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CT cervical spine without contrast

CPT 72125 · negotiated-rate distribution across hospitals in IN

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Hospitals
20
Min
$96.03
Median
$96.03
Max
$2,253.83
Range multiplier
23.5×

By payer (43 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS6248$38.05$167.86$1,512.4539.7×
UnitedHealthcare781$36.4$82.45$270.647.4×
Medicaid672$38.05$96.03$134.093.5×
mhs care connect636$38.05$96.03$134.093.5×
Aetna727$66.53$109.94$78311.8×
Humana722$66.53$66.53$107.811.6×
Medicare Advantage720$66.53$66.53$108.871.6×
Medicare714$66.53$66.53$106.741.6×
patoka valley tier 1614$167.86$167.86$167.861.0×
patoka valley tier 2614$167.86$167.86$167.861.0×
Ambetter78$66.53$66.53$202.813.0×
Cigna17$107.81$647.31$647.326.0×
corizon66$66.53$66.53$66.531.0×
ascension complete mcr66$66.53$66.53$66.531.0×
encore exclusive66$167.86$167.86$167.861.0×
smarthealth ppo66$150.5$150.5$150.51.0×
personalized care66$66.53$66.53$66.531.0×
immergrun66$66.53$66.53$66.531.0×
CareSource66$66.53$66.53$66.531.0×
secure horizons-pacificare66$66.53$66.53$66.531.0×
smarthealth ppo/hdhp 2016100166$150.5$150.5$150.51.0×
WellCare12$106.74$106.74$106.741.0×
avmed exchange12$192.13$192.13$192.131.0×
bc advantage mcr replacement12$106.74$106.74$106.741.0×
Blue Cross Blue Shield12$106.74$106.74$106.741.0×
careplus mcr replacement12$108.87$108.87$108.871.0×
employer direct healthcare12$186.79$186.79$186.791.0×
Molina12$197.47$197.47$197.471.0×
occunet12$197.47$218.82$240.161.2×
Oscar Health12$170.78$170.78$170.781.0×
pace place12$106.74$106.74$106.741.0×
research study encore borland-groover12$106.74$106.74$106.741.0×
smarthealth12$149.44$149.44$149.441.0×
VA Health12$106.74$106.74$106.741.0×
90 degree benefits12$192.13$192.13$192.131.0×
velocity provider ppo network11$2,253.83$2,253.83$2,253.831.0×
haven hospice11$106.74$106.74$106.741.0×
community hospice11$106.74$106.74$106.741.0×
america's choice provider11$2,103.57$2,103.57$2,103.571.0×
prime health services11$2,554.34$2,554.34$2,554.341.0×
quik trip11$2,253.83$2,253.83$2,253.831.0×
usa managed care organization11$2,253.83$2,253.83$2,253.831.0×
Multiplan11$500$500$5001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST VINCENT SETON SPECIALTY HOSP-LAFLAFAYETTEIN20$904$542.4$36.4$96.03$650
ST. MARY MEDICAL CENTER INC.HOBARTIN20$1,475$885$36.4$96.03$1,027.34
ASCENSION ST. VINCENT WARRICKBOONEVILLEIN20$1,475$885$36.4$96.03$1,027.34
ASCENSION ST. VINCENT JENNINGSNORTH VERNONIN20$2,216$1,329.6$36.4$96.03$1,480.07
ASCENSION ST. VINCENT WILLIAMSPORTWILLIAMSPORTIN20$2,827$1,696.2$36.4$96.03$1,512.45
ASCENSION ST VINCENT SETON SPECIALTYINDIANAPOLISIN20$904$542.4$36.4$96.03$650
REHABILITATION HOSPITAL OF INDIANAINDIANAPOLISIN6$3,005.1$3,005.1$500$2,253.83$2,554.34
ASCENSION ST. VINCENT DUNNBEDFORDIN23$1,749.5$647.32$104.61$109.94$783
DUPONT HOSPITALFORT WAYNEIN0$5,199$2,339.55
LAPORTE HOSPITALLAPORTEIN0$3,085.14$1,665.98
DUKES MEMORIAL HOSPITALPERUIN0$3,476$1,911.8
MARGARET MARY COMMUNITY HOSPITALBATESVILLEIN0$2,127.9$1,787.44
LUTHERAN MUSCULOSKELETAL CENTERFORT WAYNEIN0$5,043$1,361.61
MARION GENERAL HOSPITALMARIONIN0$1,761$1,056.6
LUTHERAN HOSPITAL OF INDIANAFT WAYNEIN0$4,509$1,623.24
PORTER REGIONAL HOSPITALVALPARAISOIN0$4,534$1,632.24
GOOD SAMARITAN HOSPITALVINCENNESIN0$196.28$192.35
SCHNECK MEDICAL CENTERSEYMOURIN0$1,765$1,235.5
BLUFFTON REGIONAL MEDICAL CENTERBLUFFTONIN0$5,838$3,210.9
STARKE MEMORIAL HOSPITALKNOXIN0$3,085.14$1,696.83

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.