MRI lumbar spine with contrast dye

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRI Spine Lumbar W/ Contrast (Total)

Payers reporting CPT 72149

Payer pricing summary

Low

$187

Average

$1.7k

Median

$1.2k

High

$10.2k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +4 other terms	6	$635	$573	$214	37%	7–70	$161 – $769
2	Anthem fee schedule · outpatient · +34 other terms	208	$746	$669	$899	134%	2–20	$8 – $10.7k
3	UnitedHealthcare fee schedule · outpatient · +38 other terms	791	$649	$744	$753	101%	1–10	$1 – $10.5k
4	Aetna fee schedule · outpatient · +38 other terms	631	$498	$1.1k	$1.2k	115%	1–10	$1 – $10.0k
5	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	525	$787	$1.0k	$1.0k	99%	1–10	$1 – $10.2k
6	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$820	$820	—	—	1–10	$820 – $820
7	Humana fee schedule · outpatient · +34 other terms	453	$383	$748	$1.0k	140%	—	$1 – $9.3k
8	Cigna fee schedule · outpatient · +35 other terms	371	$800	$1.2k	$1.4k	116%	—	$47 – $10.0k
9	Molina fee schedule · outpatient · +35 other terms	260	$392	$423	$244	58%	—	$1 – $2.4k
10	WellCare fee schedule · outpatient · +27 other terms	194	$381	$419	$176	42%	—	$67 – $1.4k
11	MultiPlan fee schedule · outpatient · +24 other terms	128	$3.4k	$3.1k	$2.9k	94%	—	$109 – $10.7k
12	Ambetter fee schedule · outpatient · +25 other terms	116	$554	$542	$450	83%	—	$52 – $3.2k
13	Kaiser fee schedule · outpatient · +26 other terms	112	$712	$1.0k	$1.3k	126%	—	$84 – $7.4k
14	Devoted facility · fee schedule · outpatient · +20 other terms	97	$350	$404	$435	108%	—	$302 – $4.9k
15	Caresource fee schedule · outpatient · +21 other terms	88	$430	$502	$323	64%	—	$1 – $2.0k
16	Aetna Better Health fee schedule · outpatient · +19 other terms	85	$305	$345	$171	49%	—	$186 – $1.3k
17	Tricare facility · fee schedule · outpatient · +21 other terms	85	$351	$510	$728	143%	—	$49 – $4.6k
18	Oscar facility · fee schedule · outpatient · +22 other terms	68	$510	$498	$129	26%	—	$296 – $983
19	Highmark facility · fee schedule · outpatient · +22 other terms	67	$580	$999	$998	100%	—	$64 – $4.6k
20	First Health fee schedule · outpatient · +22 other terms	64	$1.3k	$1.9k	$2.7k	140%	—	$101 – $9.3k
21	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	57	$407	$474	$174	37%	—	$269 – $1.3k
22	Medicaid facility · fee schedule · outpatient · +19 other terms	57	$321	$350	$166	47%	—	$162 – $979
23	Optum fee schedule · outpatient · +23 other terms	57	$329	$1.9k	$3.1k	163%	—	$90 – $11.8k
24	Medica fee schedule · outpatient · +27 other terms	49	$895	$1.5k	$1.5k	98%	—	$68 – $5.3k
25	Medicare facility · fee schedule · outpatient · +22 other terms	41	$360	$486	$600	123%	—	$221 – $4.8k

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