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Lumbosacral spine X-ray

CPT 72100 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$14.37
Median
$109.94
Max
$259.34
Range multiplier
18.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare21116$6.82$107.81$388.256.9×
Medicare1384$10.14$103.71$165.9416.4×
Medicaid1381$6.82$58.17$365.653.6×
Aetna2275$12.72$109.94$388.230.5×
Blue Cross Blue Shield1548$17.04$89.58$365.621.5×
Humana1939$10.14$105.87$121.9412.0×
priority health op rate1031$31.92$132.27$226.037.1×
First Health828$13.8$136.51$365.626.5×
hap - hmo op rate522$24.31$110.05$163.56.7×
priority health918$15.6$47.8$277.4117.8×
hp - ppo op rate418$41.13$148.47$210.625.1×
hp - hmo op rate418$30.88$107.01$158.125.1×
cofinity - ppom op rate317$32.34$203.66$302.589.4×
Medicare Advantage916$103.7$106.74$107.51.0×
Ambetter816$176.12$176.12$179.581.0×
smarthealth816$149.44$149.44$155.191.0×
occunet714$197.47$218.82$240.161.2×
hap - ppo op rate314$41.13$172.37$226.855.5×
healthspring mcr replacement714$107.81$108.34$108.871.0×
Cigna1014$32.72$380.63$488.5814.9×
WellCare714$106.74$106.74$106.741.0×
facility billing - op714$106.74$106.74$106.741.0×
blue mcr replacement714$106.74$106.74$106.741.0×
hcap op rate314$55.5$156.48$212.343.8×
Oscar Health714$170.78$170.78$170.781.0×
cofinity - auto op rate413$37.41$75.16$227.046.1×
great lakes research op rate212$70.68$161.34$212.343.0×
mclaren commercial ins812$8.8$8.8$153.1817.4×
hap preferred op rate412$27.06$56.95$174.496.4×
health advantage - commercial op rate212$41.29$94.25$124.043.0×
TRICARE1011$74.26$101.39$110.851.5×
u of m health plan810$11.66$11.66$336.4428.9×
workers compensation88$32.36$104.87$235.437.3×
mi amish medical board77$103.71$103.71$103.711.0×
cofinity auto77$87.98$197.05$197.052.2×
mhp - hmo op rate26$21$44.63$107.525.1×
mclaren health advantage op rate26$23.96$56.28$93.143.9×
health advantage - ppo op rate26$21$44.63$107.525.1×
mclaren health op rate46$24.21$87.95$187.657.8×
Multiplan25$52.8$68.8$190.43.6×
cofinity - wc/auto op rate15$37.41$75.16$170.784.6×
cofinity wc op rate15$32.34$64.97$147.644.6×
hap/ahl op rate15$24.31$48.84$110.974.6×
hurley medical center op rate15$18.48$37.13$84.364.6×
bcn op rate25$66$84.06$137.592.1×
hap hmo op rate24$37.18$123.06$160.74.3×
harbor health plan14$55.59$61.14$103.71.9×
hap ahl op rate24$37.59$130.2$174.494.6×
health plus hmo op rate24$41.07$143.37$192.984.7×
beech street op rate13$59.4$77.4$214.23.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN OAKLANDPONTIACMI14$91.85$37.66$96.95$176.6
MCLAREN CENTRAL MICHIGANMT PLEASANTMI18$517.6$258.8$6.82$93.77$388.2
MCLAREN NORTHERN MICHIGANPETOSKEYMI16$248.2$124.1$6.82$75.94$197.05
MCLAREN LAPEER REGIONLAPEERMI25$442.6$221.3$6.82$71.4$365.6
MCLAREN MACOMBMT. CLEMENSMI20$128.7$23.96$64.84$214.2
MCLAREN PORT HURONPORT HURONMI30$212.2$106.1$6.82$64.69$182.2
MCLAREN FLINTFLINTMI27$253.8$156.7$6.82$62.26$275
ASCENSION ST JOHN HOSPITALDETROITMI3$401.25$148.46$13.8$259.34$259.34
KARMANOS CANCER HOSPITALDETROITMI15$140.4$66.47$163.05$212.41
MCLAREN BAY SPECIAL CAREBAY CITYMI18$184.05$41.29$150.58$302.58
MCLAREN THUMB REGIONBAD AXEMI11$209$104.5$6.82$14.37$177.55
BAY REGIONAL MEDICAL CENTERBAY CITYMI26$285.6$191.4$6.82$122.75$302.58
TAWAS ST. JOSEPH HOSPITALTAWASMI10$431$142.23$32.72$116.39$272.68
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$958$383.2$83.24$109.94$488.58
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$958$383.2$83.24$109.94$488.58
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$958$383.2$83.24$109.94$488.58
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$958$383.2$83.24$109.94$488.58
ASCENSION STANDISH HOSPITALSTANDISHMI13$958$383.2$83.24$109.94$488.58
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$958$383.2$83.24$109.94$488.58
ASCENSION ALLEGAN HOSPITALALLEGANMI13$958$383.2$83.24$109.94$488.58
MCLAREN GREATER LANSINGLANSING MI 489100MI21$484.9$242.45$6.82$103.71$339.43
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI21$544$103$21.05$103.7$160.74
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$278$194.6
MCKENZIE HEALTH SYSTEMSANDUSYMI0$167$133.6
SPARROW CLINTON HOSPITALST. JOHNSMI0$244$61
CARSON CITY HOSPITALCARSON CITYMI0$277$69.25
SPARROW EATONCHARLOTTEMI0$261$65.25
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$406$284.2
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$539$431.2
MH - MERCY CAMPUSMUSKEGONMI0$432.9$207.79

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.