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Neck MRI Cost in the US (2026): What 1,177 Hospitals NegotiatedNPI VERIFIED

Across 1,177 US hospitals that publish federally required price files, the median negotiated rate for an MRI of the neck (cervical spine) is $533 — 2.2× the Medicare outpatient rate of $244. The middle half of hospitals negotiated between $290 and $1,462; the priciest tenth negotiated more than $2,478, 10.6× the cheapest tenth (under $234). Hospitals that list a self-pay price ask a median of $1,742 (922 hospitals).

Code CPT 72141 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-28 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-07

National median
$533
all plan types · 1,177 hospitals
Middle half
$290–$1,462
25th–75th percentile of hospitals
Median cash price
$1,742
self-pay · 922 hospitals list one
Medicare baseline
$244
CMS OPPS national · July 2026
These are contract reference rates, not your bill. A median across hospitals is not a quote for your plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status.
This is the hospital's facility fee. The radiologist who reads the images bills separately.
Coverage: 1,177 of the 5,419 hospitals in the CMS roster have an identity-verified price file with this procedure in our data. It is not a random sample, and a hospital missing here has not been judged non-compliant — we may simply not have its file yet. 86 of these 1,177 hospital files were more than 12 months old at extraction — hospitals must update yearly; we keep the figures and say so rather than hide them.

By insurance type

Insurance typeHospitalsMedianMiddle half× Medicare
Commercial (plan type not stated)725$1,420$579 – $2,5235.8×
PPO764$1,317$662 – $2,5175.4×
HMO514$888$503 – $1,9263.6×
EPO124$1,411$502 – $3,0865.8×
POS56$888$468 – $2,0893.6×
ACA Marketplace471$516$361 – $1,2422.1×
Medicare Advantage670$268$237 – $9451.1×
Medicare (as listed)666$252$236 – $4361.0×
Medicaid746$480$266 – $1,0992.0×
Federal employees (FEP)22$2,018$1,330 – $3,4388.3×
Workers' comp133$1,250$505 – $2,5745.1×

Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.

By state

StateHospitalsMedianMiddle halfSpread (shared scale $0–$2,500)× MedicareMedian cash
Alabama13$216$213 – $2230.9×$1,624
Arizona12$271$264 – $6731.1×$726
Arkansas11$398$242 – $7471.6×$1,800
California42$384$305 – $8661.6×$1,825
Colorado7$1,389$367 – $1,5825.7×$977
Florida47$395$272 – $5041.6×$2,482
Georgia31$386$312 – $1,4131.6×$1,562
Hawaii7$294$238 – $5721.2×$1,243
Idaho12$1,457$969 – $1,7666.0×$1,788
Illinois46$1,221$412 – $2,0735.0×$2,677
Indiana27$502$458 – $9322.1×$1,377
Iowa47$1,464$845 – $1,9956.0×$2,085
Kansas46$935$667 – $1,4593.8×$1,148
Kentucky40$675$365 – $1,0842.8×$1,560
Louisiana24$437$282 – $8191.8×$1,133
Maine9$992$312 – $1,7254.1×$973
Maryland9$532$415 – $6992.2×$521
Massachusetts9$536$338 – $1,2332.2×$2,374
Michigan28$258$236 – $4281.1×$1,392
Minnesota30$1,506$825 – $2,1696.2×$2,123
Mississippi21$221$209 – $2960.9×$1,299
Missouri29$287$239 – $7861.2×$1,885
Montana18$1,304$389 – $1,7375.3×$1,748
Nebraska31$2,262$489 – $3,5249.3×$3,246
Nevada8$396$396 – $7781.6×$3,951
New Hampshire6$700$384 – $1,1112.9×$5,708
New Jersey23$414$285 – $4141.7×$595
New Mexico16$1,009$394 – $1,6174.1×$1,569
New York37$390$317 – $5411.6×$972
North Carolina22$574$244 – $1,0612.4×$1,632
North Dakota13$1,737$1,351 – $2,4307.1×$1,761
Ohio58$363$246 – $6171.5×$1,771
Oklahoma34$379$222 – $8271.6×$1,601
Oregon22$414$321 – $7071.7×$1,776
Pennsylvania59$447$293 – $9631.8×$1,742
Rhode Island5$365$357 – $3961.5×$1,403
South Carolina26$240$235 – $3521.0×$2,076
South Dakota11$3,367$2,888 – $3,73213.8×$3,808
Tennessee23$235$232 – $4181.0×$728
Texas100$799$323 – $1,5073.3×$1,570
Utah21$3,427$2,404 – $3,51914.1×$3,569
Vermont8$2,260$1,131 – $2,6479.3×$3,072
Virginia19$679$407 – $1,4062.8×$1,397
Washington16$1,187$844 – $1,8124.9×$2,220
West Virginia7$1,965$197 – $2,9288.1×$1,778
Wisconsin27$1,074$503 – $1,4994.4×$2,110
Wyoming8$1,660$1,612 – $2,4466.8×$1,371

middle half of hospitalsstate medianMedicare rate · a dotted end means the range runs past $2,500

States with at least 5 hospitals in our data (47 states). 4 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.

Get the data

Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.

Frequently asked questions

How much does an MRI of the neck (cervical spine) cost in the US?
Across 1,177 hospitals that publish federally required price files, the median negotiated rate is $533, and the middle half of hospitals fall between $290 and $1,462. Self-pay cash prices have a median of $1,742 across the 922 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do Neck MRI prices vary so much?
Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 10.6 times what the cheapest tenth did, and state medians run from $216 in Alabama to $3,427 in Utah.
Is the cash price cheaper than using insurance?
Sometimes. At 214 of the 922 hospitals that list a cash price (23%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.
What is the Medicare rate shown here?
$244 is the CMS national outpatient (OPPS) payment rate for this service (July 2026). We show it as a government baseline: the national median negotiated rate is 2.2 times it.

Other imaging prices

Brain MRI
median $799 · 1,185 hospitals
Knee MRI
median $567 · 1,191 hospitals
Lower Back MRI
median $528 · 1,186 hospitals
Head CT Scan
median $303 · 1,227 hospitals
Chest CT Scan
median $448 · 1,215 hospitals
Abdomen & Pelvis CT Scan
median $676 · 1,225 hospitals
Sinus CT Scan
median $296 · 1,215 hospitals
Abdominal Ultrasound
median $217 · 1,213 hospitals
Chest X-Ray
median $112 · 1,210 hospitals
Lower Back X-Ray
median $157 · 1,206 hospitals

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