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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in VA

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Hospitals
12
Min
$1,136
Median
$1,704.82
Max
$3,443.53
Range multiplier
3.0×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare636$261.02$1,898.04$5,481.4821.0×
Aetna933$306.29$1,689.88$4,452.7814.5×
Humana624$261.02$325.84$355.311.4×
Anthem BCBS624$249.15$737.62$1,841.697.4×
sentara health plan618$253.9$342.13$4,157.7216.4×
Cigna918$856$2,237.68$4,539.965.3×
First Health99$261.02$261.02$1,1594.4×
vhn - ultra66$2,058.4$2,058.4$4,157.722.0×
connecticare66$2,324$2,324$4,694.22.0×
gateway - tier 166$3,154$3,154$6,370.72.0×
gateway - tier 266$2,656$2,656$5,364.82.0×
gateway - tier 366$1,826$1,826$3,688.32.0×
vhn66$2,656$2,656$5,364.82.0×
vhn - link66$2,988$2,988$6,035.42.0×
vhn - plus66$2,556.4$2,556.4$5,163.622.0×
vhn - secondary payors66$3,154$3,154$6,370.72.0×
medcost/vhn commercial33$1,099$1,099$1,0991.0×
sentara hmo/ppo/pos33$1,136$1,136$1,1361.0×
medcost/vhn link33$3,171.6$3,171.6$3,171.61.0×
national provider network11$6,437.76$6,437.76$6,437.761.0×
integrated health plan11$5,700.1$5,700.1$5,700.11.0×
corvel11$225.43$225.43$225.431.0×
allcare11$325.84$325.84$325.841.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CARILION TAZEWELL COMMUNITY HOSPITALTAZEWELLVA20$6,706$2,347.1$225.43$3,443.53$6,437.76
CARILION GILES COMMUNITY HOSPITALPEARISBURGVA16$3,341$1,169.35$249.15$1,764.53$3,173.95
CARILION STONEWALL JACKSON HOSPITALLEXINGTONVA16$3,320$1,162$249.15$1,714.62$3,154
CARILION FRANKLIN MEMORIAL HOSPITALROCKY MOUNTVA16$3,320$1,162$249.15$1,714.62$3,154
CARILION MEDICAL CENTERROANOKEVA16$3,320$1,162$249.15$1,704.82$3,154
CARILION NEW RIVER VALLEY MED CENTERCHRISTIANSBURGVA16$3,320$1,162$249.15$1,704.82$3,154
SHELTERING ARMS HOSPITALMECHANICSVILLEVA6$3,524$3,524$856$1,136$3,171.6
SHELTERING ARMS INSTITUTERICHMONDVA6$3,524$3,524$856$1,136$3,171.6
SHELTERING ARMS HOSPITAL SOUTHMIDLOTHIANVA6$3,524$3,524$856$1,136$3,171.6
CHILDRENS HOSPITAL OF THE KINGS DANORFOLKVA0$5,900.58$5,310.52
LYNN HOUSE OF POTOMAC VALLEY INC.ALEXANDRIAVA0$2,456$1,228
BON SECOURS DEPAUL MEDICAL CENTERNORFOLKVA0$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.