CareNavIQ

All procedures

Lower back MRI with and without contrast

MRI scan of lower spinal canal before and after contrast

Radiology ServicesCPT 72158

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

All hospitals we cover so far are in Washington; other states will appear here to compare as we add them.

Price estimate: Medicaid managed care

Typical Medicaid managed care rate$342middle of 20 hospitals
Lowest hospital$302
Highest hospital$3,140
Typical cash price$2,96936 hospitals

Typical range: $334 to $416. The middle half of the 20 hospitals we cover that list a Medicaid managed care rate for this procedure. Each hospital below is labeled lower than, within or higher than this range.

Each hospital’s figure is the middle of the rates it lists, one per plan. Hospitals that list several separate lines for one plan or for their cash price are shown with their range and left out of these figures: the lines may be parts of one bill that you pay together. This is what hospitals published, not a quote.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill.

Estimate what you’d pay

Three questions turn each hospital’s Medicaid managed care rate into your share. Nothing you enter leaves your browser.

Question 1 of 3

Have you met your deductible this year?

Your deductible is what you pay each year before your plan starts sharing costs. Your insurer’s app shows how much is left.

A rough estimate, not a quote. It leaves out copays, separate bills (such as the doctor or anesthesia), and whether a hospital is in your plan’s network. Your insurer can tell you your real cost.

Compare hospitals

50 hospitals with a Medicaid managed care rate, cash price or list price; 21 of them list Medicaid managed care rates. Lowest Medicaid managed care rate first.

