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MRI thoracic spine without contrast

CPT 72146 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$2,551.36
Median
$3,693.76
Max
$5,915
Range multiplier
2.3×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$235$1,405.92$2,625.7211.2×
UnitedHealthcare536$1,066.24$3,731.84$5,9155.5×
Blue Cross Blue Shield527$841$3,389.12$5,9157.0×
Cigna424$3,655.68$3,769.92$3,769.921.0×
medica (commercial) 94265 [3081118]424$3,160.64$3,731.84$3,731.841.2×
govt employees health assn [3081090]424$2,513.28$3,731.84$3,731.841.5×
healthpartners [3081368]421$251$3,731.84$3,731.8414.9×
national telephone cooperative assn 52103 [3081149]416$2,513.28$3,731.84$3,731.841.5×
Meritain Health416$3,655.68$3,769.92$3,769.921.0×
risk admin svs [3081167]416$1,027.87$2,037.14$3,046.43.0×
Aetna412$3,427.2$3,522.4$3,617.61.1×
Humana510$199.69$3,808$5,91529.6×
tlc advantage llc [3081189]59$3,579.52$3,579.52$3,728.981.0×
avera health plans 46045 [3081018]59$2,798.88$3,693.76$3,693.761.3×
midlands choice 47080 [3081136]48$3,655.68$3,769.92$3,769.921.0×
allied benefit systems inc [3081320]48$3,655.68$3,769.92$3,769.921.0×
coresource 38225 [3081146]48$2,475.2$3,427.2$3,427.21.4×
employee benefit management 12x44 [3081079]48$3,236.8$3,427.2$3,427.21.1×
fedmed inc [3081283]48$3,617.6$3,693.76$3,693.761.0×
health partners sx009 [3081102]48$2,360.96$3,731.84$3,731.841.6×
key benefit administrators [3081332]48$3,655.68$3,769.92$3,769.921.0×
pacificsource health plans [3081333]48$3,236.8$3,427.2$3,427.21.1×
preferred one 41147 [3081160]48$3,655.68$3,769.92$3,769.921.0×
rocky mountain admin llc 83028 [3081168]48$3,046.4$3,427.2$3,427.21.1×
sanford health plan 91184 [3081174]48$3,427.2$3,693.76$3,693.761.1×
surest [3081369]48$2,513.28$3,731.84$3,731.841.5×
va ccn optum [3081339]44$190.18$1,066.24$1,408.967.4×
Medicare44$1,066.24$1,237.6$5,9155.5×
Multiplan24$3,427.2$3,560.48$3,693.761.1×
group and pension administrators inc [3081098]24$3,427.2$3,560.48$3,693.761.1×
va black hills health care system 12115 [3081206]44$190.18$1,066.24$1,408.967.4×
va black hills health care system 12115 [3081207]33$1,066.24$1,066.24$1,408.961.3×
VA Health33$1,066.24$1,066.24$1,408.961.3×
Health Net33$1,066.24$1,066.24$1,408.961.3×
triwest healthcare alliance [3081322]33$1,066.24$1,066.24$1,408.961.3×
minnesota health care programs 12k16 [3081295]12$1,153.82$1,153.82$1,153.821.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD6$3,967$3,967$841$5,915$5,915
MONUMENT HEALTH CUSTER HOSPITALCUSTERSD35$3,808$3,808$1,027.87$3,731.84$3,808
MONUMENT HEALTH LEAD-DEADWOOD HOSPITDEADWOODSD33$3,808$3,808$1,027.87$3,693.76$3,808
MONUMENT HEALTH STURGIS REGIONALSTURGISSD33$3,808$3,808$1,027.87$3,693.76$3,808
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD31$3,808$3,808$190.18$2,551.36$3,655.68

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.