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
$1
Average
$906
Median
$502
High
$5.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
841 hospitals; the 90th percentile is 7.8× 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.
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1,174 hospital rates
iThe hospitals that file a Molina 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $129 | $129 | $63 | 49% | 62–71 | $66 – $191 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $440 | $440 | $159 | 36% | 56–65 | $280 – $599 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $633 | $633 | — | — | 46 | $633 – $633 |
| 4 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $321 | $293 | $113 | 39% | 38 | $155 – $414 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $461 | $461 | — | — | 29 | $461 – $461 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 29 | $2.4k – $2.4k |
| 7 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $2.3k | $2.3k | — | — | 14 | $2.3k – $2.3k |
| 8 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $2.3k | $2.3k | — | — | 14 | $2.3k – $2.3k |
| 9 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $1.5k | $1.5k | $1.0k | 70% | 14–23 | $444 – $2.5k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $518 | $518 | — | — | 13 | $518 – $518 |
| 11 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $677 | $677 | — | — | 11 | $677 – $677 |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.7k | $2.9k | $1.5k | 53% | 4–40 | $1.2k – $5.1k |
| 13 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $611 | $576 | $50 | 9% | 3–30 | $505 – $611 |
| 14 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT fee schedule · outpatient | 2 | $934 | $934 | $36 | 4% | 2–20 | $898 – $970 |
| 15 | Kirby Medical Center Monticello, IL facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 16 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $341 | $330 | $104 | 31% | 2–20 | $199 – $452 |
| 17 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 3 | $342 | $331 | $104 | 31% | 2–20 | $199 – $454 |
| 18 | St Joseph Mercy Oakland Pontiac, MI facility · other · both | 3 | $341 | $328 | $107 | 33% | 2–20 | $191 – $452 |
| 19 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $435 | $383 | $63 | 17% | 2–20 | $306 – $435 |
| 20 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 21 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $518 | $518 | — | — | 1–10 | $518 – $518 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $518 | $518 | — | — | 1–10 | $518 – $518 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $461 | $461 | — | — | 1–10 | $461 – $461 |
| 25 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $690 | $690 | — | — | 1–10 | $690 – $690 |
← Payers reporting CPT 72158 · Snapshot 20261111T120946Z-9134e7f7