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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in WV

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Hospitals
17
Min
$307.95
Median
$1,260.68
Max
$1,260.68
Range multiplier
4.1×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare26$307.95$1,952.03$4,456.3914.5×
Blue Cross Blue Shield25$437.33$1,694.52$1,931.524.4×
Aetna25$307.95$2,072$4,964.0816.1×
Cigna12$423.28$1,780.35$3,137.417.4×
connecticare [11105]11$4,064$4,064$4,0641.0×
evernorth behavioral health [27]11$3,251.2$3,251.2$3,251.21.0×
fallon carelon hlth [28]11$4,064$4,064$4,0641.0×
fallon mcaid carelon hlth [29]11$4,064$4,064$4,0641.0×
fallon mcr [10105]11$444.45$444.45$444.451.0×
fallon mcr supp [20202]11$444.45$444.45$444.451.0×
First Health11$3,048$3,048$3,0481.0×
grants [20507]11$4,064$4,064$4,0641.0×
hne [11108]11$2,644.85$2,644.85$2,644.851.0×
hp optum bh [32]11$4,064$4,064$4,0641.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
Humana11$307.95$307.95$307.951.0×
institution [10406]11$423.28$423.28$423.281.0×
masshealth mcd mbhp [38]11$4,064$4,064$4,0641.0×
Medicaid11$2,113.28$2,113.28$2,113.281.0×
mgb mcr [10124]11$423.28$423.28$423.281.0×
optum ccn region 111$307.95$307.95$307.951.0×
optum ccn region 211$307.95$307.95$307.951.0×
senior whole health [10110]11$452.91$452.91$452.911.0×
the health plan11$307.95$307.95$307.951.0×
the health plan hmo11$4,738.44$4,738.44$4,738.441.0×
tufts connectorcare [10507]11$720$720$7201.0×
tufts mcr [10112]11$444.45$444.45$444.451.0×
tufts us family [11203]11$423.28$423.28$423.281.0×
umr11$4,456.39$4,456.39$4,456.391.0×
WellCare11$307.95$307.95$307.951.0×
wellpoint [11112]11$826.83$826.83$826.831.0×
wellsense mcaid carelon hlth [21]11$4,064$4,064$4,0641.0×
workers compensation [20501]11$673.66$673.66$673.661.0×
Anthem BCBS11$307.95$307.95$307.951.0×
CHAMPVA11$424.11$424.11$424.111.0×
commonwealth care alliance [10103]11$444.45$444.45$444.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BECKLEY ARHBECKLEYWV11$5,641$3,384.6$307.95$307.95$4,964.08
WEBSTER COUNTY MEMORIAL HOSPITALWEBSTER SPRINGSWV28$4,064$4,064$423.28$1,260.68$4,064
CITY HOSPITAL INC.MARTINSBURGWV0$2,707$1,353.5
REYNOLDS MEMORIAL HOSPITALGLEN DALEWV0$3,886$1,943
JACKSON GENERAL HOSPITALRIPLEYWV0$2,752$1,376
PRINCETON COMMUNITY HOSPITALPRINCETONWV0$5,567$2,783.5
WHEELING HOSPITALWHEELINGWV0$3,044$1,522
CAMDEN-CLARK MEMORIAL HOSPITALPARKERSBURGWV0$5,194$2,597
WETZEL COUNTY HOSPITALNEW MARTINSVILLEWV0$2,900$1,450
SUMMERSVILLE REGIONAL MED CENTERSUMMERSVILLEWV0$2,796$1,398
POTOMAC VALLEY HOSPITALKEYSERWV0$2,456$1,228
GRANT MEMORIAL HOSPITALPETERSBURGWV0$2,936$2,348.8
JACKSON GENERAL HOSPITALRIPLEYWV0$2,752$1,376
ST. JOSEPHS HOSPITAL OF BUCKHANNONBUCKHANNONWV0$3,600$1,800
WEST VIRGINIA UNIVERSITY HOSPITALSMORGANTOWNWV0$3,196$1,598
SUMMERSVILLE REGIONAL MED CENTERSUMMERSVILLEWV0$2,796$1,398
UNITED HOSPITAL CENTERBRIDGEPORTWV0$3,772$1,886

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.