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MRI lumbar spine with and without contrast
CPT 72149 · negotiated-rate distribution across hospitals in NH
Hospitals
1
Min
$1,076.76
Median
$1,076.76
Max
$1,076.76
Range multiplier
1.0×
By payer (8 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 1 | 24 | $265.69 | $874.87 | $1,342.26 | 5.1× |
| harvard pilgrim | 1 | 5 | $1,862.76 | $2,434.75 | $3,854.94 | 2.1× |
| tufts health plan | 1 | 3 | $3,739.54 | $3,739.54 | $4,062.39 | 1.1× |
| maine community health | 1 | 3 | $2,295.86 | $2,295.86 | $3,892.98 | 1.7× |
| UnitedHealthcare | 1 | 2 | $2,857.70 | $3,488.00 | $4,118.29 | 1.4× |
| well sense health plan | 1 | 1 | $798.56 | $798.56 | $798.56 | 1.0× |
| Cigna | 1 | 1 | $2,653.00 | $2,653.00 | $2,653.00 | 1.0× |
| amerihealth caritas | 1 | 1 | $646.26 | $646.26 | $646.26 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Catholic Medical Center | Manchester | NH | 8 | $5,704.00 | $5,704.00 | $265.69 | $1,076.76 | $4,118.29 |
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.