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CT lumbar spine without contrast

CPT 72131 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$146.64
Median
$494.05
Max
$812.83
Range multiplier
5.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare736$70.63$160.16$4,07957.8×
Blue Cross Blue Shield736$107.41$356.87$3,12729.1×
Aetna521$116$786.73$5,577.3948.1×
institution [10406]420$125.29$2,392.16$3,12725.0×
Cigna714$111.71$288.5$1,444.512.9×
Medicaid49$125.29$1,031.91$1,626.0413.0×
correctional care [11003]38$125.29$126.07$1,444.511.5×
medcost16$518.04$785.77$1,239.052.4×
First Health55$1,305$1,789.5$2,345.251.8×
tufts [11201]35$282.3$342.47$376.741.3×
Multiplan45$1,739.7$1,789.5$2,345.251.3×
hsno/free care [10801]44$294.3$672.16$680.812.3×
connecticare [11105]44$1,740$2,756.5$3,1271.8×
hne [11108]44$1,132.39$1,370.72$1,410.281.2×
wellpoint [11112]44$413.25$413.25$413.251.0×
amerihealth24$280.29$387.39$627.452.2×
tufts us family [11203]44$125.29$126.07$126.841.0×
Humana34$110.63$958.5$1,836.3516.6×
senior whole health [10110]44$134.06$134.89$135.721.0×
CHAMPVA44$113.66$130.77$135.251.2×
workers compensation [20501]44$284.08$284.08$284.081.0×
fallon mcaid carelon hlth [29]44$1,740$2,756.5$3,1271.8×
grants [20507]44$1,740$2,756.5$3,1271.8×
mgb mcr [10124]44$126.84$131.56$133.191.1×
tufts connectorcare [10507]44$213.12$214.44$215.761.0×
upmc health plan13$112.78$194.03$277.182.5×
pennsylvania health and wellness13$112.78$173.24$198.711.8×
masshealth mcd mbhp [38]33$1,740$3,127$3,1271.8×
Medicare33$125.29$125.29$126.841.0×
commonwealth care mcr [10115]33$131.56$131.56$133.191.0×
tufts dual [10111]33$125.29$125.29$126.841.0×
evernorth behavioral health [27]33$1,392$2,501.6$2,501.61.8×
fallon mcr [10105]33$131.56$131.56$133.191.0×
wellpoint13$57$119.31$1,361.1623.9×
geisinger13$111.71$166.31$5,050.345.2×
eternalhealth mcr replace [10116]22$131.56$131.56$131.561.0×
automobile [10401]22$3,127$3,127$3,1271.0×
devon health12$6,006.42$6,006.42$6,006.421.0×
directnet12$1,142.4$1,142.4$1,142.41.0×
fallon carelon hlth [28]22$1,740$2,063$2,3861.4×
fallon mcr supp [20202]22$133.19$133.19$133.191.0×
fidelis care12$119.31$369.62$619.925.2×
harvard pilgrim mcr supp [20203]22$131.56$131.56$131.561.0×
health partners plans12$112.78$143.01$173.241.5×
hp optum bh [32]22$1,740$2,063$2,3861.4×
keystone first12$109.56$1,002.63$1,895.717.3×
optum transplant [20601]22$3,127$3,127$3,1271.0×
oscar12$579.9$676.55$773.21.3×
private healthcare systems12$1,585.06$1,585.06$1,585.061.0×
qualcare inc12$726$1,261.5$1,7972.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$1,933$966.5$280.29$812.83$4,079
MARLBOROUGH HOSPITALMARLBOROUGHMA34$3,127$3,127$125.29$542.71$3,127
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA34$3,127$3,127$125.29$542.71$3,127
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA28$1,740$1,740$126.29$494.05$1,740
HEALTHALLIANCE-CLINTONLEOMINSTERMA30$2,386$2,386$113.66$249.03$2,386
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$2,388$497.42$57$239.01$2,228.72
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$6,129$107.41$146.64$6,006.42
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$2,082.81$1,978.67
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$2,082.81$1,978.67
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$2,082.81$1,978.67
NORTH SHORE MEDICAL CENTERSALEMMA0$8,125.3$8,125.3

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.