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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in HI

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Hospitals
6
Min
$412.62
Median
$529.56
Max
$731.66
Range multiplier
1.8×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
hmsa28$412.62$851.53$1,810.544.4×
alohacare35$223.99$412.62$481.422.1×
UnitedHealthcare35$412.62$819.67$819.672.0×
Kaiser Permanente34$80$412.62$481.426.0×
ohana24$412.62$447.02$529.561.3×
hawaii medical service association (hmsa)13$819.67$883.39$1,636.732.0×
hma22$751.8$751.8$751.81.0×
hmaa22$1,943.29$1,978.17$2,013.051.0×
uha22$987.81$1,034.57$1,081.331.1×
Humana22$412.62$447.02$481.421.2×
Multiplan12$80$82.5$851.1×
verdegard11$1,715.28$1,715.28$1,715.281.0×
hawaii medical assurance association (hmaa)11$643.65$643.65$643.651.0×
hcha11$888.17$888.17$888.171.0×
mdx hawaii11$323.85$323.85$323.851.0×
medical cost containment professionals11$85$85$851.0×
ohana health plan11$230.52$230.52$230.521.0×
pacific administrators inc11$1,025.52$1,025.52$1,025.521.0×
university health alliance11$1,110.55$1,110.55$1,110.551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WILCOX MEMORIAL HOSPTIALLIHUEHI13$2,413$965.2$80$731.66$1,715.28
KONA COMMUNITY HOSPITALKEALAKEKUAHI9$2,582$1,678.3$481.42$529.56$2,013.05
KAHUKU MEDICAL CENTERKAHUKUHI9$412.62$412.62$1,943.29
THE QUEENS MEDICAL CENTERHONOLULUHI0$3,516$2,461.2
KFH-HAWAIIHONOLULUHI0$11,040$6,182.4
NORTH HAWAII COMMUNITY HOSPITALKAMUELAAHI0$3,516$2,461.2

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.