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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in WI

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Hospitals
34
Min
$360.50
Median
$1,352.00
Max
$4,282.24
Range multiplier
11.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare28110$78.77$828.27$4,268.1854.2×
Anthem BCBS1879$78.77$1,464.00$4,808.6661.0×
Cigna2349$1,177.92$3,739.32$4,555.583.9×
healthpartners1248$954.00$2,267.50$3,315.003.5×
Aetna1339$1,114.00$3,650.92$60,22954.1×
common ground1236$1,083.00$1,083.00$1,083.001.0×
Humana636$82.71$575.14$4,444.6653.7×
wisconsin physician service1236$1,636.00$1,722.00$1,722.001.1×
Medicare1428$343.33$347.22$1,648.554.8×
trilogy2125$836.00$1,520.00$4,494.605.4×
health eos plus1224$2,652.00$2,652.00$2,652.001.0×
Molina1824$339.67$1,273.00$4,244.9012.5×
health eos1224$3,536.00$3,536.00$3,536.001.0×
VA Health1122$343.33$346.78$362.921.1×
wps721$305.64$760.41$1,066.053.5×
health payment systems1516$1,170.00$1,170.00$4,282.243.7×
centivo1415$1,038.00$1,038.00$3,948.173.8×
network health plan615$139.93$463.73$4,169.9929.8×
smart health714$485.49$485.49$508.091.0×
quartz group1212$1,350.00$1,350.00$1,350.001.0×
quartz one1212$1,200.00$1,200.00$1,200.001.0×
hs technology1212$1,350.00$1,350.00$1,350.001.0×
everpointe elite1212$1,352.00$1,352.00$1,352.001.0×
aurora caregiver1212$650.00$650.00$650.001.0×
aspirus211$78.77$903.07$2,800.0035.5×
First Health610$2,765.86$4,103.35$4,808.661.7×
Blue Cross Blue Shield49$607.75$1,403.17$2,627.004.3×
alliance39$296.78$738.37$1,035.153.5×
Multiplan38$2,800.00$4,644.42$4,808.661.7×
centivo nw326$217.97$526.33$744.303.4×
health partners36$339.67$4,201.26$4,744.3014.0×
prevea 36016$78.77$299.79$3,337.4542.4×
centivo nw126$217.97$526.33$744.303.4×
security health plan36$339.67$2,008.60$4,201.2512.4×
cchp26$203.73$921.14$1,124.855.5×
group health cooperative of eau claire25$4,049.40$4,095.08$4,744.301.2×
Medicaid25$644.59$1,068.41$1,339.762.1×
health partners open network14$172.53$652.53$1,433.148.3×
WellCare24$360.50$360.50$360.501.0×
wps health plan24$2,590.00$4,074.71$4,555.581.8×
smarthealth24$480.66$480.66$480.661.0×
illinicare14$78.77$215.23$344.964.4×
medical associates health plan14$260.73$712.40$1,413.515.4×
security health plan (shp)14$2,595.88$2,740.21$2,884.531.1×
meridiancare14$82.71$225.99$344.964.2×
quartz health insurance13$4,302.49$4,302.49$4,302.491.0×
dean health plan23$1,750.00$4,049.40$4,049.402.3×
cchp marketplace33$828.27$828.27$828.271.0×
healthpartners [900713]33$644.59$644.59$886.291.4×
medica [900156]33$2,276.00$2,749.00$3,930.991.7×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Columbia St Marys OzaukeeMequonWI8$5,000.00$2,650.00$139.93$575.14$1,035.15
Ascension Columbia St Marys MilwaukeMilwaukeeWI8$5,000.00$2,650.00$139.93$575.14$1,035.15
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$4,943.00$2,619.79$139.93$575.14$1,035.15
All Saints - St. Luke S HospitalRacineWI7$2,617.00$1,387.01$305.64$508.09$2,041.26
Wheaton Franciscan Healthcare - AllRacineWI7$2,617.00$1,387.01$305.64$508.09$2,041.26
Wheaton Franciscan - FranklinFranklinWI7$2,617.00$1,387.01$305.64$485.49$2,041.26
Ascension Se Wisconsin Hospital IncMilwaukeeWI7$2,617.00$1,387.01$305.64$485.49$2,041.26
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI7$2,617.00$1,387.01$305.64$485.49$2,041.26
MoshFranklinWI7$2,617.00$1,387.01$305.64$485.49$2,041.26
Wfhc - Elmbrook MemorialBrookfieldWI7$2,617.00$1,387.01$305.64$485.49$2,041.26
Meriter Hospital Inc.MadisonWI14$3,926.41$3,141.13$78.77$484.61$3,730.09
Childrens WisconsinMilwaukeeWI29$5,061.75$2,783.96$3,543.23$4,282.24$4,808.66
Beaver Dam Community HospitalsBeaver DamWI17$4,994.00$4,744.30$911.95$4,132.54$4,794.24
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$2,647.00$1,508.79$90.07$360.50$1,124.85
Mercy Medical CenterOshkoshWI9$2,647.00$1,508.79$90.07$360.50$1,124.85
Holy Family Memorial IncManitowocWI25$3,500.00$1,925.00$339.67$2,175.25$3,080.00
Amery Regional Medical CenterAmeryWI6$4,402.00$2,295.20$607.75$1,633.14$4,268.18
West Allis Memorial HospitalWest AllisWI18$4,420.00$2,210.00$650.00$1,436.00$60,229
Westfields HospitalNew RichmondWI8$3,373.00$1,774.20$607.75$1,416.66$3,373.00
Aurora Medical Center Of OshkoshOshkoshWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Memorial Hospital Of BurlingtonBurlingtonWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Aurora Medical Center - SummitSummitWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Aurora Medical Center GraftonGraftonWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Aurora Medical Center - HartfordHartfordWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Aurora Health Care Metro Inc.MilwaukeeWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Aurora Lakeland Medical CenterElkhornWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Aurora Medical Center KenoshaKenoshaWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Sheboygan Memorial HospitalSheboyganWI18$4,420.00$2,210.00$650.00$1,352.00$3,757.00
Aurora Medical Center - Bay AreaMarinetteWI18$4,420.00$2,210.00$650.00$1,350.00$3,739.32
Hudson HospitalHudsonWI8$3,124.00$1,409.24$607.75$1,069.04$3,124.00
University Of Wi Hospitals & ClinicsMadisonWI0$5,374.00$3,224.40
River Falls Area HospitalRiver FallsWI0$3,300.20$1,848.11
Uw Health Rehabilitation HospitalMadisonWI0$5,374.00$3,224.40

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.