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CT thoracic spine without contrast

CPT 72128 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$80.00
Median
$99.18
Max
$101.81
Range multiplier
1.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid1188$37.21$77.67$199.305.4×
Blue Cross Blue Shield5185$41.73$103.25$1,436.6234.4×
Medicare1141$44.81$81.75$183.154.1×
UnitedHealthcare5115$31.89$89.12$383.1012.0×
no fault [114001]184$128.62$385.85$514.474.0×
independent health [100165]156$49.56$113.70$303.196.1×
univera healthcare [100169]154$39.53$101.34$157.154.0×
Molina448$93.89$190.89$448.434.8×
Aetna533$29.10$50.00$133.674.6×
WellCare130$47.84$85.83$140.042.9×
Cigna530$25.20$90.96$278.0011.0×
Humana526$47.84$87.92$308.956.5×
fidelis essential [100163]124$50.12$114.98$318.156.3×
independent health essential [100166]124$41.73$154.51$199.304.8×
univera healthcare essential [100170]124$39.53$86.80$169.684.3×
TRICARE118$45.56$81.75$127.312.8×
VA Health118$38.73$69.49$108.222.8×
beacon essential [350122]118$41.00$98.10$152.773.7×
federal workers compensation [500100]118$128.62$385.85$514.474.0×
iha first choice [800001]116$49.56$113.70$305.766.2×
absolute total care414$18.00$128.85$324.4018.0×
fidelis dual advantage [450120]112$47.84$85.83$133.672.8×
amerigroup [350102]112$41.73$120.52$199.304.8×
select health312$102.10$143.92$308.953.0×
hospice [550001]112$45.56$81.75$127.312.8×
ghi [100153]18$43.28$79.71$127.312.9×
covid19 hrsa [45013]16$45.56$81.75$127.312.8×
clover insurance company36$101.13$101.13$101.131.0×
upmc health plan [100181]16$82.01$147.15$229.162.8×
mvp healthcare [100168]16$62.19$126.34$188.543.0×
fidelis exchange [100164]16$54.67$98.09$152.772.8×
fallon health [450115]16$45.56$81.75$127.312.8×
catholic health life pace [400005]16$45.56$81.75$127.312.8×
seneca nation [450119]16$45.56$81.75$127.312.8×
champ va [700002]16$45.56$81.75$127.312.8×
beacon health options [100023]16$54.67$98.10$152.772.8×
devoted health24$97.24$97.24$97.241.0×
tuscarora nation [550120]14$41.73$120.52$199.304.8×
vna option mltc [350110]14$41.73$120.52$199.304.8×
excellus rochester mcd [350117]14$41.73$120.52$199.304.8×
crime victims [100176]14$41.73$120.52$199.304.8×
Multiplan44$85.00$90.00$90.001.1×
plotkin health33$60.00$60.00$60.001.0×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90.00$90.00$90.001.0×
medcost12$56.90$65.30$73.701.3×
devoted health plan12$97.24$97.24$97.241.0×
prime health11$85.00$85.00$85.001.0×
pruitt health11$19.00$19.00$19.001.0×
sc state employees11$392.36$392.36$392.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Coastal Carolina Medical CenterHardeevilleSC14$422.45$25.20$99.18$1,273.70
Hilton Head HospitalHilton Head IslandSC14$422.45$32.20$99.18$1,436.62
Colleton Medical CenterWalterboroSC24$5,290.00$5,290.00$18.00$80.00$1,165.00
Mary Black Memorial HospitalSpartanburgSC37$692.00$540.19$31.89$101.81$514.47
East Cooper Regional Medical CenterMt. PleasantSC14$422.45$36.90$100.65$946.90
Roper St. Francis Mt Pleasant HospitMt. PleasantSC0$2,630.00$1,709.50
Mcleod Loris Seacoast HospitalLorisSC0$2,869.00$2,036.99
Mcleod Health CherawCherawSC0$2,869.00$2,036.99
Mcleod Health ClarendonManningSC0$2,869.00$2,036.99
Roper St. Francis Hospital-BerkeleySummervilleSC0$2,630.00$1,709.50
Mcleod Medical Center - DillonDillonSC0$2,869.00$2,036.99
Edgefield County HealthcareEdgefieldSC0$2,051.42$1,230.85
Mcleod Regional Medical CenterFlorenceSC0$2,869.00$2,036.99
Bon Secours St. Francis Xavier HospiCharlestonSC0$2,630.00$1,709.50
Self Regional HealthcareGreenwoodSC0$2,051.42$1,230.85
Roper Hospital Inc.CharlestonSC0$2,630.00$1,709.50

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.