Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
MRI Lumbar Myelogram
72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +39 other terms | 806 | $416.96 | $542.21 | $1.00 – $7,103 |
| 2 | Aetna fee schedule · outpatient · +39 other terms | 642 | $368.77 | $865.67 | $1.00 – $7,057 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 541 | $554.27 | $777.89 | $1.00 – $14,824 |
| 4 | Humana fee schedule · outpatient · +35 other terms | 455 | $261.63 | $555.93 | $1.10 – $6,553 |
| 5 | Cigna fee schedule · outpatient · +35 other terms | 379 | $561.00 | $985.83 | $38.80 – $10,491 |
| 6 | Molina fee schedule · outpatient · +35 other terms | 263 | $266.80 | $307.14 | $1.05 – $2,364 |
| 7 | Anthem fee schedule · outpatient · +36 other terms | 219 | $596.84 | $578.85 | $6.21 – $10,686 |
| 8 | WellCare fee schedule · outpatient · +28 other terms | 201 | $258.43 | $307.55 | $55.63 – $1,236 |
| 9 | MultiPlan fee schedule · outpatient · +25 other terms | 129 | $2,884 | $2,482 | $90.68 – $7,562 |
| 10 | Ambetter fee schedule · outpatient · +26 other terms | 120 | $378.76 | $383.06 | $52.02 – $2,538 |
| 11 | Kaiser fee schedule · outpatient · +29 other terms | 112 | $474.48 | $713.20 | $69.75 – $6,510 |
| 12 | Devoted facility · fee schedule · outpatient · +20 other terms | 103 | $239.32 | $289.14 | $206.40 – $4,881 |
| 13 | Aetna Better Health fee schedule · outpatient · +20 other terms | 89 | $215.07 | $244.70 | $112.96 – $876.25 |
| 14 | Caresource fee schedule · outpatient · +23 other terms | 89 | $302.45 | $396.65 | $1.08 – $1,597 |
| 15 | Tricare facility · fee schedule · outpatient · +21 other terms | 89 | $238.99 | $370.11 | $48.95 – $4,590 |
| 16 | Medica fee schedule · outpatient · +30 other terms | 78 | $315.18 | $1,019 | $56.75 – $4,490 |
| 17 | Highmark facility · fee schedule · outpatient · +24 other terms | 69 | $411.27 | $786.93 | $52.50 – $4,152 |
| 18 | Oscar facility · fee schedule · outpatient · +24 other terms | 69 | $348.78 | $329.26 | $200.62 – $672.09 |
| 19 | First Health fee schedule · outpatient · +24 other terms | 64 | $994.52 | $1,359 | $83.70 – $6,553 |
| 20 | Optum fee schedule · outpatient · +27 other terms | 58 | $222.54 | $1,262 | $74.97 – $8,330 |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms | 57 | $307.38 | $353.06 | $165.81 – $959.26 |
| 22 | Medicaid facility · fee schedule · outpatient · +21 other terms | 57 | $227.33 | $262.84 | $105.76 – $825.86 |
| 23 | Medicare other · both · +22 other terms | 52 | $252.44 | $329.77 | $221.34 – $2,562 |
| 24 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 42 | $241.14 | $250.82 | $197.14 – $400.19 |
| 25 | Clover facility · fee schedule · outpatient · +15 other terms | 36 | $251.29 | $244.63 | $207.70 – $284.66 |
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