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CT thoracic spine without contrast

CPT 72128 · negotiated-rate distribution across hospitals in TX

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Hospitals
64
Min
$80.00
Median
$680.00
Max
$4,873.77
Range multiplier
60.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield45240$44.44$353.68$8,427.00189.6×
UnitedHealthcare40145$36.36$189.70$3,750.00103.1×
Aetna42114$43.57$552.00$3,136.9872.0×
Medicaid2699$1.00$114.46$4,444.784444.8×
Humana3373$43.57$800.00$3,728.8085.6×
Anthem BCBS373$35.75$167.86$2,753.0077.0×
Cigna2951$80.00$765.37$3,590.6544.9×
Medicare1241$66.53$111.29$130.932.0×
Multiplan2227$1,401.00$2,640.40$5,198.693.7×
First Health1419$500.00$3,386.40$3,495.757.0×
healthcare highways [2210]515$845.50$1,525.75$1,617.041.9×
healthsmart714$397.00$4,148.29$4,148.2910.4×
mhs care connect212$35.75$95.55$131.313.7×
commercial | galaxy | all plans912$1,995.80$2,695.30$3,666.601.8×
Molina812$105.00$112.22$1,354.5612.9×
Ambetter1111$66.53$158.11$214.683.2×
wellpoint711$105.00$134.80$1,503.0014.3×
wellmed99$65.00$99.85$879.9813.5×
health partners open network29$100.34$261.62$1,175.0211.7×
assurant health48$3,076.26$3,076.26$3,076.261.0×
commercial | entrust | all plans88$216.74$257.42$286.781.3×
commercial | phcs | all plans58$1,963.50$2,546.10$2,749.951.4×
prime health services58$134.15$3,030.93$5,523.6141.2×
web tpa48$2,097.45$2,097.45$2,097.451.0×
Medicare Advantage37$66.53$66.53$688.1710.3×
web tpa [2115]57$845.50$1,568.97$3,317.003.9×
superior health plan47$102.00$502.00$2,254.0022.1×
commercial | community health choice | exchange77$117.83$163.56$163.661.4×
tmhp [50160]16$108.97$108.97$108.971.0×
velocity provider ppo network46$123.83$2,674.35$4,873.7739.4×
healthscope benefits [2290]56$746.33$1,367.69$1,568.972.1×
scott & white56$159.76$159.76$3,005.4318.8×
wellpoint amerigroup [50170]15$108.97$108.97$108.971.0×
commercial | nxhealth | all plans55$352.20$354.38$354.611.0×
commercial | nppn | all plans55$1,878.40$1,878.40$1,878.401.0×
commercial | renaissance | all plans55$78.51$78.56$78.561.0×
commercial | healthsmart | ppo55$900.00$1,643.60$1,643.601.8×
commercial | kelseycare | all plans55$1,154.70$1,154.70$1,154.701.0×
commercial | harris health | ers55$163.56$163.66$163.661.0×
commercial | superior health plan | all plans55$163.56$163.66$163.661.0×
provider network of america45$2,674.35$2,674.35$4,873.771.8×
quik trip45$2,674.35$2,674.35$4,873.771.8×
90 degree benefits55$105.00$249.63$249.632.4×
commercial | kelseycare | exchange55$147.20$147.30$147.301.0×
commercial | usa health network | all plans55$1,995.80$1,995.80$1,995.801.0×
black lung [6055]44$845.50$1,460.13$1,568.971.9×
patoka valley tier 124$167.86$167.86$167.861.0×
lucent health [6000]44$845.50$1,460.13$1,568.971.9×
cook childrens health plan [50177]14$108.97$108.97$108.971.0×
iowa health14$45.75$101.80$962.3421.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension Seton Shoal CreekAustinTX20$904.00$542.40$35.75$95.55$650.00
Ascension Seton BastropBastropTX20$904.00$542.40$35.75$95.55$650.00
Golden Plains Community HospitalBorgerTX6$3,826.00$2,678.20$218.56$879.98$2,601.68
Hansford County Hospital DistrictSpearmanTX5$953.00$715.00$667.00$858.00$1,001.00
Lifecare Spec Hosp Of North TexasDallasTX7$3,382.00$338.20$845.50$845.50$845.50
Baylor County Hospital DistrictSeymourTX11$1,560.00$1,092.00$65.00$80.00$850.00
Eastland Memorial HospitalEastlandTX3$1,007.00$504.00$624.00$720.00$906.00
Limestone Medical CenterGroesbeckTX8$2,373.00$1,423.80$114.46$701.93$1,898.40
Muleshoe Area Medical CenterMuleshoeTX4$850.00$510.00$332.00$680.00$850.00
Chi St Lukes Health Memorial LufkinLufkinTX10$4,074.00$1,425.90$92.98$579.56$3,666.60
Clay County Memorial HospitalHenriettaTX5$1,986.00$1,390.00$397.00$497.00$636.00
Acuity Hospital Of South TexasSan AntonioTX13$6,498.36$6,498.36$115.41$4,873.77$5,848.52
Falls Community Hospital And ClinicMarlinTX6$3,029.28$2,423.42$106.88$400.00$2,423.42
Crescent Medical Center LancasterLancasterTX12$1,330.00$865.00$100.00$399.00$14,266
