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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in TX

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Hospitals
51
Min
$250.13
Median
$1,279.63
Max
$6,169.80
Range multiplier
24.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield38225$79.82$1,291.53$8,427.00105.6×
UnitedHealthcare35134$79.88$377.83$6,407.7880.2×
Medicaid2598$1.00$296.38$4,041.444041.4×
Aetna3797$78.25$950.00$5,017.9864.1×
Anthem BCBS371$64.01$332.81$2,518.0039.3×
Humana3067$78.25$1,044.10$6,082.4077.7×
Cigna2546$165.10$1,773.72$6,398.9638.8×
Medicare1241$250.13$375.95$442.301.8×
Multiplan2123$1,960.00$4,075.50$7,491.903.8×
First Health1419$875.00$3,634.40$6,610.507.6×
healthsmart714$704.00$6,766.67$6,766.679.6×
Molina812$296.38$296.81$1,453.764.9×
mhs care connect212$64.01$162.35$226.363.5×
healthcare highways [2210]412$1,035.25$1,845.53$3,437.463.3×
Ambetter1111$250.13$534.12$720.982.9×
wellpoint610$308.12$409.36$1,499.194.9×
commercial | galaxy | all plans99$4,255.20$4,618.90$4,618.901.1×
health partners open network29$172.53$567.81$1,601.359.3×
prime health services58$469.26$5,359.34$6,225.4013.3×
assurant health48$5,017.98$5,017.98$5,017.981.0×
wellmed88$335.34$342.17$934.032.8×
web tpa48$3,421.35$3,421.35$3,421.351.0×
commercial | entrust | all plans88$732.18$869.59$968.791.3×
Medicare Advantage37$250.13$250.13$1,254.545.0×
commercial | community health choice | exchange77$401.45$552.54$552.871.4×
velocity provider ppo network46$433.16$4,728.83$5,493.0012.7×
tmhp [50160]16$296.38$296.38$296.381.0×
scott & white56$536.54$536.54$3,225.536.0×
provider network of america45$4,728.83$4,728.83$5,674.591.2×
quik trip45$4,728.83$4,728.83$5,493.001.2×
web tpa [2115]45$1,035.25$2,220.75$6,169.806.0×
wellpoint amerigroup [50170]15$296.38$296.38$296.381.0×
commercial | phcs | all plans55$3,191.40$3,191.40$4,372.401.4×
commercial | kelseycare | exchange55$497.29$497.58$497.581.0×
commercial | nppn | all plans55$4,347.20$4,347.20$4,347.201.0×
commercial | renaissance | all plans55$265.22$265.38$265.381.0×
healthscope benefits [2290]45$678.60$2,220.75$3,437.465.1×
commercial | harris health | ers55$552.54$552.87$552.871.0×
commercial | healthsmart | ppo55$1,100.00$3,803.80$3,803.803.5×
commercial | kelseycare | all plans55$1,398.60$1,398.60$1,398.601.0×
90 degree benefits55$366.00$838.34$838.342.3×
commercial | nxhealth | all plans55$1,189.79$1,197.17$1,197.881.0×
commercial | usa health network | all plans55$4,618.90$4,618.90$4,618.901.0×
commercial | superior health plan | all plans55$552.54$552.87$552.871.0×
patoka valley tier 224$332.81$332.81$332.811.0×
city of san angelo44$1,056.82$1,056.82$1,056.821.0×
pdh/texas trust44$670.68$670.68$670.681.0×
insurance management services44$546.60$546.60$546.601.0×
insurance services of lubbock44$546.60$546.60$546.601.0×
amerivantage14$78.25$207.02$1,311.5016.8×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Golden Plains Community HospitalBorgerTX6$4,061.00$2,842.70$744.61$934.03$2,761.48
Chi St Lukes Health Memorial LufkinLufkinTX10$4,728.00$1,654.80$305.06$931.00$4,255.20
Clay County Memorial HospitalHenriettaTX5$3,520.00$2,464.00$704.00$880.00$1,126.00
Crescent Medical Center LancasterLancasterTX12$2,282.00$1,483.00$349.00$684.50$49,900
St. Lukes The Woodlands HospitalThe WoodlandsTX21$5,434.00$1,901.90$265.22$645.63$4,618.90
St Lukes Hospital At The VintageHoustonTX22$5,434.00$1,901.90$265.38$645.63$4,618.90
St. Lukes Sugar Land HospitalSugar LandTX20$5,434.00$1,901.90$265.38$645.63$4,618.90
St. Joseph Regional Health CenterBryanTX10$5,144.00$1,800.40$305.06$631.51$4,500.00
