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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$78.55
Median
$343.84
Max
$610.96
Range multiplier
7.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield13135$194.18$359.12$921.34.7×
UnitedHealthcare1394$43.2$610.96$782.7918.1×
Cigna1380$70.13$707.69$1,168.1216.7×
Aetna1251$78.55$796.6$1,876.623.9×
Medicare928$78.55$340.31$359.124.6×
Humana1228$78.55$337.1$373.44.8×
Ambetter1118$109.97$444.63$9879.0×
Medicare Advantage817$327.02$342.02$342.021.0×
optum va714$337.1$342.02$342.021.0×
smart health714$471.94$478.83$478.831.0×
amerigroup mcr replacement714$337.1$342.02$352.281.0×
point comfort underwriters714$303.39$307.82$307.821.0×
nhc advantage714$337.1$342.02$342.021.0×
centurion of tn714$337.1$342.02$342.021.0×
healthspring mcr replacement714$337.1$342.02$342.021.0×
ascension complete612$337.1$339.56$342.021.0×
wellpoint39$342.41$342.41$348.041.0×
farm bureau47$80.12$335.21$335.214.2×
Self-Pay (Cash)77$337.1$342.02$342.021.0×
Oscar Health77$471.94$478.83$478.831.0×
devoted health36$342.41$342.41$342.411.0×
Medicaid16$284.93$353.73$4951.7×
TRICARE56$326.1$327.22$344.021.1×
triwest va pccc36$342.02$342.02$342.021.0×
community plan44$215.74$215.74$215.741.0×
WellCare44$78.55$342.41$342.414.4×
galaxy health network33$2,115$2,115$2,1151.0×
community services network33$1,527.5$1,527.5$1,527.51.0×
direct care america33$1,880$1,880$1,8801.0×
ehn33$1,057.5$1,057.5$1,057.51.0×
initial group33$2,068$2,068$2,0681.0×
ccn managed care33$1,997.5$1,997.5$1,997.51.0×
medsave usa33$1,880$1,880$1,8801.0×
national provider network33$1,880$1,880$1,8801.0×
novanet33$1,762.5$1,762.5$1,762.51.0×
optum33$326.1$326.1$326.11.0×
beech street33$1,997.5$1,997.5$1,997.51.0×
usa managed care organization33$1,645$1,645$1,6451.0×
correctional medical services33$1,410$1,410$1,4101.0×
Molina12$284.93$320.55$356.161.2×
amerigroup22$68.73$193.41$318.084.6×
americhoice mcr replacement12$321.5$330.05$338.61.1×
blue11$78.55$78.55$78.551.0×
devoted health [450111]11$336.83$336.83$336.831.0×
amerivantage11$68.73$68.73$68.731.0×
provider network of america11$133.54$133.54$133.541.0×
amerigroup mcaid replacement11$313.5$313.5$313.51.0×
bluecare11$317.21$317.21$317.211.0×
generic hospice vbid [10940000101]11$327.02$327.02$327.021.0×
transplant optum tenncare [350013]11$213.71$213.71$213.711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
METRO NASHVILLE GENERAL HOSPITALNASHVILLETN19$3,412$2,047.2$43.2$78.55$1,876.6
ST THOMAS HICKMAN HOSPITALCENTERVILLETN4$256.45$610.96$865.43
SAINT THOMAS STONES RIVER HOSPITALWOODBURYTN19$3,378.65$1,013.6$215.74$359.12$1,756.9
SAINT THOMAS RUTHERFORD HOSPITALMURFREESBOROTN19$256.45$359.12$1,168.12
SAINT THOMAS WEST HOSPITALNASHVILLETN19$256.45$359.12$1,168.12
ST THOMAS DEKALB HOSPITALSMITHVILLETN19$3,378.65$1,013.6$215.74$348.9$1,756.9
SAINT THOMAS HIGHLAND HOSPITALSPARTATN19$3,378.65$1,013.6$215.74$343.84$1,756.9
ASCENSION ST THOMAS RIVER PARKMCMINNVILLETN20$3,217.75$965.33$215.74$343.84$1,673.23
FORT LOUDOUN MEDICAL CENTERLENOIR CITYTN24$2,350$752$198.87$342.41$2,115
ROANE COUNTY MEDICAL CENTERHARRIMANTN24$2,350$728.5$198.87$342.41$2,115
MORRISTOWN-HAMBLEN HOSPITALMORRISTOWNTN24$2,350$728.5$198.87$342.41$2,115
SAINT THOMAS MIDTOWN HOSPITALNASHVILLETN21$256.45$342.02$865.43
METHODIST H/C MEMPHIS HOSPT.MEMPHISTN15$7,052$1,551.44$50$331.93$921.3
BIG SOUTH FORK MEDICAL CENTERONEIDATN0$2,673$801.9
ST THOMAS ASCENSIONNASHVILLETN0$12,575$3,143.78

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.