Madison St. Joseph Health CenterMadisonvilleTX8$2,310.00$808.50$114.46$393.74$3,750.00
Burleson St. Joseph Health CenterCaldwellTX8$2,310.00$808.50$114.46$373.71$2,079.00
Chi St Lukes Health Mem LivingstonLivingstonTX11$4,074.00$1,425.90$92.98$342.24$3,666.60
Grimes St. Joseph Health CenterNavasotaTX5$2,310.00$808.50$114.46$325.07$3,750.00
Childrens Medical Center Of PlanoPlanoTX31$4,233.00$3,174.75$109.77$2,963.10$4,106.01
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$3,098.00$1,859.00$1,177.00$2,834.50$2,974.00
Baylor Orthopedic And Spine HospitalArlingtonTX2$2,857.00$1,714.20$1,342.79$2,830.12$8,427.00
Baptist Saint Anthonys HospitalAmarilloTX77$4,023.00$402.30$1,247.13$2,816.10$3,419.55
Warm Springs Rehab Hosp KyleKyleTX8$3,565.80$3,565.80$2,496.06$2,763.50$3,209.22
Corpus Christi Specialty HospitalCorpus ChristiTX9$3,565.80$3,565.80$300.00$2,674.35$3,209.22
St Lukes Health Memorial San AugustSan AugustineTX9$4,074.00$1,425.90$114.46$2,493.30$3,666.60
Glen Rose Medical CenterGlen RoseTX8$3,441.00$3,441.00$1,583.00$2,409.00$3,269.00
Wilson N Jones Regional Medical CtrShermanTX12$2,350.04$1,880.04$43.57$223.00$2,350.04
Mccamey County Hospital DistrictMccameyTX14$2,277.00$2,277.00$1,366.00$2,003.50$2,277.00
St. Joseph Regional Health CenterBryanTX10$2,310.00$808.50$108.37$186.94$3,750.00
College Station Medical CenterCollege StationTX10$2,310.00$808.50$108.37$186.94$3,750.00
St. Lukes The Woodlands HospitalThe WoodlandsTX21$2,348.00$821.80$78.51$171.03$1,995.80
St. Lukes Sugar Land HospitalSugar LandTX20$2,348.00$821.80$78.56$171.03$1,995.80
St Lukes Hospital At The VintageHoustonTX22$2,348.00$821.80$78.56$171.03$1,995.80
St. Lukes Patients Medical CenterPasadenaTX12$2,348.00$821.80$108.74$170.89$2,019.00
St. Lukes Lakeside HospitalThe WoodlandsTX21$2,348.00$821.80$78.56$166.45$1,995.80
Chi St Lukes Health Baylor Med CtrHoustonTX22$2,348.00$821.80$78.51$163.56$1,995.80
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$2,624.00$1,574.40$100.16$1,625.09$2,425.51
Heritage Park Surgical HospitalShermanTX2$3,128.00$1,876.80$100.16$1,625.09$2,425.51
Seton Medical Center Harker HeightsHarker HeightsTX14$4,146.25$414.62$746.33$1,617.04$4,444.78
Brazosport Regional Health SystemLake JacksonTX11$3,936.00$1,377.60$109.04$158.11$1,968.00
Texas Rehabilitation Hospital Of KelKellerTX11$6,103.00$610.30$1,525.75$1,525.75$3,118.63
Ut Health East Texas Specialty HospiTylerTX7$5,578.00$557.80$1,394.50$1,394.50$1,394.50
Shannon Medical CenterSan AngeloTX22$4,661.00$2,330.50$99.85$1,372.67$4,148.29
River Crest HospitalSan AngeloTX22$4,661.00$2,330.50$99.85$1,372.67$4,148.29
Big Spring State HospitalBig SpringsTX22$4,661.00$2,330.50$99.85$1,372.67$4,148.29
San Angelo Community Medical CenterSan AngeloTX22$4,661.00$2,330.50$99.85$1,372.67$4,148.29
Pam Squared At Corpus ChristiCorpus ChrstiTX26$3,565.80$3,565.80$77.39$134.15$3,030.93
Rice Medical CenterEagle LakeTX19$1,846.90$1,292.83$1.00$1,329.77$1,846.90
Trinity Regional Hospital SachseSachseTX10$2,995.33$2,396.27$43.57$125.93$2,546.03
North Texas Medical CenterGainsvilleTX17$2,002.00$501.00$105.00$110.00$1,842.00
Methodist Hospital For SurgeryAddisonTX32$4,481.00$2,688.60$102.27$109.40$500.00
Driscoll Childrens HospitalCorpus ChristiTX25$8,880.48$1,776.10$108.97$108.97$1,000.00
Crane County Hospital DistrictCraneTX2$1,679.00$1,175.00$717.00$1,039.50$1,511.00
Laredo Medical CenterLaredoTX0$8,779.51$3,072.83
Laredo Specialty HospitalLaredoTX0$1,072.48
Haskell Memorial HospitalHaskellTX0$980.38$980.38
Yoakum County HospitalDenver CityTX0$1,536.00$1,536.00
Longview Regional Medical CenterLongviewTX0$2,744.68$741.06
Nocona General HospitalNoconaTX0$1,519.00$27.85
The Medical Ctr Of Southeast TexasPort ArthurTX0$3,924.80$3,924.80
Navarro Regional HospitalCorsicanaTX0$4,996.00$1,748.60
Kingwood Emergency HospitalKingwoodTX0$9,476.85$4,738.43
St Joseph Medical CenterHoustonTX0$5,888.45$5,888.45
Trustpoint Rehabilitation Hospital OLubbockTX0$1,072.48

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.