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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$80
Median
$330.97
Max
$335.84
Range multiplier
4.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid1182$67.04$165.84$389.915.8×
Blue Cross Blue Shield5179$74.29$259.79$2,395.4232.2×
Medicare1132$80.25$184.27$309.883.9×
UnitedHealthcare5107$45$184.27$871.3619.4×
no fault [114001]184$184.18$736.72$920.95.0×
univera healthcare [100169]154$71.23$229.4$329.964.6×
independent health [100165]142$88.75$200.45$289.23.3×
Molina436$167.15$400.74$877.35.2×
Aetna533$29.1$58.8$324.4811.2×
Cigna530$25.2$225.07$44217.5×
WellCare130$85.67$193.48$292.453.4×
Humana526$65$193.48$702.7110.8×
TRICARE118$81.59$184.27$265.863.3×
federal workers compensation [500100]118$184.18$736.72$920.95.0×
beacon essential [350122]118$73.43$221.12$319.034.3×
VA Health118$69.35$156.63$225.983.3×
univera healthcare essential [100170]118$71.23$162.49$233.723.3×
fidelis essential [100163]118$89.75$202.69$292.443.3×
independent health essential [100166]118$74.29$315.62$389.915.2×
absolute total care414$18$429.94$737.8541.0×
iha first choice [800001]112$88.75$200.45$289.23.3×
amerigroup [350102]112$74.29$232.1$389.915.2×
fidelis dual advantage [450120]112$85.67$193.48$279.153.3×
hospice [550001]112$81.59$184.27$265.863.3×
select health312$340.7$480.23$726.842.1×
ghi [100153]18$77.51$179.66$265.863.4×
covid19 hrsa [45013]16$81.59$184.27$265.863.3×
clover insurance company36$337.46$337.46$337.461.0×
upmc health plan [100181]16$146.86$331.69$478.553.3×
beacon health options [100023]16$97.91$221.12$319.033.3×
mvp healthcare [100168]16$110.8$265.07$375.883.4×
fallon health [450115]16$81.59$184.27$265.863.3×
fidelis exchange [100164]16$97.91$221.12$319.033.3×
seneca nation [450119]16$81.59$184.27$265.863.3×
champ va [700002]16$81.59$184.27$265.863.3×
catholic health life pace [400005]16$81.59$184.27$265.863.3×
devoted health24$324.48$324.48$324.481.0×
crime victims [100176]14$74.29$232.1$389.915.2×
vna option mltc [350110]14$74.29$232.1$389.915.2×
Multiplan44$85$90$901.1×
tuscarora nation [550120]14$74.29$232.1$389.915.2×
excellus rochester mcd [350117]14$74.29$232.1$389.915.2×
plotkin health33$60$60$601.0×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90$90$901.0×
medcost12$56.9$65.3$73.71.3×
devoted health plan12$324.48$324.48$324.481.0×
novanet11$90$90$901.0×
galaxy health network11$90$90$901.0×
healthsmart preferred care11$80$80$801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC24$6,790$6,790$18$80$2,395.42
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$860.03$36.9$335.84$1,873.78
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$860.03$25.2$330.97$1,938.9
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$860.03$32.2$330.97$2,186.86
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$1,573$966.95$57.11$200.45$920.9
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$4,146$2,694.9
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$5,651$4,012.21
MCLEOD HEALTH CHERAWCHERAWSC0$5,651$4,012.21
MCLEOD HEALTH CLARENDONMANNINGSC0$5,651$4,012.21
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$4,146$2,694.9
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$5,651$4,012.21
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$3,198.86$1,919.32
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$5,651$4,012.21
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$4,146$2,694.9
SELF REGIONAL HEALTHCAREGREENWOODSC0$3,198.86$1,919.32
ROPER HOSPITAL INC.CHARLESTONSC0$4,146$2,694.9

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.