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#4151 of 11K

72149

MRI of lumbar spine with contrast

MRI of lumbar spine with contrast is the #4,151 most-billed Medicaid procedure code, with $803K in payments across 1K claims from 2018–2024. The national median cost per claim is $95.31. Costs vary widely — the 90th percentile is $844.16 per claim, 8.9× the median.

Total Paid

$803K

0.00% of all spending

Total Claims

1K

Providers

6

Avg Cost/Claim

$569

National Cost Distribution

How much do providers bill per claim for 72149? Based on 5 providers billing this code nationally.

Median

$95.31

Average

$357.30

Std Dev

$431.27

Max

$955.62

Percentile Distribution (Cost per Claim)

p10
$29.30
p25
$29.35
Median
$95.31
p75
$676.96
p90
$844.16
p95
$899.89
p99
$944.48

50% of providers bill between $29.35 and $676.96 per claim for this code.

90% bill between $29.30 and $844.16.

Top 1% bill above $944.48.

About This Procedure

HCPCS code 72149 (MRI of lumbar spine with contrast) was billed by 6 providers across 1K claims, totaling $803K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$95.31

Providers Billing

5

National Spending

$803K

Avg/Median Ratio

3.75×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 72149

#ProviderTotal Paid
1Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$548K
2Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$230K
31669657318$19K
4Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$6K
5Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$470
6Children's Hospital Corporation

Boston, MA · Clinic/Center

$0

Showing top 6 of 6 providers billing this code