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Lumbosacral spine X-ray

CPT 72100 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$302.84
Median
$438.44
Max
$442.96
Range multiplier
1.5×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$111.19$166.88$311.672.8×
UnitedHealthcare536$126.56$442.96$5,914.0046.7×
Blue Cross Blue Shield527$108.00$402.28$5,914.0054.8×
govt employees health assn [3081090]424$298.32$442.96$442.961.5×
Cigna424$433.92$447.48$447.481.0×
medica (commercial) 94265 [3081118]424$375.16$442.96$442.961.2×
healthpartners [3081368]523$64.97$442.96$442.966.8×
Meritain Health416$433.92$447.48$447.481.0×
national telephone cooperative assn 52103 [3081149]416$298.32$442.96$442.961.5×
risk admin svs [3081167]416$61.67$211.64$361.605.9×
Aetna412$406.80$418.10$429.401.1×
Humana510$40.83$452.00$5,914.00144.8×
tlc advantage llc [3081189]59$424.88$424.88$442.741.0×
health partners sx009 [3081102]48$280.24$442.96$442.961.6×
fedmed inc [3081283]48$429.40$438.44$438.441.0×
midlands choice 47080 [3081136]48$433.92$447.48$447.481.0×
employee benefit management 12x44 [3081079]48$384.20$406.80$406.801.1×
pacificsource health plans [3081333]48$384.20$406.80$406.801.1×
preferred one 41147 [3081160]48$433.92$447.48$447.481.0×
coresource 38225 [3081146]48$293.80$406.80$406.801.4×
rocky mountain admin llc 83028 [3081168]48$361.60$406.80$406.801.1×
sanford health plan 91184 [3081174]48$406.80$438.44$438.441.1×
surest [3081369]48$298.32$442.96$442.961.5×
avera health plans 46045 [3081018]48$332.22$438.44$438.441.3×
allied benefit systems inc [3081320]48$433.92$447.48$447.481.0×
key benefit administrators [3081332]48$433.92$447.48$447.481.0×
va ccn optum [3081339]44$38.89$126.56$167.244.3×
group and pension administrators inc [3081098]24$406.80$422.62$438.441.1×
Medicare44$126.56$146.90$5,914.0046.7×
va black hills health care system 12115 [3081206]44$38.89$126.56$167.244.3×
Multiplan24$406.80$422.62$438.441.1×
Health Net33$126.56$126.56$167.241.3×
triwest healthcare alliance [3081322]33$126.56$126.56$167.241.3×
va black hills health care system 12115 [3081207]33$126.56$126.56$167.241.3×
VA Health33$126.56$126.56$167.241.3×
minnesota health care programs 12k16 [3081295]12$136.96$136.96$136.961.0×
healthpartners sx009 [3081102]11$64.97$64.97$64.971.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Custer HospitalCusterSD35$452.00$452.00$61.67$442.96$452.00
Monument Health Spearfish HospitalSpearfishSD7$471.00$471.00$64.97$442.74$5,914.00
Monument Health Lead-Deadwood HospitDeadwoodSD33$452.00$452.00$61.67$438.44$452.00
Monument Health Sturgis RegionalSturgisSD33$452.00$452.00$61.67$438.44$452.00
Monument Health Rapid City HospitalRapid CitySD31$452.00$452.00$38.89$302.84$433.92

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.