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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$342.58
Median
$381.54
Max
$5,047.00
Range multiplier
14.7×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield540$39.93$1,026.31$5,088.24127.4×
UnitedHealthcare528$55.93$356.90$5,370.9296.0×
capital district physicians' health plan318$79.90$440.09$3,148.0039.4×
Anthem BCBS217$80.13$262.75$3,972.0049.6×
mvp317$81.73$362.07$3,635.9444.5×
tufts health plan115$210.26$811.06$5,171.3524.6×
Cigna514$80.13$1,738.38$5,370.9267.0×
wellpath311$112.18$710.60$2,164.2519.3×
fidelis care211$72.12$302.16$1,057.9214.7×
harvard pilgrim health care110$80.13$3,290.40$4,918.6361.4×
First Health410$104.17$3,259.75$5,483.9952.6×
Aetna59$80.13$359.92$5,483.9968.4×
Humana49$76.12$339.72$1,601.5521.0×
wellsense18$70.35$214.63$366.565.2×
harvard pilgrim38$93.69$2,534.40$3,148.0033.6×
martins point37$80.13$353.87$2,518.4031.4×
mvp healthcare17$80.13$342.58$5,088.2463.5×
VA Health36$80.13$308.31$1,175.4714.7×
Multiplan25$376.84$2,375.95$5,483.9914.6×
martin's point14$80.13$222.69$342.584.3×
magnacare14$305.60$2,050.80$3,068.0010.0×
new hampshire healthy families14$70.35$198.68$276.063.9×
nppn14$343.80$2,307.15$3,451.5010.0×
WellCare14$84.14$233.82$359.714.3×
ebpa14$294.14$2,146.47$3,298.1011.2×
amerihealth-caritas14$70.35$198.68$276.063.9×
st. regis13$80.13$262.75$359.924.5×
vermont health plan13$273.41$5,059.97$5,059.9718.5×
veterans choice12$80.13$627.80$1,175.4714.7×
medical corporation12$420.85$1,398.40$2,375.955.6×
health new england12$5,483.99$5,483.99$5,483.991.0×
the vermont health plan11$3,977.00$3,977.00$3,977.001.0×
mvp health plan, inc.11$4,992.00$4,992.00$4,992.001.0×
hphc insurance company, inc.11$5,102.00$5,102.00$5,102.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mt Ascutney Hospital And Health CentWindsorVT8$5,486.00$4,389.00$3,972.00$5,047.00$5,212.00
Porter HospitalMiddleburyVT16$2,501.00$2,501.00$55.93$381.54$2,475.99
University Of Vermont Medical CenterBurlingtonVT17$3,835.00$3,835.00$39.93$359.92$3,775.17
Brattleboro Memorial HospitalBrattleboroVT18$5,653.60$3,957.52$70.35$342.58$5,483.99
Central Vermont HospitalBarreVT12$3,935.00$3,935.00$339.72$3,148.00$3,911.39
Copley Hospital Inc.MorrisvilleVT0$2,621.00$2,096.80

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.