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Lumbosacral spine X-ray

CPT 72100 · negotiated-rate distribution across hospitals in PA

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Hospitals
58
Min
$33.60
Median
$123.54
Max
$536.42
Range multiplier
16.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27185$14.98$189.00$599.7840.0×
Blue Cross Blue Shield26180$25.96$109.89$572.0022.0×
upmc health plan2595$24.75$90.86$536.4221.7×
UnitedHealthcare2694$23.62$109.95$646.6527.4×
Cigna2688$73.83$255.32$476.076.4×
Multiplan1150$101.94$542.10$915.209.0×
intergroup1544$125.45$556.00$3,704.0029.5×
pa health & wellness2141$38.34$55.44$2,315.5260.4×
amerihealth caritas2240$35.12$51.13$2,208.3262.9×
First Health1334$135.10$467.74$800.805.9×
geisinger1832$31.27$85.76$465.6514.9×
private health care systems1326$107.30$409.20$915.208.5×
Humana1324$80.60$257.60$972.4012.1×
upmc work partners2121$56.19$92.28$94.911.7×
keystone first413$62.78$79.56$131.042.1×
america's choice512$556.00$556.00$625.501.1×
wirerope works512$350.28$386.42$386.421.1×
preferred healthcare system612$154.40$174.00$743.604.8×
Medicaid211$11.03$35.78$64.865.9×
health partners plans (jefferson health plan)1111$33.93$49.06$49.061.4×
health partners plans39$24.64$24.64$112.094.5×
three rivers provider network48$98.72$362.11$625.506.3×
selectcare48$173.70$552.80$915.205.3×
pennsylvania health and wellness36$72.62$95.39$120.881.7×
health coalition partners46$173.70$344.53$915.205.3×
gateway health plan35$27.00$99.51$137.365.1×
national provider network24$315.92$469.97$624.022.0×
naphcare34$154.67$164.84$183.671.2×
health payors organization24$684.90$828.65$972.401.4×
innovage44$96.67$112.09$129.971.3×
prime health services33$170.98$174.92$174.921.0×
Anthem BCBS13$245.18$279.69$327.861.3×
clover health33$113.85$116.48$116.481.0×
elder health33$128.89$131.87$131.871.0×
fidelis23$117.01$858.00$858.007.3×
health plan of upper ohio valley13$101.38$101.38$322.943.2×
jup pa health_wellness13$13.04$29.25$42.293.2×
Medicare13$96.67$96.67$98.601.0×
occunet33$126.72$181.32$181.321.4×
Oscar Health33$161.12$164.84$164.841.0×
univera13$109.50$240.90$321.202.9×
Medicare Advantage12$101.50$106.34$111.171.1×
independent health12$166.40$194.01$221.611.3×
pa health_wellness chc12$29.25$35.77$42.291.4×
ibc12$75.45$93.73$112.001.5×
prime net12$589.58$589.58$589.581.0×
galaxy health plan12$228.00$228.00$228.001.0×
qualcare12$690.06$690.06$690.061.0×
wtc health program22$137.36$140.29$143.211.0×
american healthcare group11$608.80$608.80$608.801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$551.00$123.52$24.64$98.60$393.92
Curahealth Heritage ValleyBeaverPA9$243.00$65.61$22.50$90.86$193.71
Upmc ShadysidePittsburghPA20$1,144.00$686.40$27.00$536.42$972.40
WellsboroWellsboroPA14$695.00$504.00$28.80$462.17$660.25
Muncy Valley HospitalMuncyPA15$695.00$417.00$28.80$367.65$2,315.52
Lock Haven HospitalLock HavenPA15$695.00$417.00$28.80$331.51$625.50
Divine Providence HospitalWilliamsportPA15$695.00$417.00$28.80$331.51$625.50
