MRI lumbar spine with contrast dye at Valley County Hospital

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

MRI LUMBAR SPINE W/DYE

Ord, NE

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Pricing by billing methodology

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How this price compares nationally

Valley County Hospital’s median price of $298 is 62% below the median hospital's median price ($779), higher than 5% of the 2,508 hospitals reporting CPT 72149. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72149 at Valley County Hospital

Negotiated rates from the hospital’s own file: 8 payers, 30 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	Bcbs Ne medicare advantage professional · fee schedule · both	$173	$168	$71	42%	—	$79 – $251
2	Medica medicare advantage professional · fee schedule · both	$173	$168	$71	42%	—	$79 – $251
3	UnitedHealthcare medicare advantage professional · fee schedule · both	$173	$168	$71	42%	—	$79 – $251
4	Humana medicare advantage professional · fee schedule · both	$176	$171	$72	42%	—	$80 – $256
5	WellCare medicare advantage/dual needs plan professional · fee schedule · both	$178	$173	$73	42%	—	$81 – $259
6	Aetna medicare advantage professional · fee schedule · both	$181	$176	$74	42%	—	$83 – $264
7	UnitedHealthcare managed medicaid professional · fee schedule · both	$298	$298	$198	66%	—	$100 – $496
8	Molina managed medicaid/chip professional · fee schedule · both	$301	$301	$200	66%	—	$101 – $500
9	Molina dual eligible plan professional · fee schedule · both	$307	$307	$204	66%	—	$103 – $510
10	Medica individual and family business plans professional · fee schedule · both	$332	$322	$136	42%	—	$151 – $483
11	Bcbs Ne commercial professional · case rate · both	$340	$330	$139	42%	—	$155 – $495
12	Medica commercial plans/care system products professional · fee schedule · both	$350	$339	$143	42%	—	$159 – $509
13	MultiPlan primary/complementary ppo professional · fee schedule · both	$558	$541	$228	42%	—	$254 – $812
14	Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$800	$800	—	—	1–10	$800 – $800
15	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$800	$800	—	—	—	$800 – $800
16	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$800	$800	—	—	1–10	$800 – $800
17	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$816	$816	—	—	1–10	$816 – $816
18	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
19	Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
20	Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	—	—	1–10	$2.1k – $2.1k
21	WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
22	Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k
23	Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k
24	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$3.8k	$3.8k	—	—	1–10	$3.8k – $3.8k
25	Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges	$3.8k	$3.8k	—	—	—	$3.8k – $3.8k

Page 1 of 2 · 30 rates

Last updated: Jun 15, 2026

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