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 W/WO
Kane, PA
See all hospitals reporting CPT 72158 →Price type
UPMC Kane’s median price of $921 is 6% above the median hospital's median price ($868), higher than 52% of the 2,622 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 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 | $921 | $921 | — | — | — | $921 – $921 |
| 6 | Highmark managed care - social mission facility · fee schedule · outpatient | $921 | $921 | — | — | — | $921 – $921 |
| 7 | Highmark commercial - indemnity facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Highmark managed care facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | UnitedHealthcare commercial facility · per diem · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.3k | 89% | — | $158 – $2.7k |
| 11 | Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.3k | 89% | — | $158 – $2.7k |
| 12 | Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.3k | 89% | — | $158 – $2.7k |
| 13 | Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.3k | 89% | — | $158 – $2.7k |
| 14 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.3k | 89% | — | $162 – $2.8k |
| 15 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.3k | 89% | — | $164 – $2.8k |
| 16 | UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.3k | 89% | — | $166 – $2.8k |
| 17 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.4k | 89% | — | $171 – $2.9k |
| 18 | UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $1.4k | 89% | — | $174 – $3.0k |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | $2.4k | 89% | — | $299 – $5.1k |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | $2.4k | 89% | — | $299 – $5.1k |
| 21 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $2.9k | $2.9k | $2.6k | 89% | — | $320 – $5.5k |
| 22 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | $2.6k | 89% | — | $320 – $5.5k |
| 23 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $87.0k | $87.0k | $77.4k | 89% | — | $9.6k – $164.5k |
Last updated: Mar 6, 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.