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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in PA

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Hospitals
57
Min
$338.93
Median
$1,509.00
Max
$5,410.72
Range multiplier
16.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27185$104.53$2,062.94$4,486.3242.9×
Blue Cross Blue Shield27182$149.02$993.47$6,670.0044.8×
upmc health plan2595$139.63$372.90$6,255.1344.8×
UnitedHealthcare2795$139.63$420.47$6,863.3549.2×
Cigna2791$320.44$2,213.12$5,313.6016.6×
Multiplan1150$1,634.20$3,966.30$10,6726.5×
intergroup1544$1,650.40$4,132.15$11,3396.9×
pa health & wellness2141$367.72$577.72$2,315.526.3×
amerihealth caritas2240$350.69$419.94$2,208.326.3×
First Health1334$1,948.98$3,422.20$9,338.004.8×
geisinger1832$372.90$471.18$3,406.959.1×
private health care systems1326$1,720.21$4,646.40$10,6726.2×
Humana1425$314.28$2,512.80$11,33936.1×
Medicaid222$67.93$351.47$675.9310.0×
upmc work partners2121$425.00$1,479.38$1,505.133.5×
keystone first517$330.87$714.37$945.812.9×
Medicare213$71.22$322.57$437.216.1×
america's choice512$4,068.00$4,068.00$4,576.501.1×
wirerope works512$2,564.27$2,827.26$2,827.261.1×
preferred healthcare system612$1,509.00$1,509.00$8,671.005.7×
health partners plans (jefferson health plan)1111$405.65$511.21$511.211.3×
health partners plans39$239.71$239.71$374.031.6×
jup health partners chip18$67.93$145.71$434.406.4×
selectcare48$6,026.40$6,452.40$10,6721.8×
three rivers provider network48$1,582.59$3,079.55$4,576.502.9×
jup geisinger commercial17$128.18$661.23$804.876.3×
health coalition partners46$2,067.10$6,026.40$10,6725.2×
pennsylvania health and wellness36$394.26$580.10$756.821.9×
premier comp solutions66$1,376.17$1,376.17$1,400.121.0×
naphcare45$492.99$550.05$612.891.2×
gateway health plan35$139.24$348.10$458.383.3×
innovage55$308.12$374.03$433.691.4×
national provider network24$2,764.08$5,013.00$7,261.922.6×
health payors organization24$7,970.40$9,654.70$11,3391.4×
Medicare Advantage24$338.70$346.63$370.961.1×
abington pro ibc14$89.96$202.49$404.994.5×
pa health_wellness chc24$349.70$395.20$440.701.3×
Anthem BCBS13$1,006.97$1,148.72$1,346.571.3×
health plan of upper ohio valley13$340.48$340.48$3,558.3210.5×
fidelis23$392.96$10,005$10,00525.5×
geisinger health plan23$1,255.59$1,271.27$1,314.491.0×
jup pa health_wellness13$91.00$349.70$440.704.8×
elder health33$430.10$440.04$440.041.0×
occunet33$425.60$605.05$605.051.4×
prime health services33$570.53$583.71$583.711.0×
ibc23$429.21$1,121.62$1,664.853.9×
clover health33$379.93$388.70$388.701.0×
Oscar Health33$537.63$550.05$550.051.0×
univera13$386.70$850.74$1,134.322.9×
provider partners health plan22$308.12$326.64$345.151.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc HamotEriePA16$2,578.00$1,546.80$220.65$773.40$3,293.93
American Oncologic HospialPhiladelphiaPA16$11,813$239.71$714.37$7,324.06
Temple University HospitalPhiladelphiaPA20$11,813$239.71$550.05$4,016.42
Upmc ShadysidePittsburghPA21$13,340$8,004.00$322.80$5,410.72$11,339
Jeanes HospitalPhiladelphiaPA18$11,813$239.71$516.88$4,016.42
Upmc JamesonNew CastlePA13$3,141.00$1,884.60$280.42$455.96$2,764.08
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$4,790.00$412.18$239.71$403.22$2,641.00
