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Lumbosacral spine X-ray

CPT 72100 · negotiated-rate distribution across hospitals in OK

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Hospitals
13
Min
$100.55
Median
$339.30
Max
$1,156.39
Range multiplier
11.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield635$82.83$100.55$323.383.9×
healthcare highways [2210]629$150.00$390.00$1,156.397.7×
Aetna1324$23.45$323.38$1,288.4754.9×
First Health921$13.80$442.80$946.8668.6×
Cigna1014$38.22$323.38$603.3515.8×
Multiplan813$276.83$728.80$1,262.484.6×
UnitedHealthcare712$100.55$323.38$1,151.4011.5×
web tpa [2115]611$289.43$424.95$1,288.474.5×
Humana511$23.45$212.24$323.3813.8×
phcs [1780]510$683.25$882.80$1,262.481.8×
healthcare highways58$76.90$207.12$339.304.4×
Oscar Health88$141.49$234.88$733.755.2×
pba [1775]77$358.93$570.08$1,461.634.1×
healthscope benefits [2290]66$183.54$309.16$881.674.8×
Meritain Health66$263.40$454.15$644.452.4×
hooray health [8000]66$150.00$261.00$733.754.9×
community care26$201.10$215.31$215.311.1×
umr - ardent employee [2036]66$183.54$309.16$881.674.8×
trustmark [2030]66$728.80$932.63$2,289.303.1×
oncology patient assistance programs [2295]66$150.00$261.00$733.754.9×
universal fidelity [2085]66$390.00$885.12$2,289.305.9×
the kempton group administrators [2905]55$270.00$504.00$1,320.754.9×
pan american life insurance co [1770]55$728.80$918.40$1,262.481.7×
osma health network [2345]55$150.00$280.00$733.754.9×
coresource [1315]55$263.40$424.95$491.681.9×
allied benefit systems inc [1030]55$263.40$851.84$1,262.484.8×
medica [2910]55$442.80$566.72$1,658.283.7×
black lung [6055]55$150.00$275.25$733.754.9×
new era life insurance company [1705]55$728.80$918.40$1,262.481.7×
lucent health [6000]55$150.00$275.25$733.754.9×
national association of letter carriers [1695]55$358.93$570.08$761.892.1×
resource one administrators [2815]55$308.00$391.73$1,156.393.8×
pending ssi [1616]55$600.00$1,101.00$1,468.002.4×
administrative concepts [1005]44$728.80$899.35$1,262.481.7×
allied national global care [1035]44$728.80$899.35$1,262.481.7×
community care [1290]44$683.25$842.12$884.801.3×
employee benefit management services [2445]44$683.25$978.22$2,142.553.1×
healthcost solutions [2415]44$728.80$1,090.44$2,289.303.1×
Healthfirst44$728.80$1,090.44$2,289.303.1×
healthpartners [1500]44$473.35$531.94$603.351.3×
hometown health [2155]44$728.80$1,090.44$2,289.303.1×
mayo clinic health solutions [2280]44$728.80$1,090.44$2,289.303.1×
Medicare24$100.55$100.55$100.551.0×
mutual of omaha [1685]44$728.80$885.12$1,262.481.7×
planned administrators inc [2360]44$728.80$1,090.44$2,289.303.1×
global health [1430]33$372.00$600.16$682.621.8×
medica33$219.24$323.38$323.381.5×
healthcare solutions [1485]33$638.40$687.28$781.711.2×
Health Net33$851.84$918.40$946.861.1×
preferred community choice33$233.77$233.77$480.242.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hillcrest Hospital HenryettaHenryettaOK27$1,101.00$330.30$275.25$880.80$1,101.00
Hillcrest Medical CenterTulsaOK34$1,468.00$440.40$367.00$761.89$1,468.00
Hillcrest Hospital CushingCushingOK37$968.00$290.40$242.00$600.16$968.00
Bailey Medical CenterOwassoOK40$1,120.00$336.00$280.00$570.08$1,120.00
Hillcrest Hospital SouthTulsaOK35$911.00$273.30$227.75$399.93$728.80
Jefferson County HospitalWaurikaOK13$522.00$183.22$84.89$339.30$490.68
Mercy Rehab Hospital Oklahoma City SOklahoma CityOK13$323.38$323.38$242.54$323.38$323.38
Mercy Rehab Hospital Oklahoma CityOklahoma CityOK13$323.38$323.38$242.54$323.38$323.38
Hillcrest Hospital PryorPryorOK26$600.00$180.00$150.00$321.00$600.00
Nowata Health CenterNowataOK3$401.25$148.46$13.80$259.34$259.34
Hillcrest Hospital ClaremoreClaremoreOK25$2,935.00$880.50$733.75$1,156.39$2,289.30
Oklahoma Heart HospitalOklahoma CityOK25$307.59$107.66$23.45$103.57$276.83
Oklahoma Heart Hospital SouthOklahoma CityOK26$307.59$107.66$23.45$100.55$276.83

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.