72158TC (OTHER) by state — Price Transparency

OTHER · across United States

72158TC — MRI Lumbar Spine Without & With Contrast

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$586 National median

$264 – $1,066 IQR (p25 – p75)

78 hospitals filing

22 states

View hospital-by-hospital → Raw rate rows →

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Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $423.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 72158TC (OTHER), with interquartile range
State	Median	p25	p75
WI	$5,632	$1,633	$5,632
IL	$5,459	$1,790	$6,577
NE	$3,951	$3,951	$3,951
CA	$1,801	$1,801	$1,801
KY	$1,475	$1,405	$2,424
AR	$1,170	$1,170	$1,170
MN	$954	$954	$954
NJ	$828	$721	$951
OH	$686	$686	$1,076
CT	$684	$616	$1,059
MO	$669	$669	$669
CO	$542	$495	$627
TN	$408	$340	$408
KS	$379	$211	$562
NC	$376	$376	$376
MT	$370	$364	$375
IA	$359	$229	$503
NV	$294	$274	$297
NY	$272	$227	$428
FL	$261	$261	$261
VA	$206	$104	$206
TX	$90	$70	$100

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

WI	$5,632	$1,633	$5,632	$207	$5,632	7	8	29
IL	$5,459	$1,790	$6,577	$1,462	$7,308	2 ⚠ thin data	7	15
NE	$3,951	$3,951	$3,951	$291	$3,951	2 ⚠ thin data	7	10
CA	$1,801	$1,801	$1,801	$1,801	$1,801	1 ⚠ thin data	1	1
KY	$1,475	$1,405	$2,424	$1,397	$4,671	1 ⚠ thin data	7	10
AR	$1,170	$1,170	$1,170	$1,170	$1,170	2 ⚠ thin data	1	3
MN	$954	$954	$954	$666	$954	4	2	7
NJ	$828	$721	$951	$299	$1,982	13	8	119
OH	$686	$686	$1,076	$686	$1,465	3	2	3
CT	$684	$616	$1,059	$198	$1,246	1 ⚠ thin data	3	9
MO	$669	$669	$669	$669	$669	1 ⚠ thin data	1	1
CO	$542	$495	$627	$238	$1,482	13	2	29
TN	$408	$340	$408	$273	$408	3	2	3
KS	$379	$211	$562	$209	$1,125	2 ⚠ thin data	10	17
NC	$376	$376	$376	$376	$376	1 ⚠ thin data	1	1
MT	$370	$364	$375	$336	$375	1 ⚠ thin data	5	5
IA	$359	$229	$503	$208	$567	2 ⚠ thin data	2	8
NV	$294	$274	$297	$225	$1,746	3	9	18
NY	$272	$227	$428	$162	$1,268	7	16	72
FL	$261	$261	$261	$188	$261	4	3	7
VA	$206	$104	$206	$104	$1,389	4	2	30
TX	$90	$70	$100	$65	$935	1 ⚠ thin data	14	18