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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in AZ

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Hospitals
9
Min
$380.64
Median
$1,249.58
Max
$3,623.04
Range multiplier
9.5×

By payer (42 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare840$206.48$1,587.50$5,361.0126.0×
Cigna625$218.45$1,274.00$4,640.0021.2×
Aetna723$206.48$1,468.00$6,729.3032.6×
Blue Cross Blue Shield621$218.71$919.74$4,523.0720.7×
Humana817$206.48$380.64$4,274.0020.7×
Medicare513$362.53$378.32$426.591.2×
First Health611$244.15$3,072.30$5,049.2520.7×
Health Net28$249.29$1,117.64$5,155.5520.7×
WellCare26$206.48$325.25$1,719.718.3×
Multiplan55$3,668.14$3,803.14$7,512.962.0×
Medicaid55$273.56$365.97$365.971.3×
commercial | nhsi | all plans44$2,886.10$4,215.69$5,545.281.9×
banner health13$257.00$344.74$380.641.5×
Anthem BCBS13$206.48$760.00$1,143.985.5×
commercial | connected care | intel33$1,247.00$1,247.00$1,421.001.1×
health management network12$257.00$318.82$380.641.5×
arizona medical network12$257.00$318.82$380.641.5×
bridgeway health solutions12$257.00$318.82$380.641.5×
devoted health12$272.42$337.95$403.481.5×
health choice pathway12$257.00$318.82$380.641.5×
imperial insurance12$269.85$334.77$399.681.5×
rural arizona network12$257.00$318.82$380.641.5×
eff date11$43,770$43,770$43,7701.0×
commercial | lifetrac | all plans11$3,025.75$3,025.75$3,025.751.0×
health choice11$361.98$361.98$361.981.0×
umr11$5,361.01$5,361.01$5,361.011.0×
acchs11$344.74$344.74$344.741.0×
commercial | azfmc | pos11$4,382.68$4,382.68$4,382.681.0×
commercial | azfmc | all other plans11$4,566.09$4,566.09$4,566.091.0×
arizona complete health11$344.74$344.74$344.741.0×
caresoure kentucky11$4,486.20$4,486.20$4,486.201.0×
care 1st11$344.74$344.74$344.741.0×
mercy care11$361.98$361.98$361.981.0×
Molina11$1,143.98$1,143.98$1,143.981.0×
Bright Health11$1,142.34$1,142.34$1,142.341.0×
optum ccn region 111$206.48$206.48$206.481.0×
optum ccn region 211$206.48$206.48$206.481.0×
amount11$3,774.00$3,774.00$3,774.001.0×
commercial | optum | optumhealth11$2,560.25$2,560.25$2,560.251.0×
de-identified max11$3,472.08$3,472.08$3,472.081.0×
de-identified min11$2,641.80$2,641.80$2,641.801.0×
the health plan11$206.48$206.48$206.481.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Santa Cruz Valley Regional HospitalGreen ValleyAZ11$7,477.00$4,486.20$206.48$951.99$6,729.30
Carondelet St. Joseph HospitalTucsonAZ10$4,655.00$3,258.50$273.56$381.49$3,751.93
Yavapai Regional Medical CenterPrescottAZ21$5,315.00$3,943.73$218.45$380.64$5,155.55
Mt. Graham Regional Medical CenterSaffordAZ6$4,274.00$504.15$1,710.00$3,623.04$43,770
Arizona General HospitalLaveenAZ12$4,655.00$3,258.50$273.56$1,553.38$4,566.09
St. Josephs Hospital & Medical CtrPhoenixAZ14$4,655.00$3,258.50$362.53$1,446.50$3,668.14
Chandler Regional Medical CenterChandlerAZ11$8,944.00$6,260.80$362.53$1,249.58$7,512.96
Mercy Gilbert Medical CenterGilbertAZ11$8,944.00$6,260.80$362.53$1,249.58$6,904.77
Abrazo West CampusGoodyearAZ0$3,796.00$835.12

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.