Curahealth Heritage ValleyBeaverPA9$1,911.00$515.97$139.24$349.07$1,590.22
Upmc Bedford Memorial HospitalEverettPA17$6,696.00$4,017.60$122.85$3,481.92$6,026.40
WellsboroWellsboroPA14$5,085.00$3,689.60$344.32$3,383.36$4,830.75
Aria HealthPhiladelphiaPA32$3,902.00$393.71$67.93$338.93$1,271.27
Upmc MckeesportMckeesportPA14$8,227.00$4,936.20$315.59$3,126.26$6,992.95
Upmc Mercy HospitalPittsburghPA17$8,856.00$5,313.60$283.82$3,011.04$7,970.40
Upmc East HospitalMonroevillePA14$8,457.00$5,074.20$341.40$2,833.10$6,765.60
Muncy Valley HospitalMuncyPA15$5,085.00$3,051.00$344.32$2,547.59$4,830.75
Divine Providence HospitalWilliamsportPA15$5,085.00$3,051.00$343.82$2,486.57$4,576.50
Williamsport Hospital & Medical CtrWilliamsportPA15$5,085.00$3,051.00$343.82$2,486.57$4,576.50
Lock Haven HospitalLock HavenPA15$5,085.00$3,051.00$343.82$2,486.57$4,576.50
Upmc St MargaretPittsburghPA13$7,904.00$4,742.40$293.97$2,213.12$6,718.40
Upmc Northwest HospitalSenecaPA13$4,083.00$2,449.80$308.78$1,768.25$3,704.00
Upmc PassavantPittsburghPA15$7,702.00$4,621.20$316.41$1,625.79$7,162.86
Altoona Regional Health SystemAltoonaPA12$3,018.00$1,810.80$269.00$1,509.00$2,414.40
Upmc Magee-Womens HospitalPittsburghPA12$3,018.00$1,810.80$269.00$1,509.00$2,414.40
Upmc Childrens Hospital Of PghPittsburghPA12$3,018.00$1,810.80$269.00$1,509.00$2,414.40
The Childrens Home Of PittsburghPittsburghPA12$3,018.00$1,810.80$269.00$1,509.00$2,414.40
Upmc Horizon HospitalGreenvillePA17$2,953.00$1,771.80$304.83$1,151.67$2,510.05
Charles Cole Memorial HospitalCoudersportPA14$2,063.00$1,237.80$320.31$1,064.70$2,162.05
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$818.00
Penn State Hershey Rehabilitation LlHummelstownPA0$1,786.00$464.54
St Christophers Hospital For ChildrPhiladelphiaPA0$13,663$6,831.50
Lifecare Hospitals Of Chester CountyWest ChesterPA0$6,187.00$6,187.00
Holy Spirit HospitalCamp HillPA0$1,786.00$426.68
Chestnut Hill HospitalPhiladelphiaPA0$6,392.00$1,598.00
Uniontown HospitalUniontownPA0$1,530.00$765.00
Reading Hospital And Medical CenterReadingPA0$6,392.00$4,474.40
Clarion HospitalClarionPA0$2,200.00$1,232.00
St. Joseph Medical CenterReadingPA0$1,786.00$464.54
Hospital Of The Univ Of PennaPhiladelphiaPA0$11,605$11,605
Pottstown Memorial Medical CenterPottstownPA0$7,426.00$1,856.50
Wayne Memorial HospitalHonesdalePA0$2,235.00$1,564.50
Phoenixville HospitalPhoenixvillePA0$6,392.00$1,598.00
Miners HospitalHastingsPA0$3,596.00$1,438.40
Westmoreland Regional HospitalGreensburgPA0$2,063.00$1,237.80
Armstrong County MemorialKittanningPA0$2,421.00$726.30
Butler Memorial HospitalButlerPA0
The Chester County HospitalWest ChesterPA0$6,187.00$6,187.00
Doylestown HospitalDoylestownPA0$6,496.00$6,496.00
Frick HospitalMount PleasantPA0$2,063.00$1,237.80
Latrobe Area HospitalLatrobePA0$2,063.00$1,237.80
Presbyterian Medical CenterPhiladelphiaPA0$8,858.00$8,858.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$11,605$11,605
Milton S. Hershey Medical CenterHersheyPA0$1,786.00$591.70
Physicians Care Surgical HospitalRoyersfordPA0$5,829.00$393.40
Hampden Medical CenterEnolaPA0$1,786.00$562.05
Meyersdale Community HospitalMeyersdalePA0$2,640.00$1,056.00
Miners HospitalHastingsPA0$3,596.00$1,438.40
Allied Services Rehab HospitalScrantonPA0$818.00

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.