College Station Medical CenterCollege StationTX10$5,144.00$1,800.40$305.06$631.51$4,500.00
Baptist Saint Anthonys HospitalAmarilloTX77$8,814.00$881.40$2,732.34$6,169.80$7,491.90
St. Lukes Patients Medical CenterPasadenaTX12$5,126.00$1,794.10$289.81$579.84$4,357.10
St. Lukes Lakeside HospitalThe WoodlandsTX21$5,434.00$1,901.90$265.38$577.50$4,618.90
Chi St Lukes Health Baylor Med CtrHoustonTX22$5,434.00$1,901.90$265.22$556.77$4,618.90
Acuity Hospital Of South TexasSan AntonioTX13$7,324.00$7,324.00$301.52$5,493.00$6,591.60
Wilson N Jones Regional Medical CtrShermanTX12$3,202.69$2,562.16$78.25$515.00$3,202.69
Warm Springs Rehab Hosp KyleKyleTX8$6,305.10$6,305.10$4,413.57$4,886.46$5,674.59
Corpus Christi Specialty HospitalCorpus ChristiTX9$6,305.10$6,305.10$400.00$4,728.83$5,674.59
Brazosport Regional Health SystemLake JacksonTX11$5,374.00$1,880.90$305.06$467.79$2,687.00
Pam Squared At Corpus ChristiCorpus ChrstiTX26$6,305.10$6,305.10$160.00$433.16$5,359.34
Chi St Lukes Health Mem LivingstonLivingstonTX11$4,728.00$1,654.80$305.06$418.99$4,255.20
North Texas Medical CenterGainsvilleTX17$2,800.00$700.00$366.00$385.00$2,576.00
Methodist Hospital For SurgeryAddisonTX32$5,648.00$3,388.80$342.79$365.07$1,073.00
Trinity Regional Hospital SachseSachseTX10$4,860.96$3,888.77$78.25$345.74$4,131.82
Baylor Orthopedic And Spine HospitalArlingtonTX2$5,712.00$3,427.20$1,667.61$3,349.32$8,427.00
Rice Medical CenterEagle LakeTX19$4,541.90$3,179.33$1.00$3,270.17$4,541.90
Childrens Medical Center Of PlanoPlanoTX31$4,543.00$3,407.25$227.65$3,180.10$4,406.71
Driscoll Childrens HospitalCorpus ChristiTX25$5,582.08$1,116.42$165.82$296.38$1,000.00
Shannon Medical CenterSan AngeloTX22$7,603.00$3,801.50$296.81$2,503.02$6,766.67
Big Spring State HospitalBig SpringsTX22$7,603.00$3,801.50$296.81$2,503.02$6,766.67
River Crest HospitalSan AngeloTX22$7,603.00$3,801.50$296.81$2,503.02$6,766.67
San Angelo Community Medical CenterSan AngeloTX22$7,603.00$3,801.50$296.81$2,503.02$6,766.67
Ascension Seton Shoal CreekAustinTX20$64.01$250.13$652.74
Ascension Seton BastropBastropTX20$64.01$250.13$652.74
Ut Health East Texas Specialty HospiTylerTX7$8,883.00$888.30$2,220.75$2,220.75$2,220.75
Glen Rose Medical CenterGlen RoseTX8$3,148.00$3,148.00$1,448.00$2,204.00$2,991.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$3,104.00$1,862.40$350.37$1,923.21$2,870.47
Heritage Park Surgical HospitalShermanTX2$2,973.00$1,783.80$350.37$1,923.21$2,870.47
Hansford County Hospital DistrictSpearmanTX5$1,689.00$1,267.00$1,182.00$1,520.00$1,773.00
St Lukes Health Memorial San AugustSan AugustineTX9$4,728.00$1,654.80$305.06$1,490.05$4,255.20
Seton Medical Center Harker HeightsHarker HeightsTX12$3,770.00$377.00$678.60$1,470.30$4,041.44
Madison St. Joseph Health CenterMadisonvilleTX8$5,144.00$1,800.40$305.06$1,450.00$4,629.60
Burleson St. Joseph Health CenterCaldwellTX8$5,144.00$1,800.40$305.06$1,430.09$4,629.60
Eastland Memorial HospitalEastlandTX3$1,855.00$928.00$1,150.00$1,326.00$1,670.00
Grimes St. Joseph Health CenterNavasotaTX5$5,144.00$1,800.40$305.06$1,296.09$4,500.00
Limestone Medical CenterGroesbeckTX8$4,326.00$2,595.60$456.37$1,279.63$3,460.80
Lifecare Spec Hosp Of North TexasDallasTX7$4,141.00$414.10$1,035.25$1,035.25$1,035.25
Laredo Medical CenterLaredoTX0$15,041$5,264.43
Trustpoint Rehabilitation Hospital OLubbockTX0$2,303.72
Navarro Regional HospitalCorsicanaTX0$4,678.00$1,637.30
Longview Regional Medical CenterLongviewTX0$7,774.56$2,099.13
St Joseph Medical CenterHoustonTX0$8,951.01$8,951.01

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.