HospitalQuality (CMS)Medicaid managed care rate (middle of plans)Compared with typicalCash priceList price (before discounts)
Skagit Valley HospitalMount Vernon, WA(360) 424-4111 3 of 5$302Middle of 4 plans; each plan sets its own price: $275 – $337 Lower than typical$4,234$5,293
MultiCare Valley HospitalSpokane Valley, WA(509) 924-6650 5 of 5$306Middle of 5 plans; each plan sets its own price: $303 – $320 Lower than typical$2,425$6,063
Deaconess Medical CenterSpokane, WA(509) 473-5800 3 of 5$308Middle of 5 plans; each plan sets its own price: $305 – $323 Lower than typical$2,425$6,063
Island HospitalAnacortes, WA(360) 299-1300 4 of 5$326Middle of 3 plans; each plan sets its own price: $315 – $341 Lower than typical$2,758$2,758
MultiCare Auburn Medical CenterAuburn, WA(253) 833-7711 2 of 5$334Middle of 5 plans; each plan sets its own price: $310 – $334 Typical$1,543$3,857
MultiCare Covington Medical CenterCovington, WA(253) 372-7400 3 of 5$334Middle of 5 plans; each plan sets its own price: $310 – $334 Typical$1,543$3,857
Capital Medical CenterOlympia, WA(360) 956-2550 3 of 5$339Middle of 5 plans; each plan sets its own price: $333 – $494 Typical$3,431$8,578
Mary Bridge Children's HospitalTacoma, WA(253) 403-1400Not rated by CMS$341Middle of 5 plans; each plan sets its own price: $315 – $341 Typical$1,543$3,857
Yakima Valley MemorialYakima, WA(509) 575-8000 1 of 5$341Middle of 5 plans; each plan sets its own price: $303 – $352 Typical$1,792$4,479
MultiCare Good Samaritan HospitalPuyallup, WA(253) 697-2102 2 of 5$342Middle of 5 plans; each plan sets its own price: $317 – $342 Typical$1,543$3,857
Tacoma General Allenmore HospitalTacoma, WA(253) 403-1000 2 of 5$342Middle of 5 plans; each plan sets its own price: $317 – $342 Typical$1,543$3,857
Cascade Valley HospitalArlington, WA(360) 435-2133 4 of 5$398Middle of 4 plans; each plan sets its own price: $386 – $4,442 Typical$3,532$4,415
PeaceHealth Southwest Medical CenteVancouver, WA(360) 256-2000 3 of 5$402 Typical$4,282 – $4,4102 separate lines; open the hospital to see each one$6,587 – $6,7852 separate lines; open the hospital to see each one
Olympic Medical CenterPort Angeles, WA(360) 417-7000 3 of 5$408Middle of 5 plans; each plan sets its own price: $390 – $427 Typical$2,752$3,440
EvergreenHealth MonroeMonroe, WA(360) 794-7497 3 of 5$409 Typical$5,073$6,341
PeaceHealth St Joseph Medical CenterBellingham, WA(360) 734-5400 4 of 5$435Middle of 2 plans; each plan sets its own price: $435 Higher than typical$3,856 – $3,9723 separate lines; open the hospital to see each one$5,933 – $6,1113 separate lines; open the hospital to see each one
PeaceHealth St John Medical CenterLongview, WA(360) 414-2000 4 of 5$436Middle of 3 plans; each plan sets its own price: $324 – $436 Higher than typical$5,112 – $5,2662 separate lines; open the hospital to see each one$7,865 – $8,1012 separate lines; open the hospital to see each one
Cascade Medical CenterLeavenworth, WA(509) 548-5815Not rated by CMS$2,283Middle of 4 plans; each plan sets its own price: $2,283 – $3,431Includes the radiologist’s fee the hospital lists Higher than typical$3,283Includes the radiologist’s fee the hospital lists$4,104Includes the radiologist’s fee the hospital lists
St Elizabeth HospitalEnumclaw, WA(360) 825-2505 5 of 5$1,900Middle of 5 plans; each plan sets its own price: $1,793 – $2,183 Higher than typical$3,726$10,544
Three Rivers HospitalBrewster, WA(509) 689-2517Not rated by CMS$3,681Includes the radiologist’s fee the hospital lists Higher than typical$5,258Includes the radiologist’s fee the hospital lists$5,258Includes the radiologist’s fee the hospital lists
BHC Fairfax HospitalKirkland, WA(425) 821-2000Not rated by CMSNot published—$3,250$3,250
Coulee Medical CenterGrand Coulee, WA(509) 633-1753Not rated by CMSNot published—$3,470$3,856
EvergreenHealth Medical CenterKirkland, WA(425) 899-1000 5 of 5Not published—$3,532$4,415
Harborview Medical CenterSeattle, WA(206) 744-9535 2 of 5Not published—$2,631$3,758
Highline Medical CenterBurien, WA(206) 431-5237 4 of 5Not published—$3,220$10,544
Kadlec Regional Medical CenterRichland, WA(509) 946-4611 4 of 5Not published—$3,922 – $4,3594 separate lines; open the hospital to see each one$5,603 – $6,2274 separate lines; open the hospital to see each one
Overlake Hospital Medical Center & ClinicsBellevue, WA(425) 688-5000 2 of 5Not published—$1,140$2,280
PeaceHealth Peace Island Medical CenterFriday Harbor, WA(360) 378-2141Not rated by CMSNot published—$2,899$4,460
PeaceHealth United General Medical CenterSedro Woolley, WA(360) 856-6021 3 of 5Not published—$3,104$4,776
Prov Sacred HRT Med Ctr & Childs Hosp.Spokane, WA(509) 474-3131 3 of 5Not published—$2,082 – $5,1043 separate lines; open the hospital to see each one$2,974 – $7,2913 separate lines; open the hospital to see each one
Providence Centralia HospitalCentralia, WA(360) 330-8530 3 of 5Not published—$2,159$4,152
Providence Holy Family HospitalSpokane, WA(509) 482-0111 3 of 5Not published—$1,268 – $4,7823 separate lines; open the hospital to see each one$1,811 – $6,8313 separate lines; open the hospital to see each one
Providence Mount Carmel HospitalColville, WA(509) 684-2561 3 of 5Not published—$2,102 – $4,5162 separate lines; open the hospital to see each one$3,003 – $6,4522 separate lines; open the hospital to see each one
Providence Regional Medical Center EverettEverett, WA(425) 261-2000 4 of 5Not published—$1,798$3,458
Providence St Joseph HospitalChewelah, WA(509) 935-8211Not rated by CMSNot published—$3,848$5,497
Providence St Mary Medical CenterWalla Walla, WA(509) 522-5900 3 of 5Not published—$4,687$6,695
Providence St Peter HospitalOlympia, WA(360) 493-7179 3 of 5Not published—$2,159 – $2,2722 separate lines; open the hospital to see each one$4,152 – $4,3702 separate lines; open the hospital to see each one
Seattle Children's HospitalSeattle, WA(206) 987-2000Not rated by CMS$64.30 – $2,22742 separate lines; open the hospital to see each oneNot compared: several separate lines$450 – $6,8513 separate lines; open the hospital to see each one$450 – $6,8514 separate lines; open the hospital to see each one
St Anthony HospitalGig Harbor, WA(253) 530-2050 5 of 5Not published—$3,207$10,544
St Clare HospitalLakewood, WA(253) 588-1711 4 of 5Not published—$3,039$10,544
St Francis Community HospitalFederal Way, WA(253) 944-8100 4 of 5Not published—$3,309$10,544
St Joseph Medical CenterTacoma, WA(253) 627-4101 3 of 5Not published—$3,492$10,544
St Michael Medical CenterSilverdale, WA(360) 377-3911 4 of 5Not published—$4,654$10,544
Swedish IssaquahIssaquah, WA(425) 313-4000 4 of 5Not published—$1,108 – $2,2592 separate lines; open the hospital to see each one$2,309 – $4,7072 separate lines; open the hospital to see each one
Swedish Medical CenterSeattle, WA(206) 386-6000 4 of 5Not published—$1,108 – $2,2592 separate lines; open the hospital to see each one$2,309 – $4,7072 separate lines; open the hospital to see each one
Swedish Medical Center / Cherry HillSeattle, WA(206) 320-2000 4 of 5Not published—$1,108 – $2,2592 separate lines; open the hospital to see each one$2,309 – $4,7072 separate lines; open the hospital to see each one
Trios HealthKennewick, WA(509) 586-6111 2 of 5Not published—Not published$6,866
University of Washington Medical CtrSeattle, WA(206) 598-3300 4 of 5Not published—$2,630$3,758
Virginia Mason Medical CenterSeattle, WA(206) 223-6600 5 of 5Not published—$1,878$3,682
WhidbeyHealth Medical CenterCoupeville, WA(360) 678-5151 2 of 5Not published—$282 – $4,5323 separate lines; open the hospital to see each one$282 – $4,5323 separate lines; open the hospital to see each one

