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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$358.66
Median
$524.73
Max
$1,225.36
Range multiplier
3.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare830$1.00$362.06$4,624.054624.1×
Blue Cross Blue Shield727$218.71$1,044.98$4,523.0720.7×
Aetna826$231.30$1,251.30$4,783.5020.7×
Cigna821$1.00$820.00$4,640.004640.0×
Humana815$257.00$344.74$948.003.7×
WellCare713$234.14$358.48$1,213.585.2×
First Health310$244.15$1,030.75$5,049.2520.7×
CareSource59$245.62$358.66$1,237.145.0×
Health Net17$249.29$380.64$5,155.5520.7×
Ambetter34$473.13$532.31$591.491.3×
Medicaid14$1.00$562.38$1,801.451801.5×
banner health13$257.00$344.74$380.641.5×
devoted health23$272.42$358.66$403.481.5×
Oscar Health23$452.67$573.57$573.571.3×
secure health op rate22$822.00$822.00$822.001.0×
alliant health plan22$1,620.68$1,782.75$1,944.811.2×
alliant op rate22$1,269.00$1,269.00$1,269.001.0×
amerigroup community care22$526.65$550.83$575.001.1×
amerigroup op rate22$215.68$376.33$536.972.5×
arizona medical network12$257.00$318.82$380.641.5×
beech street op rate22$1,273.50$1,273.50$1,273.501.0×
blue mcr replacement12$358.48$358.48$358.481.0×
bridgeway health solutions12$257.00$318.82$380.641.5×
dodge cty op rate22$339.60$339.60$339.601.0×
facility billing - op12$358.48$358.48$358.481.0×
health choice pathway12$257.00$318.82$380.641.5×
health management network12$257.00$318.82$380.641.5×
healthspring mcr replacement12$362.06$363.86$365.651.0×
imperial insurance12$269.85$334.77$399.681.5×
Medicare Advantage12$358.48$358.48$358.481.0×
occunet12$663.19$734.89$806.581.2×
peach state12$358.66$388.26$417.851.2×
phcs op rate22$1,301.80$1,301.80$1,301.801.0×
riverwood behavioral health12$348.21$391.74$435.261.2×
rural arizona network12$257.00$318.82$380.641.5×
smarthealth12$501.87$501.87$501.871.0×
sonder health plan12$365.62$365.62$365.621.0×
united mine workers of america12$257.00$318.82$380.641.5×
Multiplan11$348.21$348.21$348.211.0×
naphcare11$539.73$539.73$539.731.0×
novanet11$348.21$348.21$348.211.0×
acchs11$344.74$344.74$344.741.0×
care 1st11$344.74$344.74$344.741.0×
americas choice provider network11$348.21$348.21$348.211.0×
peach state health plan op rate11$241.40$241.40$241.401.0×
peach state hp op rate11$304.41$304.41$304.411.0×
employer direct healthcare11$487.49$487.49$487.491.0×
georgia workers’ compensation11$348.21$348.21$348.211.0×
health choice11$361.98$361.98$361.981.0×
arizona complete health11$344.74$344.74$344.741.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Houston Medical CenterWarner RobinsGA16$760.38$295.50$536.97$1,301.80
Dodge County HospitalEastmanGA6$3,376.66$1.00$524.73$3,038.99
Perry HospitalPerryGA16$760.38$215.68$473.13$1,301.80
West Central Ga Regional HospitalColumbusGA22$5,315.00$3,943.73$218.45$380.64$5,155.55
St. Marys Sacred Heart HospitalLavoniaGA13$4,079.00$1,631.60$358.48$369.23$2,080.29
Southern Regional Medical CenterRiverdaleGA26$5,585.00$348.00$330.80$358.66$3,493.00
Chatuge Regional HospitalHiwasseeGA9$2,315.25$1,157.63$509.36$1,225.36$1,967.96
Union General HospitalBlairsvilleGA9$2,778.30$1,389.15$327.43$1,173.42$2,361.56
Southwell MedicalAdelGA0$4,865.00$2,432.50

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.