61200004 — Hb Mri, Dorsal Spine Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Hb Mri, Dorsal Spine Contrast (OTHER 61200004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/61200004?code_type=OTHER
MLA (9th ed.)
“Hb Mri, Dorsal Spine Contrast (OTHER 61200004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/61200004?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Hb Mri, Dorsal Spine Contrast (OTHER 61200004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/61200004?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $368–$1,782 (25th–75th percentile) across 7 hospitals · 30 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 61200004 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $0.82 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $0.82 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $0.82 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $0.82 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Blue Cross Complete Medicaid Op | — | $215.35 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Priority Health Medicaid Op | — | $215.35 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicaid Op | — | $215.35 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Meridian Medicaid Op | — | $215.35 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Mclaren Medicaid Op | — | $215.35 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Health Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Medicaid Op | — | $291.18 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Mclaren Health Plan Medicaid Op | — | $291.18 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Molina Medicaid Op | — | $291.18 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Health Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Meridian Health Plan Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Complete Medicaid Op | — | $291.18 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Mclaren Health Plan Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Molina Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Complete Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicaid Op | — | $291.18 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Complete Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Molina Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Mclaren Health Plan Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Meridian Health Plan Medicaid Op | — | $291.18 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Meridian Health Plan Medicaid Op | — | $291.18 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Op | — | $334.68 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcbs Op | — | $334.68 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Medicare Advanatge Op | — | $368.12 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicare Plus Blue Op | — | $368.12 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Php Medicare Advantage Op | — | $368.12 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Humana Medicare Advantage Op | — | $368.12 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Priority Health Medicare Advantage Op | — | $368.12 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Medicare Op | — | $368.12 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Hap Medicare Advantage Op | — | $368.12 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $461.16 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $461.16 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $461.16 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $461.16 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $461.16 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $461.16 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $625.24 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $625.24 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $625.24 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $625.24 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $625.24 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $625.24 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $625.86 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $625.86 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $625.86 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $625.86 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $625.86 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $625.86 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $643.18 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcbs Op | — | $833.71 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Cross Blue Shield | — | $837.12 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Uhc Op | — | $1,054.08 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicaid | — | $1,165.00 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Mclaren Medicaid | — | $1,165.00 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Health Op | — | $1,199.02 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcbs Op | — | $1,202.31 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $1,231.50 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Cofinity Op | — | $1,235.25 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Aetna Op | — | $1,235.25 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Op | — | $1,284.66 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | United Healthcare | — | $1,286.35 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Uhc Op | — | $1,301.13 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Cigna Op | — | $1,304.42 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Aetna Op | — | $1,304.42 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Cigna Op | — | $1,304.42 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Cofinity Op | — | $1,317.60 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Op | — | $1,317.60 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Op | — | $1,370.39 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Op | — | $1,399.95 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Op | — | $1,482.30 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Health Op | — | $1,482.30 | $1,647.00 | $411.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cofinity | — | $1,484.25 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Aetna | — | $1,484.25 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health | — | $1,500.00 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Multiplan Op | — | $1,515.24 | $1,647.00 | $411.75 | 2026-08-01 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cigna | — | $1,567.37 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) | — | $1,583.20 | $1,979.00 | $494.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Aetna Op | — | $1,674.75 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cofinity Op | — | $1,674.75 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Op | — | $1,674.75 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Uhc Op | — | $1,764.07 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cigna Op | — | $1,768.54 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Op | — | $1,786.40 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Multiplan Op | — | $1,942.71 | $2,233.00 | $558.25 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Humana Op | — | $2,169.18 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Cofinity Op | — | $2,169.18 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Uhc Op | — | $2,196.99 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Cigna Op | — | $2,202.55 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Hap Op | — | $2,224.80 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Aetna Op | — | $2,224.80 | $2,781.00 | $695.25 | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Cigna Behavioral Health (Commercial) | — | $3,876.00 | $3,876.00 | — | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Optum (United Healthcare/United Behavioral Health) | — | $3,876.00 | $3,876.00 | — | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Bcbs Of Texas (Commercial) | — | $3,876.00 | $3,876.00 | — | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Medicare (Traditional) | — | $3,876.00 | $3,876.00 | — | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Wellcare (Harmony Health Plan) | — | $3,876.00 | $3,876.00 | — | 2026-07-31 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Va Community Care Network - Optum (Ubh) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | United Healthcare Community Plan (Medicaid) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Optum (United Healthcare/United Behavioral Health) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Medicare (Traditional) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | La Healthcare Connection (Medicaid) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Humana (Commercial) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Cigna Behavioral Health (Commercial) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Bcbs Of Louisiana (Medicare Advantage) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Bcbs Of Louisiana (Commercial) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerihealth Caritas (Medicaid) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerigroup La Healthy Blue (Medicaid) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna Better Health (Medicaid) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Wellcare (Harmony Health Plan) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerigroup (Medicare Advantage) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna (Commercial) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Humana (Medicare Advantage) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna (Medicare Advantage) | — | $3,884.00 | $3,884.00 | — | 2026-05-18 | MRF ↗ |