72141

Mri scan of upper spinal canal without contrast

Medicare pricing data for 30,283 providers across 52 states

🤖AI Overview

This procedure has a 7.8x markup — hospitals charge $868.63 but Medicare allows only $111.90. Uninsured patients may face bills 7.8 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Mri scan of upper spinal canal without contrast (HCPCS code 72141) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $111.90, but hospitals typically charge $868.63 — a 7.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $111.90, your out-of-pocket cost would be approximately $22.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$111.90
Average Hospital Charge
$868.63
Markup Ratio
7.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$868.63
Medicare Allowed$111.90
Medicare Payment$85.31

Hospitals charge 7.8x more than what Medicare allows for this procedure. Medicare actually pays $85.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$151$1,9981141,628+35.3%
New Jersey$150$1,13968916,931+33.7%
Maryland$144$84251016,280+28.7%
Puerto Rico$144$305104671+28.4%
New York$138$1,1061,59443,189+23.4%
California$136$9612,70364,283+21.1%
Florida$132$1,1062,18350,992+17.9%
Nevada$127$1,1233285,810+13.8%
District of Columbia$126$807683,522+13.0%
Hawaii$122$63081855+9.1%
Connecticut$121$8334136,436+8.3%
Arizona$121$93345013,433+7.9%
Colorado$113$79753612,489+0.7%
Wyoming$112$1,035801,430+0.4%
Delaware$112$7471043,323+0.1%
Texas$112$1,0411,82646,349-0.1%
Rhode Island$110$652891,764-1.9%
Massachusetts$109$85868717,418-2.2%
New Mexico$108$9211572,365-3.6%
Washington$106$68976210,568-5.4%
Alabama$106$81762711,192-5.6%
Virginia$105$96167518,135-6.1%
Minnesota$103$7871,01713,192-7.9%
South Carolina$102$83461712,690-8.6%
Georgia$101$9821,12319,504-9.3%
Louisiana$101$8915329,170-9.7%
Illinois$98$8401,29522,866-12.6%
Pennsylvania$98$6321,26421,745-12.8%
Oregon$96$5754256,150-13.9%
Utah$95$5522924,099-15.0%
Tennessee$95$7201,02516,089-15.2%
South Dakota$93$6081441,383-16.6%
North Carolina$93$7411,21221,009-16.7%
Mississippi$93$8652686,652-16.9%
Indiana$93$7495949,349-17.3%
Michigan$92$59862314,423-18.0%
Kentucky$92$6623806,333-18.2%
Montana$91$5151322,223-18.9%
Oklahoma$90$6833318,488-19.4%
New Hampshire$89$1,0192143,124-20.2%
West Virginia$89$6971442,494-20.6%
Kansas$88$5873385,463-20.9%
Iowa$88$6513424,611-21.0%
Ohio$88$60597520,219-21.2%
Missouri$86$52352712,175-22.8%
Wisconsin$86$9667097,733-22.9%
Maine$86$4491142,624-23.2%
Idaho$83$5921282,407-25.5%
Vermont$83$40139891-26.1%
Nebraska$83$4731903,726-26.2%
North Dakota$79$404921,517-29.4%
Arkansas$79$4583958,222-29.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber