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CT thoracic spine without contrast

CPT 72128 · negotiated-rate distribution across hospitals in WI

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Hospitals
34
Min
$122.37
Median
$890.40
Max
$2,343.42
Range multiplier
19.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare28110$43.92$543.00$2,475.4856.4×
Anthem BCBS1879$43.92$733.00$5,836.00132.9×
Cigna2349$1,164.05$2,487.24$2,493.002.1×
healthpartners1248$796.00$1,611.50$2,205.002.8×
Aetna1339$836.00$2,428.44$17,93421.5×
common ground1236$812.00$812.00$812.001.0×
Humana636$46.12$274.12$2,156.4746.8×
wisconsin physician service1236$1,128.00$1,187.00$1,187.001.1×
Medicare1428$102.23$103.39$907.368.9×
trilogy2125$724.00$1,170.00$2,180.703.0×
health eos plus1224$1,764.00$1,764.00$1,764.001.0×
Molina1824$101.14$796.00$2,059.5520.4×
health eos1224$2,352.00$2,352.00$2,352.001.0×
VA Health1122$102.23$103.26$108.061.1×
wps721$171.47$428.01$599.513.5×
health payment systems1516$875.00$875.00$2,343.422.7×
centivo1415$820.00$820.00$2,160.602.6×
network health plan615$78.03$221.05$2,023.2025.9×
smart health714$144.56$144.56$151.281.0×
quartz group1212$1,000.00$1,000.00$1,000.001.0×
quartz one1212$900.00$900.00$900.001.0×
hs technology1212$1,014.00$1,014.00$1,014.001.0×
everpointe elite1212$983.00$983.00$983.001.0×
aurora caregiver1212$475.00$475.00$475.001.0×
aspirus211$43.92$892.43$2,328.0953.0×
First Health610$1,653.30$1,982.88$2,631.501.6×
Blue Cross Blue Shield49$352.55$770.95$2,240.016.4×
alliance39$166.50$415.60$582.133.5×
Multiplan38$1,648.00$2,277.62$2,631.501.6×
centivo nw326$122.37$250.85$373.223.0×
health partners36$101.14$2,231.23$2,437.6024.1×
prevea 36016$43.92$112.69$3,298.1375.1×
centivo nw126$122.37$250.85$373.223.0×
security health plan36$101.14$1,425.43$2,299.1022.7×
cchp26$113.51$385.40$498.904.4×
group health cooperative of eau claire25$1,986.86$2,216.00$2,301.851.2×
Medicaid25$196.31$628.25$842.064.3×
health partners open network14$100.34$333.90$1,416.2514.1×
WellCare24$107.34$107.34$107.341.0×
wps health plan24$1,524.40$2,229.85$2,493.001.6×
smarthealth24$143.12$143.12$143.121.0×
illinicare14$43.92$90.73$122.652.8×
medical associates health plan14$145.38$333.29$1,396.859.6×
security health plan (shp)14$1,259.48$1,329.50$1,399.521.1×
meridiancare14$46.12$92.70$128.782.8×
quartz health insurance13$2,354.50$2,354.50$2,354.501.0×
dean health plan23$1,030.00$2,216.00$2,216.002.2×
cchp marketplace33$245.18$245.18$245.181.0×
healthpartners [900713]33$263.91$327.88$327.881.2×
medica [900156]33$1,512.00$1,727.80$1,891.371.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Westfields HospitalNew RichmondWI8$2,120.00$1,115.12$263.91$890.40$2,120.00
Amery Regional Medical CenterAmeryWI6$2,118.00$1,104.33$327.88$785.78$2,053.61
Hudson HospitalHudsonWI8$1,837.00$828.67$196.31$628.62$1,915.00
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$2,321.00$1,230.13$78.03$245.18$582.13
Childrens WisconsinMilwaukeeWI29$2,770.00$1,523.50$1,939.00$2,343.42$2,631.50
Meriter Hospital Inc.MadisonWI14$3,880.15$3,104.12$43.92$230.97$3,686.14
Ascension Columbia St Marys MilwaukeMilwaukeeWI8$1,749.00$926.97$78.03$227.74$582.13
Ascension Columbia St Marys OzaukeeMequonWI8$1,749.00$926.97$78.03$227.74$582.13
Beaver Dam Community HospitalsBeaver DamWI17$2,423.00$2,301.85$404.80$2,059.55$5,836.00
MoshFranklinWI7$1,588.00$841.64$103.26$171.47$1,238.64
All Saints - St. Luke S HospitalRacineWI7$1,588.00$841.64$108.06$161.38$1,238.64
Wheaton Franciscan Healthcare - AllRacineWI7$1,588.00$841.64$108.06$161.38$1,238.64
Ascension Se Wisconsin Hospital IncMilwaukeeWI7$1,588.00$841.64$103.26$158.02$1,238.64
Wfhc - Elmbrook MemorialBrookfieldWI7$1,588.00$841.64$103.26$158.02$1,238.64
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI7$1,588.00$841.64$103.26$158.02$1,238.64
Wheaton Franciscan - FranklinFranklinWI7$1,588.00$841.64$103.26$158.02$1,238.64
Holy Family Memorial IncManitowocWI25$2,060.00$1,133.00$101.14$1,315.29$1,812.80
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$502.00$286.14$50.39$122.37$498.90
Mercy Medical CenterOshkoshWI9$502.00$286.14$50.39$122.37$498.90
West Allis Memorial HospitalWest AllisWI18$2,940.00$1,470.00$475.00$1,071.00$17,934
Aurora Medical Center KenoshaKenoshaWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Aurora Medical Center Of OshkoshOshkoshWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Aurora Health Care Metro Inc.MilwaukeeWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Aurora Medical Center - Bay AreaMarinetteWI18$2,940.00$1,470.00$475.00$1,014.00$2,487.24
Aurora Medical Center - SummitSummitWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Aurora Medical Center GraftonGraftonWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Aurora Lakeland Medical CenterElkhornWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Memorial Hospital Of BurlingtonBurlingtonWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Aurora Medical Center - HartfordHartfordWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
Sheboygan Memorial HospitalSheboyganWI18$2,940.00$1,470.00$475.00$1,014.00$2,499.00
University Of Wi Hospitals & ClinicsMadisonWI0$2,651.00$1,590.60
Uw Health Rehabilitation HospitalMadisonWI0$2,651.00$1,590.60
River Falls Area HospitalRiver FallsWI0$1,629.40$912.46

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.