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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
$80.00
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$45.00$184.27$871.3619.4×
no fault [114001]184$184.18$736.72$920.905.0×
univera healthcare [100169]154$71.23$229.40$329.964.6×
independent health [100165]142$88.75$200.45$289.203.3×
Molina436$167.15$400.74$877.305.2×
Aetna533$29.10$58.80$324.4811.2×
Cigna530$25.20$225.07$442.0017.5×
WellCare130$85.67$193.48$292.453.4×
Humana526$65.00$193.48$702.7110.8×
TRICARE118$81.59$184.27$265.863.3×
federal workers compensation [500100]118$184.18$736.72$920.905.0×
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$18.00$429.94$737.8541.0×
iha first choice [800001]112$88.75$200.45$289.203.3×
amerigroup [350102]112$74.29$232.10$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$340.70$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$110.80$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$232.10$389.915.2×
vna option mltc [350110]14$74.29$232.10$389.915.2×
Multiplan44$85.00$90.00$90.001.1×
tuscarora nation [550120]14$74.29$232.10$389.915.2×
excellus rochester mcd [350117]14$74.29$232.10$389.915.2×
plotkin health33$60.00$60.00$60.001.0×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90.00$90.00$90.001.0×
medcost12$56.90$65.30$73.701.3×
devoted health plan12$324.48$324.48$324.481.0×
novanet11$90.00$90.00$90.001.0×
galaxy health network11$90.00$90.00$90.001.0×
healthsmart preferred care11$80.00$80.00$80.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Colleton Medical CenterWalterboroSC24$6,790.00$6,790.00$18.00$80.00$2,395.42
East Cooper Regional Medical CenterMt. PleasantSC14$860.03$36.90$335.84$1,873.78
Coastal Carolina Medical CenterHardeevilleSC14$860.03$25.20$330.97$1,938.90
Hilton Head HospitalHilton Head IslandSC14$860.03$32.20$330.97$2,186.86
Mary Black Memorial HospitalSpartanburgSC37$1,573.00$966.95$57.11$200.45$920.90
Roper St. Francis Mt Pleasant HospitMt. PleasantSC0$4,146.00$2,694.90
Mcleod Loris Seacoast HospitalLorisSC0$5,651.00$4,012.21
Mcleod Health CherawCherawSC0$5,651.00$4,012.21
Mcleod Health ClarendonManningSC0$5,651.00$4,012.21
Roper St. Francis Hospital-BerkeleySummervilleSC0$4,146.00$2,694.90
Mcleod Medical Center - DillonDillonSC0$5,651.00$4,012.21
Edgefield County HealthcareEdgefieldSC0$3,198.86$1,919.32
Mcleod Regional Medical CenterFlorenceSC0$5,651.00$4,012.21
Bon Secours St. Francis Xavier HospiCharlestonSC0$4,146.00$2,694.90
Self Regional HealthcareGreenwoodSC0$3,198.86$1,919.32
Roper Hospital Inc.CharlestonSC0$4,146.00$2,694.90

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.