Williamsport Hospital & Medical CtrWilliamsportPA15$695.00$417.00$28.80$331.51$625.50
Aria HealthPhiladelphiaPA3$482.00$117.98$11.03$33.60$64.86
Upmc Horizon HospitalGreenvillePA17$719.00$431.40$34.16$274.66$611.15
Upmc MckeesportMckeesportPA13$707.00$424.20$34.88$267.60$600.95
Upmc Mercy HospitalPittsburghPA16$761.00$456.60$34.08$258.74$684.90
Upmc East HospitalMonroevillePA13$727.00$436.20$33.98$247.18$581.60
Upmc St MargaretPittsburghPA12$675.00$405.00$34.37$186.98$573.75
Upmc HamotEriePA16$730.00$438.00$25.96$182.50$584.00
Upmc Childrens Hospital Of PghPittsburghPA12$348.00$208.80$22.50$123.54$278.40
Upmc Magee-Womens HospitalPittsburghPA12$348.00$208.80$22.50$123.54$278.40
Altoona Regional Health SystemAltoonaPA12$348.00$208.80$22.50$123.54$278.40
The Childrens Home Of PittsburghPittsburghPA12$348.00$208.80$22.50$123.54$278.40
Temple University HospitalPhiladelphiaPA20$1,113.00$24.64$120.88$378.42
Upmc Bedford Memorial HospitalEverettPA17$193.00$115.80$34.16$119.03$173.70
American Oncologic HospialPhiladelphiaPA16$1,113.00$24.64$118.15$690.06
Jeanes HospitalPhiladelphiaPA18$1,113.00$24.64$118.13$378.42
Charles Cole Memorial HospitalCoudersportPA14$285.00$171.00$34.16$114.00$228.00
Upmc PassavantPittsburghPA14$699.00$419.40$34.28$111.52$650.07
Upmc Northwest HospitalSenecaPA13$258.00$154.80$34.30$111.52$3,704.00
Upmc JamesonNew CastlePA13$359.00$215.40$25.88$107.67$315.92
Allied Services Rehab HospitalScrantonPA0$56.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$56.00
Penn State Hershey Rehabilitation LlHummelstownPA0$532.00$138.37
St Christophers Hospital For ChildrPhiladelphiaPA0$1,527.00$763.50
Lifecare Hospitals Of Chester CountyWest ChesterPA0$330.00$330.00
Holy Spirit HospitalCamp HillPA0$532.00$127.09
Chestnut Hill HospitalPhiladelphiaPA0$747.00$186.75
Uniontown HospitalUniontownPA0$325.00$162.50
Reading Hospital And Medical CenterReadingPA0$747.00$522.90
Clarion HospitalClarionPA0$250.00$140.00
St. Joseph Medical CenterReadingPA0$532.00$138.37
Hospital Of The Univ Of PennaPhiladelphiaPA0$588.00$588.00
Windber Hospital Inc.WindberPA0$205.25$174.46
Pottstown Memorial Medical CenterPottstownPA0$715.00$178.75
Wayne Memorial HospitalHonesdalePA0$682.00$477.40
Phoenixville HospitalPhoenixvillePA0$747.00$186.75
Miners HospitalHastingsPA0$581.00$232.40
Westmoreland Regional HospitalGreensburgPA0$262.00$157.20
Armstrong County MemorialKittanningPA0$325.00$97.50
Butler Memorial HospitalButlerPA0$581.00$406.70
The Chester County HospitalWest ChesterPA0$330.00$330.00
Doylestown HospitalDoylestownPA0$347.00$347.00
Frick HospitalMount PleasantPA0$262.00$157.20
Latrobe Area HospitalLatrobePA0$262.00$157.20
Presbyterian Medical CenterPhiladelphiaPA0$1,202.00$1,202.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$588.00$588.00
Milton S. Hershey Medical CenterHersheyPA0$532.00$176.25
Physicians Care Surgical HospitalRoyersfordPA0$655.00$2,608.25
Hampden Medical CenterEnolaPA0$532.00$167.42
Meyersdale Community HospitalMeyersdalePA0$334.00$133.60
Miners HospitalHastingsPA0$581.00$232.40

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.