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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in CO

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Hospitals
6
Min
$349.84
Median
$1,264.12
Max
$7,639.61
Range multiplier
21.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid138$349.84$349.84$349.841.0×
UnitedHealthcare311$349.84$349.84$4,458.0812.7×
Blue Cross Blue Shield28$349.84$349.84$3,180.809.1×
Aetna36$349.84$1,281.40$5,244.8015.0×
tmhp [50160]16$349.84$349.84$349.841.0×
Molina25$349.84$349.84$1,276.633.6×
wellpoint amerigroup [50170]15$349.84$349.84$349.841.0×
cook childrens health plan [50177]14$349.84$349.84$349.841.0×
Humana24$366.16$1,257.86$2,783.207.6×
parkland community health plan [50190]14$349.84$349.84$349.841.0×
community first plan [50184]13$349.84$349.84$349.841.0×
Anthem BCBS13$760.00$1,251.60$1,264.121.7×
negotiated charge13$119.79$565.60$1,568.0013.1×
texas children's health plan [50198]13$349.84$349.84$349.841.0×
WellCare12$1,264.12$1,264.12$1,264.121.0×
dell childrens health plan [50227]12$349.84$349.84$349.841.0×
firstcare lubbock [50191]12$349.84$349.84$349.841.0×
texas health network [50189]12$349.84$349.84$349.841.0×
evercare of texas [50171]12$349.84$349.84$349.841.0×
community health choice [50185]12$349.84$349.84$349.841.0×
unicare health plans of texas [50173]12$349.84$349.84$349.841.0×
rightcare - scott & white health plan [50212]12$349.84$349.84$349.841.0×
presbyterian of nm: mcd11$519.36$519.36$519.361.0×
presbyterian of nm: mcr ppo11$366.16$366.16$366.161.0×
presbyterian of nm: php pos, administrative services only & ppo plan11$3,180.80$3,180.80$3,180.801.0×
presbyterian of nm: php salud plan11$2,982.00$2,982.00$2,982.001.0×
prime health services11$8,658.23$8,658.23$8,658.231.0×
provider network of amercia11$7,639.61$7,639.61$7,639.611.0×
quik trip11$7,639.61$7,639.61$7,639.611.0×
rocky mountain health plan: commercial ip11$2,584.40$2,584.40$2,584.401.0×
rocky mountain health plan: commercial op11$2,783.20$2,783.20$2,783.201.0×
rocky mountain health plan: mcd11$408.81$408.81$408.811.0×
rocky mountain health plan: mcr adv11$366.16$366.16$366.161.0×
southwest health alliance11$723.78$723.78$723.781.0×
texas rehabilitation comm [50038]11$165.82$165.82$165.821.0×
tmhp-pccm [50208]11$349.84$349.84$349.841.0×
umr11$4,458.08$4,458.08$4,458.081.0×
usa managed care organization11$7,639.61$7,639.61$7,639.611.0×
velocity provider ppo network11$7,639.61$7,639.61$7,639.611.0×
Workers Comp11$604.51$604.51$604.511.0×
allsavers ip11$2,982.00$2,982.00$2,982.001.0×
america's choice11$7,130.31$7,130.31$7,130.311.0×
caresoure kentucky11$3,874.00$3,874.00$3,874.001.0×
charge amount11$1,600.00$1,600.00$1,600.001.0×
child health plan+11$2,584.40$2,584.40$2,584.401.0×
Cigna11$3,717.56$3,717.56$3,717.561.0×
cofinity11$2,783.20$2,783.20$2,783.201.0×
community health choice [50192]11$349.84$349.84$349.841.0×
devon health services11$8,148.92$8,148.92$8,148.921.0×
driscoll health plan non-verified [2000000002]11$349.84$349.84$349.841.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Pam Specialty Hospital Of DenverDenverCO10$10,186$10,186$7,130.31$7,639.61$9,167.54
Rio Grande HospitalDel NorteCO26$16,187$3,237.47$165.82$349.84$1,000.00
Animas Surgical HospitalDurangoCO20$3,976.00$723.78$366.16$2,783.20$3,717.56
East Morgan County HospitalBrushCO10$5,960.00$3,576.00$760.00$1,264.12$5,244.80
Pioneers Medical CenterMeekerCO2$1,280.00$119.79$1,066.80$1,600.00
Vail Valley Medical CenterVailCO0$1,566.00$1,174.50

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.