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CT lumbar spine without contrast

CPT 72131 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$43.9
Median
$105.39
Max
$237.96
Range multiplier
5.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield13135$97.38$167.06$525.125.4×
UnitedHealthcare1394$24.15$179.33$229.769.5×
Cigna1380$39.35$393.68$649.8116.5×
Aetna1255$43.9$551.54$1,619.6436.9×
Medicare928$43.9$101.33$106.932.4×
Humana1228$43.9$100.37$176.754.0×
Ambetter1118$61.46$132.39$61710.0×
Medicare Advantage817$97.38$101.84$101.841.0×
optum va714$100.37$101.84$101.841.0×
smart health714$140.52$142.58$142.581.0×
amerigroup mcr replacement714$100.37$101.84$104.91.0×
point comfort underwriters714$90.33$91.66$91.661.0×
nhc advantage714$100.37$101.84$101.841.0×
centurion of tn714$100.37$101.84$101.841.0×
healthspring mcr replacement714$100.37$101.84$101.841.0×
ascension complete612$100.37$101.11$101.841.0×
wellpoint39$101.87$101.96$102.161.0×
farm bureau47$44.78$95.83$95.832.1×
Self-Pay (Cash)77$100.37$101.84$101.841.0×
Oscar Health77$140.52$142.58$142.581.0×
devoted health36$101.96$101.96$101.961.0×
Medicaid16$81.46$93.72$2152.6×
TRICARE56$97.1$97.44$98.351.0×
triwest va pccc36$101.84$101.84$101.841.0×
community plan44$94.99$94.99$94.991.0×
WellCare44$43.9$101.96$101.962.3×
galaxy health network33$1,632.6$1,632.6$1,632.61.0×
community services network33$1,179.1$1,179.1$1,179.11.0×
direct care america33$1,451.2$1,451.2$1,451.21.0×
ehn33$816.3$816.3$816.31.0×
initial group33$1,596.32$1,596.32$1,596.321.0×
ccn managed care33$1,541.9$1,541.9$1,541.91.0×
medsave usa33$1,451.2$1,451.2$1,451.21.0×
national provider network33$1,451.2$1,451.2$1,451.21.0×
novanet33$1,360.5$1,360.5$1,360.51.0×
optum33$97.1$97.1$97.11.0×
beech street33$1,541.9$1,541.9$1,541.91.0×
usa managed care organization33$1,269.8$1,269.8$1,269.81.0×
correctional medical services33$1,088.4$1,088.4$1,088.41.0×
Molina12$81.46$91.65$101.831.3×
amerigroup22$38.41$66.56$94.712.5×
americhoice mcr replacement12$95.73$98.28$100.821.1×
blue11$43.9$43.9$43.91.0×
devoted health [450111]11$100.3$100.3$100.31.0×
amerivantage11$38.41$38.41$38.411.0×
provider network of america11$74.63$74.63$74.631.0×
amerigroup mcaid replacement11$93.34$93.34$93.341.0×
bluecare11$139.21$139.21$139.211.0×
generic hospice vbid [10940000101]11$97.38$97.38$97.381.0×
transplant optum tenncare [350013]11$97.2$97.2$97.21.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
METRO NASHVILLE GENERAL HOSPITALNASHVILLETN19$2,255$1,353$24.15$43.9$1,240.25
ST THOMAS HICKMAN HOSPITALCENTERVILLETN4$150.16$237.96$562.76
SAINT THOMAS STONES RIVER HOSPITALWOODBURYTN19$3,114.7$934.41$91.66$132.39$1,619.64
SAINT THOMAS RUTHERFORD HOSPITALMURFREESBOROTN19$2,488.75$746.63$91.66$132.39$1,294.15
SAINT THOMAS WEST HOSPITALNASHVILLETN19$2,488.75$746.63$91.66$132.39$1,294.15
ST THOMAS DEKALB HOSPITALSMITHVILLETN19$3,114.7$934.41$90.33$117.94$1,619.64
SAINT THOMAS HIGHLAND HOSPITALSPARTATN19$3,114.7$934.41$90.33$105.39$1,619.64
ASCENSION ST THOMAS RIVER PARKMCMINNVILLETN20$2,966.4$889.92$90.33$105.39$1,542.53
SAINT THOMAS MIDTOWN HOSPITALNASHVILLETN21$91.66$103.88$562.76
ROANE COUNTY MEDICAL CENTERHARRIMANTN24$1,814$562.34$52.56$102.06$1,632.6
MORRISTOWN-HAMBLEN HOSPITALMORRISTOWNTN24$1,814$562.34$52.56$101.96$1,632.6
FORT LOUDOUN MEDICAL CENTERLENOIR CITYTN24$1,814$580.48$52.56$101.96$1,632.6
METHODIST H/C MEMPHIS HOSPT.MEMPHISTN15$3,202$704.44$50$101.07$525.12
BIG SOUTH FORK MEDICAL CENTERONEIDATN0$785$235.5
ST THOMAS ASCENSIONNASHVILLETN0$7,139.9$1,784.98

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.