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CT thoracic spine without contrast

CPT 72128 · negotiated-rate distribution across hospitals in AR

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Hospitals
6
Min
$129.61
Median
$1,473.62
Max
$2,179.02
Range multiplier
16.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield3122$54.6$115.77$2,113.5638.7×
UnitedHealthcare524$73.21$217.85$2,179.0229.8×
univera118$38.73$83.79$156.634.0×
amerihealth110$53.01$132.13$232.84.4×
Cigna510$75.25$1,074.1$2,179.0229.0×
Aetna58$130.87$1,970.16$2,179.0216.7×
Medicare Advantage37$325.36$2,179.02$2,179.026.7×
geisinger16$73.21$144.96$225.743.1×
Humana44$133.39$1,252.19$2,179.0216.3×
blue advantage23$107.6$107.6$2,113.5619.6×
Medicaid33$215$2,179.02$2,179.0210.1×
Ambetter33$455.5$2,179.02$2,179.024.8×
qualchoice33$243.9$2,179.02$2,179.028.9×
health advantage23$107.6$107.6$2,113.5619.6×
pennsylvania health and wellness13$66.65$135.9$211.643.2×
Anthem BCBS23$107.6$107.6$2,113.5619.6×
blue card12$107.6$1,110.58$2,113.5619.6×
municipal league22$2,179.02$2,179.02$2,179.021.0×
care source (passe)22$2,179.02$2,179.02$2,179.021.0×
devoted22$2,179.02$2,179.02$2,179.021.0×
empower22$2,179.02$2,179.02$2,179.021.0×
phcs22$1,721.43$1,721.43$1,721.431.0×
essence22$2,179.02$2,179.02$2,179.021.0×
qualchoice exchange22$243.9$1,296.15$2,348.49.6×
abcbs22$2,179.02$2,179.02$2,179.021.0×
american health plan22$2,179.02$2,179.02$2,179.021.0×
jefferson health plans12$138.62$177.25$215.871.6×
arkansas firstsource12$107.6$1,110.58$2,113.5619.6×
summit (passe)22$2,179.02$2,179.02$2,179.021.0×
arkansas total care (passe)22$2,179.02$2,179.02$2,179.021.0×
arkansas totalcare12$215$351.53$488.052.3×
Medicare22$129.61$227.49$325.362.5×
Multiplan22$1,852.17$1,852.17$1,852.171.0×
vaccn22$2,179.02$2,179.02$2,179.021.0×
qualchoice adv hmo11$243.9$243.9$243.91.0×
qualchoice health ins11$243.9$243.9$243.91.0×
qualchoice of arkansas11$2,348.4$2,348.4$2,348.41.0×
railroad retirement11$325.36$325.36$325.361.0×
s&s healthcare strategies11$610$610$6101.0×
Self-Pay (Cash)11$1,174.2$1,174.2$1,174.21.0×
sterling option 111$325.36$325.36$325.361.0×
TRICARE11$325.36$325.36$325.361.0×
true blue11$107.6$107.6$107.61.0×
true blue metallic11$107.6$107.6$107.61.0×
tufts health plan11$610$610$6101.0×
units11$1$1$11.0×
usable life group health11$2,348.4$2,348.4$2,348.41.0×
va ccn optum11$325.36$325.36$325.361.0×
va cnn optum11$325.36$325.36$325.361.0×
vaccm optum11$325.36$325.36$325.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ARKANSAS SURGICAL HOSPITALNORTH LITTLE ROCKAR57$798$129.12$1$325.36$800
MERCY REHAB HOSPITAL FORT SMITHFORT SMITHAR20$2,179.02$2,179.02$1,721.43$2,179.02$2,179.02
ARKANSAS CHILDRENS NORTHWESTSPRINGDALEAR20$2,179.02$2,179.02$1,721.43$2,179.02$2,179.02
CONWAY REGIONAL MEDICAL CENTER INCCONWAYAR1$185$181.3$185$185$185
OUACHITA COUNTY MEDICAL CENTERCAMDENAR18$2,348.4$107.6$1,473.62$2,348.4
DREW MEMORIAL HOSPITAL INCMONTICELLOAR15$1,157$902.46$38.73$129.61$286.29

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.