72146

Mri scan of middle spinal canal without contrast

Medicare pricing data for 24,792 providers across 52 states

🤖AI Overview

This procedure has a 8.3x markup — hospitals charge $838.40 but Medicare allows only $100.62. Uninsured patients may face bills 8.3 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 middle spinal canal without contrast (HCPCS code 72146) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $100.62, but hospitals typically charge $838.40 — a 8.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$20.12

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $100.62, your out-of-pocket cost would be approximately $20.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$100.62
Average Hospital Charge
$838.40
Markup Ratio
8.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$838.40
Medicare Allowed$100.62
Medicare Payment$77.69

Hospitals charge 8.3x more than what Medicare allows for this procedure. Medicare actually pays $77.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$134$1,1256006,066+32.8%
Alaska$127$1,55783493+26.2%
Maryland$125$8144596,059+24.1%
New York$122$1,0401,31715,830+21.3%
Florida$120$1,0761,81420,967+18.8%
California$118$9292,29224,812+17.3%
Nevada$116$1,0632542,182+15.3%
Puerto Rico$115$35149160+14.1%
Arizona$108$9413785,814+7.2%
Delaware$108$776871,251+6.9%
Connecticut$106$8153182,500+5.7%
District of Columbia$106$680651,436+5.3%
Colorado$102$7594474,850+1.6%
Hawaii$100$58568320-0.7%
Texas$100$1,0031,59619,034-0.9%
Wyoming$100$94162457-0.9%
Alabama$99$7795014,067-1.4%
Rhode Island$98$59668812-2.9%
New Mexico$97$913126944-3.4%
Massachusetts$97$7946246,325-3.6%
Virginia$95$9986006,815-5.3%
Washington$95$6705454,361-5.7%
South Carolina$94$8674794,353-6.1%
Louisiana$94$8824003,046-6.3%
Minnesota$94$8358025,594-6.8%
Georgia$93$9608417,250-7.3%
Pennsylvania$90$5961,0878,412-10.8%
Illinois$89$7851,0729,139-11.4%
Oregon$89$5783362,327-11.8%
Utah$88$5302401,883-12.6%
Tennessee$87$7217916,379-13.4%
Kentucky$87$6152882,660-13.9%
Mississippi$86$9042142,417-14.1%
Montana$86$514103790-14.4%
North Carolina$86$7409528,656-14.5%
Oklahoma$86$6962873,652-14.8%
Kansas$85$6132642,555-15.6%
Iowa$84$6082521,722-16.8%
Maine$84$48295910-17.0%
Indiana$83$6864933,862-17.2%
Michigan$83$6105475,701-17.2%
New Hampshire$83$9541621,144-17.3%
Missouri$83$4984855,505-17.3%
Ohio$82$5847638,264-18.2%
South Dakota$82$53587568-18.7%
Wisconsin$81$9125423,044-19.4%
Idaho$81$6011161,065-20.0%
Vermont$80$36932294-20.0%
West Virginia$80$6171321,013-20.4%
Nebraska$77$4531611,602-23.1%
North Dakota$75$43981654-25.3%
Arkansas$73$4443143,782-27.7%

⚠️ 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