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 LUMBAR SPINE W/DYE
Valhalla, NY
See all hospitals reporting CPT 72149 →Price type
Westchester Medical Center’s median price of $859 is 10% above the median hospital's median price ($779), higher than 55% 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: 11 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 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 2 | Medicare medicare facility · fee schedule · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 3 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $435 | $435 | — | — | — | $435 – $435 |
| 5 | Oscar oscar medicare facility · fee schedule · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 6 | Molina affinity by molina mcr facility · fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 7 | UnitedHealthcare uhc commercial facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 8 | UnitedHealthcare uhc compass facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 9 | UnitedHealthcare uhc empire facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 10 | UnitedHealthcare uhc exchange facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 11 | Aetna aetna facility · fee schedule · outpatient | $637 | $637 | — | — | — | $637 – $637 |
| 12 | Aetna aetna hp network facility · fee schedule · outpatient | $718 | $718 | — | — | — | $718 – $718 |
| 13 | Cigna cigna ppo facility · fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 14 | Aetna aetna employee facility · fee schedule · outpatient | $797 | $797 | — | — | — | $797 – $797 |
| 15 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 16 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | Blue Cross Blue Shield blue cross access facility · fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 20 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 21 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 22 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 23 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
Last updated: Jul 28, 2026
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