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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in MA

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Hospitals
9
Min
$415.28
Median
$1,178.24
Max
$2,154.22
Range multiplier
5.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare631$148.88$493.7$4,56330.6×
Blue Cross Blue Shield631$358.42$1,108.94$3,391.949.5×
Aetna421$387.09$2,085.06$10,75027.8×
institution [10406]317$423.28$4,069$4,0699.6×
Cigna611$275.62$423.28$3,782.7513.7×
Medicaid37$418.11$1,342.77$2,115.885.1×
correctional care [11003]26$423.28$423.28$3,782.758.9×
medcost16$1,372.96$2,082.5$3,283.842.4×
tufts [11201]24$1,178.24$1,237.2$1,296.151.1×
amerihealth24$742.84$769.19$1,662.932.2×
Humana34$369.17$2,582.53$4,866.8513.2×
First Health44$2,013.6$3,049.88$3,051.751.5×
Multiplan34$3,051.75$3,831.23$4,610.71.5×
workers compensation [20501]33$673.66$673.66$673.661.0×
CHAMPVA33$424.11$454.23$454.231.1×
connecticare [11105]33$4,064$4,069$4,0691.0×
evernorth behavioral health [27]33$3,251.2$3,255.2$3,255.21.0×
fallon mcaid carelon hlth [29]33$4,064$4,069$4,0691.0×
fallon mcr [10105]33$444.45$444.45$444.451.0×
geisinger13$372.76$406.8$9,733.9126.1×
grants [20507]33$4,064$4,069$4,0691.0×
hne [11108]33$1,835.12$1,835.12$2,644.851.4×
hsno/free care [10801]33$672.16$672.16$680.811.0×
masshealth mcd mbhp [38]33$4,064$4,069$4,0691.0×
mgb mcr [10124]33$423.28$444.45$444.451.1×
pennsylvania health and wellness13$376.34$423.75$663.081.8×
senior whole health [10110]33$447.37$447.37$452.911.0×
tufts connectorcare [10507]33$720$720$7201.0×
tufts us family [11203]33$418.11$418.11$423.281.0×
upmc health plan13$376.34$474.6$6781.8×
wellpoint13$57$400.67$1,912.9233.6×
wellpoint [11112]33$826.83$826.83$826.831.0×
Medicare22$423.28$423.28$423.281.0×
wellsense cc carelon hlth [20]22$4,069$4,069$4,0691.0×
devon health12$11,577$11,577$11,5771.0×
commonwealth care mcr [10115]22$444.45$444.45$444.451.0×
keystone first12$365.59$2,009.68$3,653.7610.0×
optum transplant [20601]22$4,069$4,069$4,0691.0×
oscar12$1,536.9$1,793.05$2,049.21.3×
WellCare22$750.52$773.93$797.331.1×
private healthcare systems12$4,200.86$4,200.86$4,200.861.0×
qualcare inc12$2,072$2,694.5$3,3171.6×
wellfleet [11106]22$3,662.1$3,662.1$3,662.11.0×
automobile [10401]22$4,069$4,069$4,0691.0×
eternalhealth mcr replace [10116]22$444.45$444.45$444.451.0×
tufts dual [10111]22$423.28$423.28$423.281.0×
fidelis care12$400.67$635.94$871.212.2×
directnet12$3,027.69$3,027.69$3,027.691.0×
tufts mcr supp [20209]22$444.45$444.45$444.451.0×
harvard pilgrim mcr supp [20203]22$444.45$444.45$444.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$3,356$699.05$57$603.32$3,317
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$11,813$275.62$415.28$11,577
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$5,123$2,561.5$742.84$2,154.22$4,866.85
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA28$4,064$4,064$423.28$1,260.68$4,064
MARLBOROUGH HOSPITALMARLBOROUGHMA34$4,069$4,069$418.11$1,178.24$4,069
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA34$4,069$4,069$418.11$1,178.24$4,069
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$4,452.55$4,229.92
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$4,452.55$4,229.92
NORTH SHORE MEDICAL CENTERSALEMMA0$9,624.7$9,624.7

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.