Mri scan of middle spinal canal before and after contrast
Medicare pricing data for 17,733 providers across 52 states
This procedure has a 6.8x markup — hospitals charge $1,026 but Medicare allows only $150.03. Uninsured patients may face bills 6.8 times higher than what insurance negotiates. Prices vary significantly by location — from $113 in West Virginia to $272 in Puerto Rico. Where you get this procedure matters more than almost any other factor. 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 before and after contrast (HCPCS code 72157) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $150.03, but hospitals typically charge $1,026 — a 6.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $150.03, your out-of-pocket cost would be approximately $30.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.8x more than what Medicare allows for this procedure. Medicare actually pays $117.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $272 | $461 | 15 | 29 | +81.4% |
| Maryland | $198 | $1,072 | 380 | 2,643 | +32.2% |
| New Jersey | $196 | $1,311 | 433 | 2,434 | +30.4% |
| Alaska | $194 | $1,838 | 65 | 319 | +29.0% |
| Nevada | $186 | $1,256 | 160 | 722 | +24.0% |
| Florida | $177 | $1,370 | 1,195 | 6,873 | +18.2% |
| District of Columbia | $177 | $915 | 55 | 427 | +18.1% |
| California | $174 | $1,177 | 1,670 | 10,234 | +15.9% |
| New York | $173 | $1,304 | 985 | 8,779 | +15.1% |
| Minnesota | $173 | $1,510 | 603 | 3,759 | +15.0% |
| Hawaii | $167 | $754 | 50 | 164 | +11.1% |
| Arizona | $166 | $1,235 | 317 | 2,217 | +10.7% |
| Wyoming | $163 | $1,383 | 42 | 138 | +8.7% |
| Massachusetts | $158 | $1,011 | 512 | 4,102 | +5.3% |
| Virginia | $151 | $1,381 | 452 | 3,075 | +0.8% |
| Connecticut | $148 | $905 | 255 | 1,447 | -1.5% |
| Washington | $147 | $763 | 405 | 2,335 | -2.3% |
| Alabama | $145 | $746 | 329 | 1,268 | -3.1% |
| Texas | $145 | $1,119 | 1,192 | 8,176 | -3.1% |
| Rhode Island | $144 | $767 | 54 | 548 | -3.7% |
| Colorado | $144 | $830 | 336 | 2,005 | -4.0% |
| New Mexico | $142 | $1,017 | 85 | 342 | -5.1% |
| Tennessee | $139 | $955 | 449 | 2,224 | -7.4% |
| Delaware | $139 | $739 | 61 | 409 | -7.5% |
| Montana | $138 | $822 | 68 | 382 | -8.1% |
| South Carolina | $138 | $1,025 | 309 | 1,641 | -8.2% |
| Pennsylvania | $134 | $737 | 821 | 4,618 | -10.4% |
| Louisiana | $134 | $810 | 288 | 1,079 | -10.6% |
| Oregon | $133 | $679 | 217 | 1,264 | -11.5% |
| Georgia | $132 | $887 | 497 | 2,436 | -12.1% |
| Kansas | $131 | $657 | 194 | 955 | -12.4% |
| Illinois | $130 | $928 | 745 | 4,523 | -13.0% |
| North Carolina | $130 | $888 | 625 | 3,540 | -13.3% |
| Indiana | $128 | $833 | 329 | 1,513 | -14.7% |
| Kentucky | $128 | $657 | 197 | 884 | -14.8% |
| Maine | $128 | $628 | 66 | 231 | -15.0% |
| New Hampshire | $126 | $1,225 | 130 | 619 | -15.9% |
| Arkansas | $124 | $578 | 192 | 975 | -17.6% |
| Idaho | $123 | $695 | 82 | 438 | -17.7% |
| Ohio | $123 | $782 | 539 | 3,328 | -18.1% |
| Utah | $122 | $682 | 156 | 790 | -18.6% |
| Vermont | $122 | $573 | 30 | 177 | -18.7% |
| Iowa | $121 | $738 | 178 | 879 | -19.3% |
| Michigan | $120 | $610 | 468 | 3,592 | -19.8% |
| Wisconsin | $120 | $1,300 | 423 | 1,924 | -19.9% |
| Nebraska | $120 | $618 | 119 | 753 | -20.0% |
| Oklahoma | $118 | $625 | 196 | 921 | -21.5% |
| Missouri | $117 | $652 | 373 | 2,625 | -21.8% |
| Mississippi | $117 | $911 | 162 | 862 | -21.9% |
| North Dakota | $116 | $505 | 51 | 337 | -23.0% |
| South Dakota | $115 | $490 | 49 | 365 | -23.5% |
| West Virginia | $113 | $644 | 109 | 465 | -24.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber