72157
MRI of lumbar spine without then with contrast
MRI of lumbar spine without then with contrast is the #2,095 most-billed Medicaid procedure code, with $9.1M in payments across 51K claims from 2018–2024. The national median cost per claim is $92.24. Costs vary widely — the 90th percentile is $447.59 per claim, 4.9× the median.
Total Paid
$9.1M
0.00% of all spending
Total Claims
51K
Providers
189
Avg Cost/Claim
$176
National Cost Distribution
How much do providers bill per claim for 72157? Based on 186 providers billing this code nationally.
Median
$92.24
Average
$182.11
Std Dev
$221.77
Max
$1,486.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.01 and $189.29 per claim for this code.
90% bill between $46.80 and $447.59.
Top 1% bill above $978.06.
About This Procedure
HCPCS code 72157 (MRI of lumbar spine without then with contrast) was billed by 189 providers across 51K claims, totaling $9.1M in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$92.24
Providers Billing
186
National Spending
$9.1M
Avg/Median Ratio
1.97×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 72157
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.1M |
| 2 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $1.0M |
| 3 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $485K |
| 4 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $455K |
| 5 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $425K |
| 6 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $369K |
| 7 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $328K |
| 8 | 1740283324 | $287K |
| 9 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $281K |
| 10 | 1871528026 | $231K |
| 11 | 1477549756 | $221K |
| 12 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $214K |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $198K |
| 14 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $166K |
| 15 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $164K |
| 16 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $143K |
| 17 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $134K |
| 18 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $117K |
| 19 | 1508942681 | $117K |
| 20 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $115K |
Showing top 20 of 189 providers billing this code