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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in OK

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Hospitals
13
Min
$87.5
Median
$1,674.34
Max
$6,029.44
Range multiplier
68.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield635$335.54$922.85$6,029.4418.0×
healthcare highways [2210]525$1,019.25$1,681.59$2,650.052.6×
Aetna714$85$272.49$6,029.4470.9×
Cigna812$90$2,519.37$6,029.4467.0×
First Health712$85$651.33$3,838.1645.2×
Multiplan89$1,125.86$2,894.94$3,838.163.4×
Humana59$54$863.16$6,029.44111.7×
healthcare highways58$44$531.66$4,522.08102.8×
Oscar Health77$575.44$1,067$1,5332.7×
UnitedHealthcare47$68$6,029.44$6,029.4488.7×
community care26$671.07$875.67$875.671.3×
resource one administrators [2815]55$1,617.28$2,113.45$2,650.051.6×
healthscope benefits [2290]55$1,247.15$1,556.7$1,948.751.6×
hooray health [8000]55$1,019.25$1,228.75$1,5331.5×
medica [2910]55$2,411.42$2,975.79$3,482.981.4×
oncology patient assistance programs [2295]55$1,019.25$1,228.75$1,5331.5×
osma health network [2345]55$1,019.25$1,228.75$1,5331.5×
the kempton group administrators [2905]55$1,834.65$2,211.75$2,759.41.5×
umr - ardent employee [2036]55$1,247.15$1,556.7$1,948.751.6×
web tpa [2115]55$1,617.28$2,113.45$2,650.051.6×
Self-Pay (Cash)44$35.1$3,244.72$6,029.44171.8×
pending ssi [1616]44$4,077$5,771$6,1321.5×
pba [1775]44$1,936.51$2,613.85$3,355.371.7×
black lung [6055]44$1,019.25$1,241.13$1,5331.5×
lucent health [6000]44$1,019.25$1,241.13$1,5331.5×
preferred community choice33$92$950.73$950.7310.3×
medica33$42$6,029.44$6,029.44143.6×
healthsmart33$94$6,029.44$6,029.4464.1×
national association of letter carriers [1695]22$1,936.51$2,519.37$3,102.231.6×
healthpartners [1500]22$3,102.23$3,228.8$3,355.371.1×
Ambetter22$469.75$469.75$469.751.0×
healthsmart [1505]22$4,811.85$4,905.35$4,998.851.0×
manhattan life22$863.16$863.16$863.161.0×
va ccn22$335.54$335.54$335.541.0×
Medicare22$335.54$335.54$335.541.0×
Medicare Advantage22$345.6$345.6$345.61.0×
Centene22$6,029.44$6,029.44$6,029.441.0×
globalhealth22$6,029.44$6,029.44$6,029.441.0×
globalhealth/generations22$6,029.44$6,029.44$6,029.441.0×
global health [1430]22$2,527.74$3,018.78$3,509.821.4×
global health22$788.1$788.1$788.11.0×
healthcare solutions [1485]22$3,352.17$3,685.74$4,019.311.2×
healthchoice22$6,029.44$6,029.44$6,029.441.0×
healthscope22$575.44$575.44$575.441.0×
phcs22$875.67$875.67$875.671.0×
beacon health options behavioral health [2890]22$1,835.24$2,181.49$2,527.741.4×
sana benefits22$813.12$813.12$813.121.0×
the kempton group22$838.84$838.84$838.841.0×
webtpa chickasaw nation hch22$587.95$587.95$587.951.0×
ufcw22$813.12$813.12$813.121.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
NOWATA HEALTH CENTERNOWATAOK3$2,851$1,054.87$112.11$963.32$1,591
JEFFERSON COUNTY HOSPITALWAURIKAOK14$35.1$87.5$1,376.37
OKLAHOMA HEART HOSPITAL SOUTHOKLAHOMA CITYOK24$1,250.96$437.84$153.74$722.96$1,125.86
OKLAHOMA HEART HOSPITALOKLAHOMA CITYOK23$1,250.96$437.84$153.74$617.6$1,125.86
MERCY REHAB HOSPITAL OKLAHOMA CITYOKLAHOMA CITYOK13$6,029.44$6,029.44$4,522.08$6,029.44$6,029.44
MERCY REHAB HOSPITAL OKLAHOMA CITY SOKLAHOMA CITYOK13$6,029.44$6,029.44$4,522.08$6,029.44$6,029.44
HILLCREST HOSPITAL HENRYETTAHENRYETTAOK12$5,661$1,698.3$1,415.25$3,306.03$5,661
HILLCREST HOSPITAL PRYORPRYOROK22$4,077$1,223.1$1,019.25$2,650.05$4,077
HILLCREST MEDICAL CENTERTULSAOK15$6,132$1,839.6$1,533$2,366.95$6,132
HILLCREST HOSPITAL SOUTHTULSAOK15$4,915$1,474.5$1,228.75$1,936.51$2,894.94
HILLCREST HOSPITAL CLAREMORECLAREMOREOK16$4,268$1,280.4$1,067$1,674.34$2,411.42
BAILEY MEDICAL CENTEROWASSOOK16$5,881$1,764.3$1,470.25$1,617.28$5,881
ORTHOPEDIC HOSPITALOKLAHOMA CITYOK5$2,190.61$460$1,232.19$1,533.43

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.