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 JNT OF LWR EXTRE W/O DYE
Ord, NE
See all hospitals reporting CPT 73721 →Price type
Valley County Hospital’s median price of $225 is 65% below the median hospital's median price ($638), higher than 5% of the 2,533 hospitals reporting CPT 73721. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $130.35 | $126.95 | $60.08 – $190.43 |
| 2 | Medica medicare advantage professional · fee schedule · both | $130.35 | $126.95 | $60.08 – $190.43 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $130.35 | $126.95 | $60.08 – $190.43 |
| 4 | Humana medicare advantage professional · fee schedule · both | $132.96 | $129.49 | $61.28 – $194.24 |
| 5 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $134.26 | $130.76 | $61.88 – $196.14 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $136.87 | $133.30 | $63.08 – $199.95 |
| 7 | Medica individual and family business plans professional · fee schedule · both | $250.53 | $244.00 | $115.47 – $366.01 |
| 8 | Bcbs Ne commercial professional · case rate · both | $256.70 | $250.01 | $118.32 – $375.01 |
| 9 | Medica commercial plans/care system products professional · fee schedule · both | $263.85 | $256.98 | $121.61 – $385.47 |
| 10 | UnitedHealthcare managed medicaid professional · fee schedule · both | $260.05 | $260.05 | $75.21 – $444.89 |
| 11 | Molina managed medicaid/chip professional · fee schedule · both | $262.61 | $262.61 | $75.95 – $449.26 |
| 12 | Molina dual eligible plan professional · fee schedule · both | $267.71 | $267.71 | $77.43 – $457.98 |
| 13 | MultiPlan primary/complementary ppo professional · fee schedule · both | $421.03 | $410.06 | $194.06 – $615.09 |
| 14 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $660.00 | $660.00 | $660.00 – $660.00 |
| 15 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $660.00 | $660.00 | $660.00 – $660.00 |
| 16 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $660.00 | $660.00 | $660.00 – $660.00 |
| 17 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $673.20 | $673.20 | $673.20 – $673.20 |
| 18 | Bcbs Ne commercial facility · fee schedule · outpatient | $1,522 | $1,522 | $1,522 – $1,522 |
| 19 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,584 | $1,584 | $1,584 – $1,584 |
| 20 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $1,700 | $1,700 | $1,700 – $1,700 |
| 21 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $1,733 | $1,733 | $1,733 – $1,733 |
| 22 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $1,801 | $1,801 | $1,801 – $1,801 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $3,003 | $3,003 | $3,003 – $3,003 |
| 24 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $3,003 | $3,003 | $3,003 – $3,003 |
| 25 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3,168 | $3,168 | $3,168 – $3,168 |
Last updated: Jun 15, 2026
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