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
MR LUMBAR SPINE WO AND W CON
Mesa, AZ
See all hospitals reporting CPT 72158 →Price type
Agh Mesa Llc’s median price of $564 is 35% below the median hospital's median price ($868), higher than 33% of the 2,616 hospitals reporting CPT 72158. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $345 | $345 | — | — | — | $345 – $345 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 3 | WellCare medicare|all plans fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 5 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 6 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $736 | $736 | — | — | — | $736 – $736 |
| 7 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $736 | $736 | — | — | — | $736 – $736 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $824 | $824 | — | — | — | $824 – $824 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $824 | $824 | — | — | — | $824 – $824 |
| 10 | UnitedHealthcare commercial|options fee schedule · outpatient | $824 | $824 | — | — | — | $824 – $824 |
| 11 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $981 | $981 | — | — | — | $981 – $981 |
| 12 | Aetna commercial|all other plans case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Aetna commercial|ppo case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | MultiPlan commercial|all plans fee schedule · inpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 15 | MultiPlan commercial|all plans fee schedule · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
Last updated: Feb 28, 2026
See MRI lumbar spine without and with contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.