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 Spinal Canal Lumbar W/O & W/Contr Matrl
Low
$61
Average
$1.1k
Median
$609
High
$11.7k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
499 hospitals; the 90th percentile is 5.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
616 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $794 | $794 | — | — | 66 | $794 – $794 |
| 2 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $479 | $479 | — | — | 14 | $479 – $479 |
| 3 | Lake Regional Health System Osage Beach, MO fee schedule · both | 1 | $505 | $505 | — | — | 2–20 | $505 – $505 |
| 4 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $709 | $709 | $632 | 89% | 2–20 | $77 – $1.3k |
| 5 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 7 | Columbus Regional Hospital Columbus, IN other · both | 1 | $374 | $374 | — | — | 1–10 | $374 – $374 |
| 8 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 9 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $832 | $832 | — | — | 1–10 | $832 – $832 |
| 10 | Hutchinson Regional Medical Center, Inc. Hutchinson, KS facility · fee schedule · both | 1 | $707 | $707 | — | — | 1–10 | $707 – $707 |
| 11 | Mercy Hospital Ada Inc Ada, OK facility · other · outpatient | 1 | $475 | $475 | — | — | 1–10 | $475 – $475 |
| 12 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $473 | $473 | — | — | 1–10 | $473 – $473 |
| 13 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $473 | $473 | — | — | 1–10 | $473 – $473 |
| 14 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $444 | $444 | — | — | 1–10 | $444 – $444 |
| 15 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 16 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $617 | $617 | — | — | 1–10 | $617 – $617 |
| 17 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $609 | $609 | — | — | 1–10 | $609 – $609 |
| 18 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $616 | $616 | — | — | 1–10 | $616 – $616 |
| 19 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $609 | $609 | — | — | 1–10 | $609 – $609 |
| 20 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both | 1 | $612 | $612 | — | — | 1–10 | $612 – $612 |
| 21 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both | 1 | $612 | $612 | — | — | 1–10 | $612 – $612 |
| 22 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC other · both | 1 | $615 | $615 | — | — | 1–10 | $615 – $615 |
| 23 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $654 | $654 | — | — | 1–10 | $654 – $654 |
| 24 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $612 | $612 | — | — | 1–10 | $612 – $612 |
| 25 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $616 | $616 | — | — | 1–10 | $616 – $616 |
← Payers reporting CPT 72158 · Snapshot 20261111T120946Z-9134e7f7