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Lumbosacral spine X-ray

CPT 72100 · negotiated-rate distribution across hospitals in HI

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Hospitals
10
Min
$49.03
Median
$54.02
Max
$137.62
Range multiplier
2.8×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
hmsa517$21.96$24.13$137.626.3×
UnitedHealthcare68$21.96$21.96$137.626.3×
uha55$53.1$58.13$58.131.1×
hma55$67.11$67.11$67.111.0×
hmaa55$58.27$60.36$60.361.0×
alohacare35$27.45$119.7$137.625.0×
Kaiser Permanente34$80$119.7$137.621.7×
ohana24$119.7$128.66$151.381.3×
hawaii medical service association (hmsa)13$21.96$24.13$44.322.0×
Humana22$119.7$128.66$137.621.1×
Multiplan12$80$82.5$851.1×
verdegard11$84.26$84.26$84.261.0×
hawaii medical assurance association (hmaa)11$57.88$57.88$57.881.0×
hcha11$78.21$78.21$78.211.0×
mdx hawaii11$43.39$43.39$43.391.0×
medical cost containment professionals11$85$85$851.0×
ohana health plan11$28.25$28.25$28.251.0×
pacific administrators inc11$50.16$50.16$50.161.0×
university health alliance11$59.69$59.69$59.691.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WILCOX MEMORIAL HOSPTIALLIHUEHI13$484$193.6$21.96$54.02$85
SAMUEL MAHELONA MEMORIAL HOSPITALKAPAA KAUAIHI5$458$297.7$21.96$49.03$67.11
KAUAI VETERANS MEMORIAL HOSPITALWAIMEA KAUAIHI5$458$297.7$21.96$49.03$67.11
KOHALA HOSPITALKAPAAUHI5$541$351.65$21.96$49.03$67.11
KONA COMMUNITY HOSPITALKEALAKEKUAHI9$458$297.7$21.96$137.62$151.38
KAHUKU MEDICAL CENTERKAHUKUHI9$21.96$119.7$119.7
NORTH HAWAII COMMUNITY HOSPITALKAMUELAAHI0$406$284.2
THE QUEENS MEDICAL CENTERHONOLULUHI0$402$281.4
MOLOKAI GENERAL HOSPITALKAUNAKAKAIHI0$519$363.3
KFH-HAWAIIHONOLULUHI0$990$554.4

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.