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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
Median
$99.18
Max
$101.81
Range multiplier
1.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid1188$37.21$77.67$199.35.4×
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$383.112.0×
no fault [114001]184$128.62$385.85$514.474.0×
independent health [100165]156$49.56$113.7$303.196.1×
univera healthcare [100169]154$39.53$101.34$157.154.0×
Molina448$93.89$190.89$448.434.8×
Aetna533$29.1$50$133.674.6×
WellCare130$47.84$85.83$140.042.9×
Cigna530$25.2$90.96$27811.0×
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$199.34.8×
univera healthcare essential [100170]124$39.53$86.8$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$98.1$152.773.7×
federal workers compensation [500100]118$128.62$385.85$514.474.0×
iha first choice [800001]116$49.56$113.7$305.766.2×
absolute total care414$18$128.85$324.418.0×
fidelis dual advantage [450120]112$47.84$85.83$133.672.8×
amerigroup [350102]112$41.73$120.52$199.34.8×
select health312$102.1$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$98.1$152.772.8×
devoted health24$97.24$97.24$97.241.0×
tuscarora nation [550120]14$41.73$120.52$199.34.8×
vna option mltc [350110]14$41.73$120.52$199.34.8×
excellus rochester mcd [350117]14$41.73$120.52$199.34.8×
crime victims [100176]14$41.73$120.52$199.34.8×
Multiplan44$85$90$901.1×
plotkin health33$60$60$601.0×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90$90$901.0×
medcost12$56.9$65.3$73.71.3×
devoted health plan12$97.24$97.24$97.241.0×
prime health11$85$85$851.0×
pruitt health11$19$19$191.0×
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$25.2$99.18$1,273.7
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$422.45$32.2$99.18$1,436.62
COLLETON MEDICAL CENTERWALTERBOROSC24$5,290$5,290$18$80$1,165
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$692$540.19$31.89$101.81$514.47
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$422.45$36.9$100.65$946.9
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$2,630$1,709.5
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$2,869$2,036.99
MCLEOD HEALTH CHERAWCHERAWSC0$2,869$2,036.99
MCLEOD HEALTH CLARENDONMANNINGSC0$2,869$2,036.99
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$2,630$1,709.5
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$2,869$2,036.99
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$2,051.42$1,230.85
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$2,869$2,036.99
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$2,630$1,709.5
SELF REGIONAL HEALTHCAREGREENWOODSC0$2,051.42$1,230.85
ROPER HOSPITAL INC.CHARLESTONSC0$2,630$1,709.5

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.