Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Utah Pricing in Context
In Utah, CPT code 72157 (Mri Scan Of Middle Spinal Canal Before And After Contrast) carries an average Medicare payment of $94.12 - 20% below the national benchmark of $117.33. 156 providers across the state submitted claims for this procedure in 2023, performing 790 total services. Individual payments in UT ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Utah is $681.87, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount, the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Utah sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for MRI procedures, the estimated commercial insurance price in Utah lands near $268.70, with self-pay cash prices typically around $279.12. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Mri Scan Of Middle Spinal Canal Before And After Contrast cost in Utah?
The average Medicare payment for Mri Scan Of Middle Spinal Canal Before And After Contrast in Utah is $94.12, which is 20% below the national average of $117.33. Providers in UT typically bill $681.87 for this procedure.
What does Mri Scan Of Middle Spinal Canal Before And After Contrast cost with insurance in Utah?
With commercial insurance in Utah, Mri Scan Of Middle Spinal Canal Before And After Contrast costs an estimated $268.70. Without insurance, the estimated cash price is $279.12. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Mri Scan Of Middle Spinal Canal Before And After Contrast in Utah?
156 providers in Utah billed Medicare for Mri Scan Of Middle Spinal Canal Before And After Contrast in 2023, performing 790 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Mri Scan Of Middle Spinal Canal Before And After Contrast cheaper in Utah than the national average?
Yes - Mri Scan Of Middle Spinal Canal Before And After Contrast costs 20% below the national average in Utah. The state average Medicare payment is $94.12 compared to $117.33 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology - how this data is sourced, computed, and verified.
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Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.