MRI lumbar spine with contrast dye at UPMC Kane

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MR LUMBAR W

Kane, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Kane’s median price of $809 is 4% above the median hospital's median price ($778), higher than 52% of the 2,479 hospitals reporting CPT 72149. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72149 at UPMC Kane

Negotiated rates from the hospital’s own file: 6 payers, 23 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 chip/medicaid facility · fee schedule · outpatient	$373	$373	—	—	—	$373 – $373
2	UnitedHealthcare unison kids facility · fee schedule · outpatient	$390	$390	—	—	—	$390 – $390
3	Highmark medicaid facility · fee schedule · outpatient	$503	$503	—	—	—	$503 – $503
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$529	$529	—	—	—	$529 – $529
5	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$809	$809	—	—	—	$809 – $809
6	Highmark managed care - social mission facility · fee schedule · outpatient	$809	$809	—	—	—	$809 – $809
7	Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$867	$867	$747	86%	—	$120 – $1.6k
8	Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$867	$867	$747	86%	—	$120 – $1.6k
9	Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$867	$867	$747	86%	—	$120 – $1.6k
10	Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$867	$867	$747	86%	—	$120 – $1.6k
11	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$892	$892	$768	86%	—	$123 – $1.7k
12	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$902	$902	$777	86%	—	$125 – $1.7k
13	UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges	$910	$910	$784	86%	—	$126 – $1.7k
14	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$936	$936	$807	86%	—	$129 – $1.7k
15	UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges	$954	$954	$822	86%	—	$132 – $1.8k
16	Highmark commercial - indemnity facility · fee schedule · outpatient	$991	$991	—	—	—	$991 – $991
17	Highmark managed care facility · fee schedule · outpatient	$991	$991	—	—	—	$991 – $991
18	UnitedHealthcare commercial facility · per diem · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.6k	$1.6k	$1.4k	86%	—	$227 – $3.1k
20	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	$1.4k	86%	—	$227 – $3.1k
21	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$1.8k	$1.8k	$1.5k	86%	—	$243 – $3.3k
22	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	$1.5k	86%	—	$243 – $3.3k
23	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$52.7k	$52.7k	$45.5k	86%	—	$7.3k – $98.2k

Last updated: Mar 6, 2026

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