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
HC MRI SPINE LUMBAR W CONTRAST
Dubuque, IA
See all hospitals reporting CPT 72149 →Price type
The Finley Hospital’s median price of $359 is 54% below the median hospital's median price ($779), higher than 13% of the 2,508 hospitals reporting CPT 72149. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 | Aetna medicare advantage fee schedule · both | $168 | $164 | $69 | 42% | — | $78 – $246 |
| 2 | Molina medicare advantage fee schedule · both | $171 | $167 | $70 | 42% | — | $80 – $251 |
| 3 | Wellmark medicare advantage fee schedule · both | $171 | $167 | $70 | 42% | — | $80 – $251 |
| 4 | Humana medicare advantage fee schedule · both | $176 | $172 | $72 | 42% | — | $82 – $258 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $176 | $172 | $72 | 42% | — | $82 – $258 |
| 6 | UnitedHealthcare hmo fee schedule · both | $264 | $252 | $108 | 43% | — | $114 – $378 |
| 7 | UnitedHealthcare ppo fee schedule · both | $264 | $252 | $108 | 43% | — | $114 – $378 |
| 8 | Aetna medicare advantage case rate · outpatient | $349 | $349 | — | — | — | $349 – $349 |
| 9 | Molina medicare advantage case rate · outpatient | $349 | $349 | — | — | — | $349 – $349 |
| 10 | Wellmark medicare advantage case rate · outpatient | $349 | $349 | — | — | — | $349 – $349 |
| 11 | Cigna commercial fee schedule · both | $366 | $354 | $150 | 42% | — | $165 – $531 |
| 12 | Humana medicare advantage case rate · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 13 | UnitedHealthcare medicare advantage case rate · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 14 | Wellmark commercial fee schedule · both | $424 | $408 | $174 | 43% | — | $188 – $613 |
| 15 | Wellmark hmo fee schedule · both | $424 | $408 | $174 | 43% | — | $188 – $613 |
| 16 | Wellmark ppo fee schedule · both | $499 | $481 | $204 | 42% | — | $222 – $721 |
| 17 | Aetna hmo fee schedule · both | $678 | $587 | $285 | 49% | — | $201 – $881 |
| 18 | Aetna ppo fee schedule · both | $810 | $694 | $340 | 49% | — | $232 – $1.0k |
| 19 | UnitedHealthcare hmo fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 20 | UnitedHealthcare ppo fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 21 | Aetna hmo fee schedule · outpatient | $781 | $781 | — | — | — | $781 – $781 |
| 22 | Aetna ppo fee schedule · outpatient | $825 | $825 | — | — | — | $825 – $825 |
| 23 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $75 | 6% | — | $1.3k – $1.4k |
| 24 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Jan 28, 2026
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