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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in MI

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Hospitals
27
Min
$82.74
Median
$369.23
Max
$2,247.54
Range multiplier
27.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2187$53.89$362.06$3,781.5470.2×
Medicare1377$80.72$348.30$557.286.9×
Medicaid1367$53.89$195.35$2,624.5048.7×
Aetna2253$109.24$372.28$4,125.4137.8×
Blue Cross Blue Shield1540$134.75$741.81$2,624.5019.5×
Humana1938$80.72$358.34$409.515.1×
smarthealth816$501.87$501.87$521.191.0×
Medicare Advantage916$346.06$358.48$363.151.0×
Ambetter816$591.49$591.49$603.091.0×
facility billing - op714$358.48$358.48$358.481.0×
WellCare714$358.48$358.48$358.481.0×
Oscar Health714$573.57$573.57$573.571.0×
occunet714$663.19$734.89$806.581.2×
blue mcr replacement714$358.48$358.48$358.481.0×
healthspring mcr replacement714$362.06$363.86$365.651.0×
Cigna1012$215.85$1,902.30$2,323.9810.8×
priority health op rate1012$966.94$1,436.68$2,355.742.4×
First Health811$112.11$1,651.64$4,321.7638.5×
priority health910$122.41$122.41$479.013.9×
TRICARE89$314.92$340.52$372.281.2×
mclaren commercial ins88$103.11$103.11$103.111.0×
u of m health plan88$92.83$92.83$92.831.0×
mi amish medical board66$348.30$348.30$348.301.0×
hap preferred op rate46$784.58$1,710.80$2,504.093.2×
mclaren health op rate45$693.89$1,156.70$1,466.432.1×
cofinity - auto op rate45$1,084.63$1,799.48$2,328.242.1×
hap - hmo op rate55$704.78$897.71$1,518.072.2×
hp - ppo op rate44$1,089.41$1,106.21$1,511.971.4×
hp - hmo op rate44$797.25$807.95$1,135.101.4×
harbor health plan14$185.50$204.05$346.061.9×
hcap op rate33$1,165.86$1,165.86$1,590.531.4×
mclaren health advantage op rate23$913.20$1,181.53$1,329.731.5×
hap - ppo op rate33$1,245.53$1,245.53$1,511.971.2×
Multiplan23$1,703.35$2,012.00$2,603.201.5×
hap ahl op rate23$1,077.32$2,188.92$2,504.092.3×
hap hmo op rate23$1,065.44$2,015.91$2,306.162.2×
total health care priority health13$185.50$340.62$346.061.9×
health plus hmo op rate23$1,176.99$2,420.85$2,769.412.4×
cofinity - ppom op rate33$937.66$1,661.35$1,661.351.8×
bcn op rate22$696.05$917.70$1,139.341.6×
cofinity op rate22$691.18$1,329.18$1,967.182.8×
detroit medical center op rate12$1,249.36$1,339.31$1,429.251.1×
hap-hmo op rate12$1,134.52$1,301.20$1,467.881.3×
cofinity ppom op rate12$2,664.62$2,856.46$3,048.291.1×
mclaren health plan op rate22$186.86$186.86$186.861.0×
mi amish medical board op rate22$423.00$423.00$423.001.0×
mhp - hmo op rate22$614.84$693.36$771.871.3×
blue care network op rate22$741.81$741.81$741.811.0×
usa mco-ppo op rate12$2,137.75$2,451.83$2,765.901.3×
great lakes research op rate22$1,165.86$1,165.86$1,165.861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension St John HospitalDetroitMI3$2,851.00$1,054.87$112.11$963.32$1,591.00
Mclaren Bay Special CareBay CityMI18$1,010.40$186.86$847.48$1,661.35
Mclaren Thumb RegionBad AxeMI9$232.60$116.30$53.89$82.74$134.75
Tawas St. Joseph HospitalTawasMI10$3,938.00$1,299.54$215.85$409.51$2,323.42
Ascension Borgess-Lee HospitalDowagiacMI13$3,730.00$1,492.00$358.48$369.23$1,902.30
Ascension Allegan HospitalAlleganMI13$3,730.00$1,492.00$358.48$369.23$1,902.30
Borgess-Pipp Health CenterPlainwellMI13$3,730.00$1,492.00$358.48$369.23$1,902.30
Ascension Borgess HospitalKalamazooMI13$3,730.00$1,492.00$358.48$369.23$1,902.30
Genesys Regional Medical Ctr.Grand BlancMI13$3,730.00$1,492.00$358.48$369.23$1,902.30
Ascension Providence Rochester HospiRochesterMI13$3,730.00$1,492.00$358.48$369.23$1,902.30
Ascension Standish HospitalStandishMI13$3,730.00$1,492.00$358.48$369.23$1,902.30
Mclaren Port HuronPort HuronMI26$232.60$1,102.75$53.89$366.20$2,120.70
Mclaren FlintFlintMI25$2,317.00$1,158.50$53.89$348.30$1,626.56
Mclaren Lapeer RegionLapeerMI23$1,124.70$1,364.80$53.89$348.30$2,624.50
Bay Regional Medical CenterBay CityMI24$2,330.10$1,165.05$53.89$348.30$1,661.35
Mclaren Greater LansingLansingMI19$6,541.00$3,270.50$53.89$348.30$4,321.76
Garden City Hospital OsteopathicGarden CityMI19$2,135.20$346.00$185.50$346.06$536.39
Karmanos Cancer HospitalDetroitMI15$2,014.10$224.55$2,247.54$3,048.29
Mclaren Central MichiganMt PleasantMI16$3,191.10$1,595.55$53.89$224.55$2,360.61
Mclaren Northern MichiganPetoskeyMI14$3,039.60$1,519.80$53.89$201.21$2,259.36
Mclaren MacombMt. ClemensMI20$1,759.80$217.89$1,577.66$2,928.60
Mclaren OaklandPontiacMI14$1,311.10$224.55$1,518.07$2,521.30
Carson City HospitalCarson CityMI0$2,539.00$634.75
Mh - Mercy CampusMuskegonMI0$1,520.30$729.74
Mckenzie Health SystemSanduskyMI0$3,906.00$3,124.80
Sparrow Clinton HospitalSt. JohnsMI0$2,512.00$628.00
Sparrow EatonCharlotteMI0$2,598.00$649.50

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.