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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in IN

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Hospitals
20
Min
$232.74
Median
$232.74
Max
$4,132.17
Range multiplier
17.8×

By payer (43 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS6247$82.27$439.78$3,158.538.4×
UnitedHealthcare777$59.65$232.74$835.9714.0×
Medicaid672$82.27$187.1$269.373.3×
mhs care connect636$82.27$187.1$269.373.3×
Aetna727$232.74$369.23$734.883.2×
Humana722$232.74$232.74$362.061.6×
Medicare Advantage720$232.74$232.74$365.651.6×
Medicare714$232.74$232.74$358.481.5×
patoka valley tier 1614$439.78$439.78$439.781.0×
patoka valley tier 2614$439.78$439.78$439.781.0×
Ambetter78$232.74$232.74$681.112.9×
Cigna18$353.7$579.83$934.82.6×
corizon66$232.74$232.74$232.741.0×
ascension complete mcr66$232.74$232.74$232.741.0×
encore exclusive66$439.78$439.78$439.781.0×
smarthealth ppo66$414.28$414.28$414.281.0×
personalized care66$232.74$232.74$232.741.0×
immergrun66$232.74$232.74$232.741.0×
CareSource66$232.74$232.74$232.741.0×
secure horizons-pacificare66$232.74$232.74$232.741.0×
smarthealth ppo/hdhp 2016100166$414.28$414.28$414.281.0×
WellCare12$358.48$358.48$358.481.0×
avmed exchange12$645.26$645.26$645.261.0×
bc advantage mcr replacement12$358.48$358.48$358.481.0×
Blue Cross Blue Shield12$358.48$358.48$358.481.0×
careplus mcr replacement12$365.65$365.65$365.651.0×
employer direct healthcare12$627.34$627.34$627.341.0×
Molina12$663.19$663.19$663.191.0×
occunet12$663.19$734.89$806.581.2×
Oscar Health12$573.57$573.57$573.571.0×
pace place12$358.48$358.48$358.481.0×
research study encore borland-groover12$358.48$358.48$358.481.0×
smarthealth12$501.87$501.87$501.871.0×
VA Health12$358.48$358.48$358.481.0×
90 degree benefits12$645.26$645.26$645.261.0×
velocity provider ppo network11$4,132.17$4,132.17$4,132.171.0×
haven hospice11$358.48$358.48$358.481.0×
community hospice11$358.48$358.48$358.481.0×
america's choice provider11$3,856.69$3,856.69$3,856.691.0×
prime health services11$4,683.13$4,683.13$4,683.131.0×
quik trip11$4,132.17$4,132.17$4,132.171.0×
usa managed care organization11$4,132.17$4,132.17$4,132.171.0×
Multiplan11$1,200$1,200$1,2001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
REHABILITATION HOSPITAL OF INDIANAINDIANAPOLISIN6$5,509.56$5,509.56$1,200$4,132.17$4,683.13
ASCENSION ST. VINCENT DUNNBEDFORDIN23$2,526.5$934.81$351.31$369.23$934.8
ASCENSION ST. VINCENT WARRICKBOONEVILLEIN20$3,627$2,176.2$59.65$232.74$2,526.21
ASCENSION ST. VINCENT JENNINGSNORTH VERNONIN20$4,729$2,837.4$82.27$232.74$3,158.5
ASCENSION ST. VINCENT WILLIAMSPORTWILLIAMSPORTIN20$5,117$3,070.2$59.65$232.74$2,737.6
ASCENSION ST VINCENT SETON SPECIALTYINDIANAPOLISIN20$82.27$232.74$835.97
ST VINCENT SETON SPECIALTY HOSP-LAFLAFAYETTEIN20$82.27$232.74$835.97
ST. MARY MEDICAL CENTER INC.HOBARTIN20$3,627$2,176.2$59.65$232.74$2,526.21
DUPONT HOSPITALFORT WAYNEIN0$5,849$2,632.05
LAPORTE HOSPITALLAPORTEIN0$4,628.51$2,499.4
DUKES MEMORIAL HOSPITALPERUIN0$7,217$3,969.35
MARGARET MARY COMMUNITY HOSPITALBATESVILLEIN0$3,764.8$3,162.43
LUTHERAN MUSCULOSKELETAL CENTERFORT WAYNEIN0$5,422$1,463.94
MARION GENERAL HOSPITALMARIONIN0$1,192$715.2
LUTHERAN HOSPITAL OF INDIANAFT WAYNEIN0$5,861$2,109.96
PORTER REGIONAL HOSPITALVALPARAISOIN0$9,368$3,372.48
GOOD SAMARITAN HOSPITALVINCENNESIN0$1,232.05$1,207.41
SCHNECK MEDICAL CENTERSEYMOURIN0$3,494$2,445.8
BLUFFTON REGIONAL MEDICAL CENTERBLUFFTONIN0$8,898$4,893.9
STARKE MEMORIAL HOSPITALKNOXIN0$4,628.51$2,545.68

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.