Reading these prices

  • A higher price does not mean better care. Quality stars come from CMS and are shown separately; they don’t go into the price labels.
  • A hospital can list several rates for the same procedure, one per plan; we show the middle of them. When one plan, or the cash price, has several separate lines, they may be parts of one bill (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We show their range, don’t compare them yet, and list every line on the hospital’s page.
  • A very low rate can be one line item (for example, a supply charge), not the whole procedure.
  • Not published means the hospital’s own price file has no price of that kind for this service (some list insurer rates but leave the cash or list price blank). If you’re uninsured or paying yourself, ask the hospital for a Good Faith Estimate; federal law (No Surprises Act) requires one when you schedule or ask.

See a price that looks wrong? Tell us about it.

Doctors and practices

Doctors, independent practices, labs and centers in Washington that billed Traditional Medicare for Lower back MRI with and without contrast, most Medicare services first. Doctors with no hospital affiliation are included.

No independent practice billed Traditional Medicare for this often enough for CMS to publish it.

Reading the doctor list

  • A higher price doesn’t mean better care. The quality score and the price come from different CMS files and are shown separately on purpose.
  • The amount is what Traditional Medicare (original Medicare) approved for the doctor’s or lab’s own service: Medicare’s payment plus the patient’s share. It is not what commercial insurance or Medicare Advantage pays, and the hospital or surgery center bills separately (surgery centers aren’t in this list).
  • The Medicare quality score is CMS’s MIPS final score (0 to 100), based mostly on the doctor’s Medicare patients. About half of doctors aren’t scored, so Not rated says nothing bad about a doctor. A group’s score covers everyone in the group.
  • CMS doesn’t publish counts under 11 patients, so doctors who rarely bill Medicare for this aren’t listed, and No price published means CMS has no amount for that setting.
  • Independent practice means CMS lists no group for the doctor, or a group of one. None on file for hospitals is common for office-based doctors and doesn’t mean anything is wrong.