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CT thoracic spine without contrast

CPT 72128 · negotiated-rate distribution across hospitals in WA

Hospitals

Min

$91.7

Median

$303.78

Max

$1,052.1

Range multiplier

11.5×

By payer (50 payers with published rates)

Payer	Hosp.	Rates	Min	Median	Max	Range×
Blue Cross Blue Shield	3	16	$121.4	$311.38	$1,052.1	8.7×
UnitedHealthcare	3	6	$91.7	$303.78	$2,866.91	31.3×
Aetna	2	4	$45.18	$630.35	$3,193.52	70.7×
cement masons and plasterers [150127]	1	2	$303.78	$303.78	$303.78	1.0×
first choice umr [150138]	1	2	$303.78	$303.78	$303.78	1.0×
Health Net	1	2	$303.78	$303.78	$303.78	1.0×
here [150114]	1	2	$303.78	$303.78	$303.78	1.0×
hotel employees health trust [150115]	1	2	$303.78	$303.78	$303.78	1.0×
Humana	2	2	$91.7	$113.45	$135.21	1.5×
international longshore & warehouse union [150116]	1	2	$303.78	$303.78	$303.78	1.0×
kitsap physician services [150118]	1	2	$303.78	$303.78	$303.78	1.0×
loomis benefits west [150119]	1	2	$303.78	$303.78	$303.78	1.0×
Medicare Advantage	1	2	$140.36	$140.36	$140.36	1.0×
mega [150120]	1	2	$303.78	$303.78	$303.78	1.0×
midwest [150121]	1	2	$303.78	$303.78	$303.78	1.0×
Molina	2	2	$206.38	$248.06	$289.74	1.4×
nw administrators [150123]	1	2	$303.78	$303.78	$303.78	1.0×
operating engineers [150125]	1	2	$303.78	$303.78	$303.78	1.0×
painters trust [150126]	1	2	$303.78	$303.78	$303.78	1.0×
puget sound electric [150131]	1	2	$303.78	$303.78	$303.78	1.0×
seattle plumb and pipe [150132]	1	2	$303.78	$303.78	$303.78	1.0×
the health plan	1	2	$35	$63.35	$91.7	2.6×
trusteed plan [150101]	1	2	$303.78	$303.78	$303.78	1.0×
washington bakers trust [150102]	1	2	$303.78	$303.78	$303.78	1.0×
washington employers trust [150103]	1	2	$303.78	$303.78	$303.78	1.0×
washington state health ins pool [150104]	1	2	$303.78	$303.78	$303.78	1.0×
welfare pension administration services [150105]	1	2	$303.78	$303.78	$303.78	1.0×
zenith admin [150106]	1	2	$303.78	$303.78	$303.78	1.0×
zzjohn alden [150117]	1	2	$303.78	$303.78	$303.78	1.0×
zzprincipal financial group [150128]	1	2	$303.78	$303.78	$303.78	1.0×
zzprovidence [150129]	1	2	$303.78	$303.78	$303.78	1.0×
benefit md [150113]	1	2	$303.78	$303.78	$303.78	1.0×
carpenters trust [150122]	1	2	$303.78	$303.78	$303.78	1.0×
coresource [150109]	1	2	$303.78	$303.78	$303.78	1.0×
employee benefit management services [150108]	1	2	$303.78	$303.78	$303.78	1.0×
fc moda health [150139]	1	2	$303.78	$303.78	$303.78	1.0×
first choice [150134]	1	2	$303.78	$303.78	$303.78	1.0×
first choice health administrators [150110]	1	2	$303.78	$303.78	$303.78	1.0×
first choice health comp [150112]	1	2	$303.78	$303.78	$303.78	1.0×
asuris truadvantage [4011]	1	1	$140.36	$140.36	$140.36	1.0×
pacific source administrators [8010]	1	1	$1,052.1	$1,052.1	$1,052.1	1.0×
Anthem BCBS	1	1	$91.7	$91.7	$91.7	1.0×
wellpoint [6009]	1	1	$455.91	$455.91	$455.91	1.0×
ameriben [8000]	1	1	$1,052.1	$1,052.1	$1,052.1	1.0×
chp advantage [4001]	1	1	$160.97	$160.97	$160.97	1.0×
Cigna	1	1	$1,052.1	$1,052.1	$1,052.1	1.0×
community health network of wa [1055]	1	1	$238.23	$238.23	$238.23	1.0×
mega life [8005]	1	1	$1,052.1	$1,052.1	$1,052.1	1.0×
mid west natl life [8006]	1	1	$1,052.1	$1,052.1	$1,052.1	1.0×
umr	1	1	$2,866.91	$2,866.91	$2,866.91	1.0×

By hospital (top 200 by negotiated median, descending)

Hospital	City	ST	Payers	Gross	Cash	Neg min	Neg median	Neg max
EAST ADAMS RURAL HOSPITAL	RITZVILLE	WA	11	$3,629	$2,177.4	$35	$91.7	$3,193.52
VALLEY MEDICAL CENTER	RENTON	WA	35	$1,120	$784	$121.4	$303.78	$368.74
WENATCHEE VALLEY HOSPITAL	WENATCHEE	WA	27	$1,169	$1,052.1	$135.21	$1,052.1	$1,169
KFH - WASHINGTON	SEATTLE	WA	0	$2,000	$1,600	—	—	—

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.