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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$388.2056.9×
Medicare1384$10.14$103.71$165.9416.4×
Medicaid1381$6.82$58.17$365.6053.6×
Aetna2275$12.72$109.94$388.2030.5×
Blue Cross Blue Shield1548$17.04$89.58$365.6021.5×
Humana1939$10.14$105.87$121.9412.0×
priority health op rate1031$31.92$132.27$226.037.1×
First Health828$13.80$136.51$365.6026.5×
hap - hmo op rate522$24.31$110.05$163.506.7×
priority health918$15.60$47.80$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$103.70$106.74$107.501.0×
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$55.50$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$8.80$8.80$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$21.00$44.63$107.525.1×
mclaren health advantage op rate26$23.96$56.28$93.143.9×
health advantage - ppo op rate26$21.00$44.63$107.525.1×
mclaren health op rate46$24.21$87.95$187.657.8×
Multiplan25$52.80$68.80$190.403.6×
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$66.00$84.06$137.592.1×
hap hmo op rate24$37.18$123.06$160.704.3×
harbor health plan14$55.59$61.14$103.701.9×
hap ahl op rate24$37.59$130.20$174.494.6×
health plus hmo op rate24$41.07$143.37$192.984.7×
beech street op rate13$59.40$77.40$214.203.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren OaklandPontiacMI14$91.85$37.66$96.95$176.60
Mclaren Central MichiganMt PleasantMI18$517.60$258.80$6.82$93.77$388.20
Mclaren Northern MichiganPetoskeyMI16$248.20$124.10$6.82$75.94$197.05
Mclaren Lapeer RegionLapeerMI25$442.60$221.30$6.82$71.40$365.60
Mclaren MacombMt. ClemensMI20$128.70$23.96$64.84$214.20
Mclaren Port HuronPort HuronMI30$212.20$106.10$6.82$64.69$182.20
Mclaren FlintFlintMI27$253.80$156.70$6.82$62.26$275.00
Ascension St John HospitalDetroitMI3$401.25$148.46$13.80$259.34$259.34
Karmanos Cancer HospitalDetroitMI15$140.40$66.47$163.05$212.41
Mclaren Bay Special CareBay CityMI18$184.05$41.29$150.58$302.58
Mclaren Thumb RegionBad AxeMI11$209.00$104.50$6.82$14.37$177.55
Bay Regional Medical CenterBay CityMI26$285.60$191.40$6.82$122.75$302.58
Tawas St. Joseph HospitalTawasMI10$431.00$142.23$32.72$116.39$272.68
Borgess-Pipp Health CenterPlainwellMI13$958.00$383.20$83.24$109.94$488.58
Ascension Borgess HospitalKalamazooMI13$958.00$383.20$83.24$109.94$488.58
Genesys Regional Medical Ctr.Grand BlancMI13$958.00$383.20$83.24$109.94$488.58
Ascension Providence Rochester HospiRochesterMI13$958.00$383.20$83.24$109.94$488.58
Ascension Standish HospitalStandishMI13$958.00$383.20$83.24$109.94$488.58
Ascension Borgess-Lee HospitalDowagiacMI13$958.00$383.20$83.24$109.94$488.58
Ascension Allegan HospitalAlleganMI13$958.00$383.20$83.24$109.94$488.58
Mclaren Greater LansingLansingMI21$484.90$242.45$6.82$103.71$339.43
Garden City Hospital OsteopathicGarden CityMI21$544.00$103.00$21.05$103.70$160.74
Mackinac Straits Health System IncSt. IgnaceMI0$278.00$194.60
Mckenzie Health SystemSanduskyMI0$167.00$133.60
Sparrow Clinton HospitalSt. JohnsMI0$244.00$61.00
Carson City HospitalCarson CityMI0$277.00$69.25
Sparrow EatonCharlotteMI0$261.00$65.25
North Ottawa Community HospitalGrand HavenMI0$406.00$284.20
Southeast Michigan Surgical HospitalWarrenMI0$539.00$431.20
Mh - Mercy CampusMuskegonMI0$432.90$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.