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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in NE

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Hospitals
4
Min
$362.27
Median
$1,950.00
Max
$4,056.50
Range multiplier
11.2×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica315$78.68$366.98$5,052.4064.2×
Cigna211$207.46$704.24$5,349.6025.8×
Aetna210$78.68$345.41$5,527.9270.3×
UnitedHealthcare38$96.80$680.44$3,573.0036.9×
Blue Cross Blue Shield48$150.24$2,076.01$4,755.2031.7×
winhealth15$149.49$477.64$5,052.4033.8×
Humana25$78.68$251.39$362.274.6×
rci insurance group15$207.46$704.24$4,992.9624.1×
WellCare25$82.61$263.96$1,950.0023.6×
medica cost14$82.61$222.66$380.384.6×
naphcare14$118.02$318.08$543.404.6×
Ambetter14$144.94$396.37$543.403.7×
Centene13$301.29$358.48$686.292.3×
midlands choice23$2,099.24$3,027.75$4,588.002.2×
nebraska total care22$1,950.00$2,409.00$2,868.001.5×
one world12$1,050.45$1,129.24$1,208.021.2×
phcs12$2,866.27$2,947.01$3,027.751.1×
greater omaha packing12$1,050.45$1,129.24$1,208.021.2×
quiktrip12$2,422.20$2,422.20$2,422.201.0×
amerigroup12$301.29$333.37$365.441.2×
millard public schools12$1,050.45$1,129.24$1,208.021.2×
Multiplan12$3,431.45$3,431.45$3,431.451.0×
elap11$1,332.21$1,332.21$1,332.211.0×
iamolina11$307.20$307.20$307.201.0×
amps11$744.81$744.81$744.811.0×
pace11$348.04$348.04$348.041.0×
timpte11$1,208.02$1,208.02$1,208.021.0×
todays options11$355.00$355.00$355.001.0×
creighton university employees11$612.31$612.31$612.311.0×
great plains11$365.44$365.44$365.441.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi Health-Creighton Univ Med CenterOmahaNE21$4,037.00$1,695.54$301.29$744.81$3,431.45
Regional West Garden County HospitalOshkoshNE6$4,829.00$3,284.00$2,868.00$4,056.50$4,636.00
Regional West Medical CenterScottsbluffNE12$5,944.00$3,566.40$78.68$362.27$5,527.92
Genoa Community HospitalGenoaNE4$3,305.00$2,975.00$1,950.00$1,950.00$3,666.00

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.