00$358.48$358.489.0×
Workers Comp23$325.72$325.72$6,199.7019.0×
TRICARE33$454.56$454.56$454.561.0×
6 degrees health [503999050]23$570.01$814.30$814.301.4×
90 degree benefits12$645.26$645.26$645.261.0×
allied national [503999937]22$1,338.60$2,627.10$3,915.602.9×
saint lukes health systems12$330.28$330.28$330.281.0×
aha-healthcare preferred [503200050]22$1,470.23$2,885.43$4,300.632.9×
centurion [5032000966]22$423.44$423.44$423.441.0×
centivo [5032000982]12$537.44$537.44$537.441.0×
pace place12$358.48$358.48$358.481.0×
research study encore borland-groover12$358.48$358.48$358.481.0×
Centene12$210.82$265.13$319.431.5×
Multiplan22$879.44$2,863.32$4,847.205.5×
occunet12$663.19$734.89$806.581.2×
careplus mcr replacement12$365.65$365.65$365.651.0×
fort hays state student athletes [5032000960]22$684.01$684.01$684.011.0×
Molina12$663.19$663.19$663.191.0×
advanced medical pricing solutions [503301513]22$977.16$1,004.02$1,030.871.1×
occunet [503999930]22$684.01$684.01$684.011.0×
healthlink [503200007]12$3,953.45$4,388.08$4,822.711.2×
alt carelon behavioral health [503200905]22$1,115.50$2,189.25$3,263.002.9×
employer direct healthcare12$627.34$627.34$627.341.0×
bc advantage mcr replacement12$358.48$358.48$358.481.0×
ku athletics [503200094]22$325.72$325.72$325.721.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ukhs Great Bend CampusGreat BendKS26$2,231.00$446.20$325.72$937.02$2,007.90
Rehabilitation Hosp Of Overland ParkOverland ParkKS9$6,059.00$6,059.00$3,635.40$4,544.25$5,453.10
Ninnescah Valley Health SystemsKingmanKS11$40.00$44.00$988.99
Great Plains Of Ottawa County IncMinneapolisKS23$2,402.50$888.93$336.35$369.23$888.92
Via Christi Rehab Center IncWichitaKS12$264.15$336.89$1,591.18
Via Christi Hosp. Wichita St. TeresaWichitaKS15$330.28$333.58$1,155.99
Via Christi Hospital Pittsburg Inc.PittsburgKS14$4,015.00$1,606.00$69.69$330.28$924.78
Mercy Regional Health CenterManhattanKS14$4,015.00$1,606.00$69.69$330.28$924.78
University Of Kansas HospitalKansas CityKS55$6,526.00$1,305.20$325.72$3,263.00$6,199.70
Stormont-Vail Regional Health CenterTopekaKS5$3,670.70$210.82$322.57$704.95
Wamego Hospital AssociationWamegoKS8$5,294.00$2,117.60$69.69$214.96$763.86
St. Lukes SouthOverland ParkKS9$6,743.00$4,045.80$202.77$1,782.00$6,743.00
St.francis Health CenterTopekaKS9$3,071.25$921.37$1,259.21$1,259.21$3,071.25
Childrens Mercy Hospital KansasOverland ParkKS0$4,614.00$2,214.72

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.