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 Lumbar Spine W/WO Cont
Perryville, MO
See all hospitals reporting CPT 72158 →Price type
Mercy Perry’s median price of $548 is 37% below the median hospital's median price ($874), higher than 32% of the 2,651 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: 16 payers, 29 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 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $328 | $328 | $231 | 71% | — | $97 – $559 |
| 2 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 3 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 4 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 5 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | $469 | 71% | — | $196 – $1.1k |
| 6 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | $469 | 71% | 2–20 | $196 – $1.1k |
| 7 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | $469 | 71% | — | $196 – $1.1k |
| 8 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | $469 | 71% | 13 | $196 – $1.1k |
| 9 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | $469 | 71% | — | $196 – $1.1k |
| 10 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $665 | $665 | $469 | 71% | — | $196 – $1.1k |
| 11 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $678 | $678 | $478 | 71% | 2–20 | $200 – $1.2k |
| 12 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $691 | $691 | $487 | 71% | — | $204 – $1.2k |
| 13 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $692 | $692 | $488 | 71% | — | $204 – $1.2k |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $793 | $793 | $559 | 71% | — | $234 – $1.4k |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $918 | $918 | $647 | 71% | — | $271 – $1.6k |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $731 | 71% | — | $306 – $1.8k |
| 17 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $732 | 71% | — | $306 – $1.8k |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $879 | 71% | — | $368 – $2.1k |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $956 | 71% | — | $400 – $2.3k |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $956 | 71% | — | $400 – $2.3k |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.0k | 71% | — | $422 – $2.4k |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.0k | 71% | — | $422 – $2.4k |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.0k | 71% | — | $426 – $2.5k |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.0k | 71% | 2–20 | $426 – $2.5k |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.1k | 71% | — | $452 – $2.6k |
Last updated: Mar 12, 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.