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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in AR

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Hospitals
7
Min
$351.70
Median
$3,333.60
Max
$9,250.39
Range multiplier
26.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield4103$125.60$351.70$4,000.3231.8×
UnitedHealthcare525$101.50$456.42$5,022.2149.5×
univera118$89.03$214.46$386.284.3×
Cigna511$173.03$2,645.67$5,022.2129.0×
amerihealth110$73.50$443.74$559.357.6×
Aetna59$438.47$3,333.60$5,022.2111.5×
Medicare Advantage37$438.47$5,022.21$5,022.2111.5×
geisinger16$101.50$430.40$542.405.3×
blue advantage24$366.59$2,000.94$4,000.3210.9×
Humana44$438.47$2,735.09$5,022.2111.5×
Anthem BCBS24$366.59$2,000.94$4,000.3210.9×
health advantage24$366.59$2,000.94$4,000.3210.9×
Ambetter33$613.86$5,022.21$5,022.218.2×
Medicaid33$578.00$5,022.21$5,022.218.7×
blue card13$366.59$3,635.28$4,000.3210.9×
qualchoice exchange23$493.86$4,039.20$4,444.809.0×
qualchoice33$493.86$5,022.21$5,022.2110.2×
Multiplan33$4,268.88$4,268.88$9,867.082.3×
arkansas firstsource13$366.59$3,635.28$4,000.3210.9×
pennsylvania health and wellness13$92.40$403.50$508.505.5×
care source (passe)22$5,022.21$5,022.21$5,022.211.0×
american health plan22$5,022.21$5,022.21$5,022.211.0×
abcbs22$5,022.21$5,022.21$5,022.211.0×
amco12$4,039.20$4,242.00$4,444.801.1×
Medicare22$435.29$436.88$438.471.0×
jefferson health plans12$411.57$465.12$518.671.3×
arkansas totalcare12$578.00$945.03$1,312.062.3×
arkansas total care (passe)22$5,022.21$5,022.21$5,022.211.0×
summit (passe)22$5,022.21$5,022.21$5,022.211.0×
qualchoice of arkansas12$4,039.20$4,242.00$4,444.801.1×
Self-Pay (Cash)12$2,019.60$2,121.00$2,222.401.1×
usable life group health12$4,039.20$4,242.00$4,444.801.1×
municipal health benefit12$2,423.52$2,545.20$2,666.881.1×
mutual of omaha12$4,039.20$4,242.00$4,444.801.1×
essence22$5,022.21$5,022.21$5,022.211.0×
empower22$5,022.21$5,022.21$5,022.211.0×
devoted22$5,022.21$5,022.21$5,022.211.0×
municipal league22$5,022.21$5,022.21$5,022.211.0×
Molina22$333.80$397.23$460.651.4×
phcs22$3,967.55$3,967.55$3,967.551.0×
vaccn22$5,022.21$5,022.21$5,022.211.0×
american health plans11$422.61$422.61$422.611.0×
care first11$366.59$366.59$366.591.0×
allegiance11$710.00$710.00$710.001.0×
bankers life and casualty11$438.47$438.47$438.471.0×
bankers fidelity11$438.47$438.47$438.471.0×
america's choice11$8,633.70$8,633.70$8,633.701.0×
all payors11$843.24$843.24$843.241.0×
medincrease11$11,100$11,100$11,1001.0×
medadvantage11$438.47$438.47$438.471.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hot Springs Rehabilitation CenterHot SpringsAR15$12,334$12,334$333.80$9,250.39$11,100
Conway Regional Medical Center IncConwayAR1$843.24$826.38$843.24$843.24$843.24
Arkansas Childrens NorthwestSpringdaleAR20$5,022.21$5,022.21$3,967.55$5,022.21$5,022.21
Mercy Rehab Hospital Fort SmithFort SmithAR20$5,022.21$5,022.21$3,967.55$5,022.21$5,022.21
Arkansas Surgical HospitalNorth Little RockAR57$2,050.00$439.91$1.00$438.47$1,050.00
Drew Memorial Hospital IncMonticelloAR15$4,018.00$3,134.04$73.50$351.70$811.42
Ouachita County Medical CenterCamdenAR18$4,444.80$366.59$3,333.60$4,444.80

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.