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CT thoracic spine without contrast

CPT 72128 · negotiated-rate distribution across hospitals in HI

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Hospitals
9
Min
$151.38
Median
$194.84
Max
$320.07
Range multiplier
2.1×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
hmsa415$119.70$211.43$429.763.6×
UnitedHealthcare58$119.70$194.84$194.841.6×
alohacare37$45.50$119.70$157.503.5×
Kaiser Permanente37$45.50$119.70$946.8020.8×
uha46$44.83$379.38$396.538.8×
ohana26$45.50$128.66$157.503.5×
hmaa45$322.87$518.82$518.821.6×
hma44$320.07$320.07$371.291.2×
hawaii medical service association (hmsa)13$194.84$211.43$388.512.0×
Multiplan12$80.00$82.50$85.001.1×
Humana22$119.70$128.66$137.621.1×
#12$240.34$255.42$270.501.1×
verdegard11$603.38$603.38$603.381.0×
dmba11$841.60$841.60$841.601.0×
hawaii medical assurance association (hmaa)11$272.69$272.69$272.691.0×
hcha11$402.22$402.22$402.221.0×
mdx11$1,020.44$1,020.44$1,020.441.0×
mdx hawaii11$127.68$127.68$127.681.0×
medical cost containment professionals11$85.00$85.00$85.001.0×
ohana health plan11$93.15$93.15$93.151.0×
pacific administrators inc11$371.60$371.60$371.601.0×
university health alliance11$407.25$407.25$407.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Kauai Veterans Memorial HospitalWaimea KauaiHI5$1,400.00$910.00$194.84$320.07$518.82
Samuel Mahelona Memorial HospitalKapaa KauaiHI5$1,400.00$910.00$194.84$320.07$518.82
Wilcox Memorial HosptialLihueHI13$1,945.00$778.00$80.00$194.84$603.38
Kahuku Medical CenterKahukuHI12$1,052.00$683.80$44.83$157.50$1,020.44
Kona Community HospitalKealakekuaHI9$1,154.00$750.10$137.62$151.38$518.82
North Hawaii Community HospitalKamuelaaHI0$1,656.00$1,159.20
Kfh-HawaiiHonoluluHI0$5,770.00$3,231.20
The Queens Medical CenterHonoluluHI0$1,871.00$1,309.70
Molokai General HospitalKaunakakaiHI0$2,341.00$1,638.70

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.