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Lumbosacral spine X-ray

CPT 72100 · negotiated-rate distribution across hospitals in WI

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Hospitals
34
Min
$69.00
Median
$170.64
Max
$362.09
Range multiplier
5.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare28110$10.01$339.00$736.7573.6×
Anthem BCBS18104$10.01$275.00$743.7574.3×
Cigna2352$29.68$460.00$740.2524.9×
healthpartners1248$266.00$357.50$656.252.5×
Aetna1339$200.00$479.08$17,93489.7×
Humana637$10.51$69.00$389.8237.1×
wisconsin physician service1236$299.00$315.00$315.001.1×
common ground1236$249.00$249.00$249.001.0×
Medicare1428$95.78$103.26$196.452.1×
Molina1825$101.14$308.00$372.303.7×
trilogy2125$156.42$394.20$410.002.6×
health eos1224$400.00$474.00$700.001.8×
health eos plus1224$300.00$355.50$525.001.8×
VA Health1122$102.23$103.26$108.061.1×
wps721$38.50$77.42$115.953.0×
aspirus217$10.01$102.72$450.7745.0×
health payment systems1516$244.40$400.00$400.001.6×
network health plan616$17.78$65.57$399.0022.4×
centivo1415$94.80$328.00$333.843.5×
Blue Cross Blue Shield415$23.82$97.18$433.7218.2×
smart health714$144.56$144.56$151.281.0×
hs technology1212$293.00$293.00$293.001.0×
quartz one1212$245.00$245.00$245.001.0×
quartz group1212$290.00$290.00$290.001.0×
everpointe elite1212$259.00$259.00$259.001.0×
aurora caregiver1212$240.00$240.00$240.001.0×
First Health610$208.56$372.30$420.482.0×
alliance39$37.39$75.17$112.593.0×
prevea 36019$10.01$102.72$638.6063.8×
security health plan39$31.80$189.60$355.2411.2×
Multiplan38$189.60$406.97$416.102.2×
health partners36$101.14$355.24$416.104.1×
centivo nw326$27.63$63.14$90.773.3×
group health cooperative of eau claire26$107.44$359.16$416.103.9×
centivo nw126$27.63$63.14$90.773.3×
cchp26$26.68$59.19$85.883.2×
mercy care15$37.10$123.20$249.436.7×
Medicaid25$99.86$182.31$271.722.7×
security health plan (shp)15$101.36$227.67$252.992.5×
meridiancare14$10.51$33.33$102.729.8×
health partners open network14$21.99$63.51$274.2212.5×
illinicare14$10.01$31.74$102.7210.3×
medical associates health plan14$33.13$105.05$270.468.2×
smarthealth24$143.12$143.12$143.121.0×
WellCare24$107.34$107.34$107.341.0×
wps health plan24$175.38$344.54$385.202.2×
cchp marketplace33$245.18$245.18$245.181.0×
dean health plan23$118.50$342.40$342.402.9×
healthpartners [900713]33$196.31$263.91$303.281.5×
froedtert health13$299.60$342.40$363.801.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$174.00$99.18$11.54$90.77$214.68
Mercy Medical CenterOshkoshWI9$174.00$99.18$11.54$90.77$214.68
Meriter Hospital Inc.MadisonWI14$751.29$601.04$10.01$84.84$713.73
Ascension Columbia St Marys MilwaukeMilwaukeeWI8$388.00$205.64$17.78$75.17$245.18
Ascension Columbia St Marys OzaukeeMequonWI8$388.00$205.64$17.78$75.17$245.18
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$17.78$69.00$245.18
Childrens WisconsinMilwaukeeWI29$428.00$235.40$299.60$362.09$406.60
West Allis Memorial HospitalWest AllisWI18$580.00$290.00$200.00$343.50$17,934
Aurora Medical Center - HartfordHartfordWI18$875.00$437.50$200.00$339.00$743.75
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$585.00$292.50$200.00$339.00$497.25
Aurora Lakeland Medical CenterElkhornWI18$590.00$295.00$200.00$339.00$501.50
Aurora Medical Center - Bay AreaMarinetteWI18$850.00$425.00$200.00$339.00$719.10
Aurora Health Care Metro Inc.MilwaukeeWI18$670.00$335.00$200.00$339.00$569.50
Aurora Medical Center KenoshaKenoshaWI18$760.00$380.00$200.00$339.00$646.00
Aurora Medical Center Of OshkoshOshkoshWI18$570.00$285.00$200.00$339.00$484.50
Aurora Medical Center GraftonGraftonWI18$670.00$335.00$200.00$339.00$569.50
Sheboygan Memorial HospitalSheboyganWI18$595.00$297.50$200.00$339.00$505.75
Memorial Hospital Of BurlingtonBurlingtonWI18$590.00$295.00$200.00$339.00$501.50
Aurora Medical Center - SummitSummitWI18$500.00$250.00$200.00$336.00$460.00
Beaver Dam Community HospitalsBeaver DamWI20$438.00$416.10$101.36$304.85$587.84
Westfields HospitalNew RichmondWI8$459.00$241.43$182.31$230.18$459.00
Holy Family Memorial IncManitowocWI25$237.00$130.35$49.20$170.64$597.00
Hudson HospitalHudsonWI8$292.00$131.72$61.96$151.89$344.00
Amery Regional Medical CenterAmeryWI6$360.00$187.70$107.50$134.82$349.06
MoshFranklinWI7$293.00$155.29$38.50$115.95$245.18
Wheaton Franciscan Healthcare - AllRacineWI7$293.00$155.29$38.50$112.01$245.18
All Saints - St. Luke S HospitalRacineWI7$293.00$155.29$38.50$112.01$245.18
Wfhc - Elmbrook MemorialBrookfieldWI7$293.00$155.29$38.50$109.61$245.18
Wheaton Franciscan - FranklinFranklinWI7$293.00$155.29$38.50$109.61$245.18
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI7$293.00$155.29$38.50$109.61$245.18
Ascension Se Wisconsin Hospital IncMilwaukeeWI7$293.00$155.29$38.50$109.61$245.18
University Of Wi Hospitals & ClinicsMadisonWI0$644.00$386.40
Uw Health Rehabilitation HospitalMadisonWI0$644.00$386.40
River Falls Area HospitalRiver FallsWI0$373.20$208.99

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.