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
$215
Average
$2.6k
Median
$2.1k
High
$21.1k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
298 hospitals; the 90th percentile is 10.9× 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.
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538 hospital rates
iThe hospitals that file a Medica 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 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $2.5k | $1.4k | 57% | 22 | $1.4k – $4.5k |
| 2 | Fairview Health Services Burnsville, MN other · inpatient | 2 | $409 | $409 | $56 | 14% | 14–32 | $353 – $466 |
| 3 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 2 | $400 | $400 | $47 | 12% | 14–32 | $353 – $448 |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $458 | $458 | — | — | 12 | $458 – $458 |
| 5 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $4.3k | $4.3k | $71 | 2% | 3–30 | $4.3k – $4.4k |
| 6 | Fairview Health Services Edina, MN other · inpatient | 1 | $396 | $396 | — | — | 2–20 | $396 – $396 |
| 7 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $383 | $383 | — | — | 2–20 | $383 – $383 |
| 8 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 1 | $383 | $383 | — | — | 2–20 | $383 – $383 |
| 9 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 1 | $219 | $219 | — | — | 2–20 | $219 – $219 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $657 | $1.0k | $810 | 78% | 1–10 | $417 – $2.4k |
| 11 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $3.5k | $3.5k | $1.4k | 41% | 1–10 | $2.0k – $4.9k |
| 12 | Avera Marshall Hospital Marshall, MN fee schedule · outpatient | 2 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 13 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 4 | $657 | $1.2k | $1.1k | 89% | 1–10 | $417 – $3.0k |
| 14 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $350 | $350 | — | — | 1–10 | $350 – $350 |
| 15 | Lakeview Hospital Stillwater, MN facility · other · both | 1 | $379 | $379 | — | — | 1–10 | $379 – $379 |
| 16 | Maple Grove Hospital Corporation Grove, MN facility · per diem · both | 5 | $2.1k | $1.8k | $563 | 32% | 1–10 | $999 – $2.3k |
| 17 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $2.6k | $2.5k | $318 | 12% | 1–10 | $2.0k – $2.8k |
| 18 | Mercy Hospital Oklahoma City Inc City, OK facility · per diem · outpatient | 1 | $749 | $749 | — | — | 1–10 | $749 – $749 |
| 19 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 20 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 21 | Methodist Hospital St. Louis Park, MN facility · other · both | 1 | $387 | $387 | — | — | 1–10 | $387 – $387 |
| 22 | North Memorial Health Care Robbinsdale, MN facility · other · both | 1 | $365 | $365 | — | — | 1–10 | $365 – $365 |
| 23 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 1 | $350 | $350 | — | — | 1–10 | $350 – $350 |
| 24 | Regions Hospital St. Paul, MN facility · other · both | 1 | $387 | $387 | — | — | 1–10 | $387 – $387 |
| 25 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 4 | $657 | $1.1k | $929 | 84% | 1–10 | $417 – $2.7k |
← Payers reporting CPT 72158 · Snapshot 20261111T120946Z-9134e7f7