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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$3,158.5038.4×
UnitedHealthcare777$59.65$232.74$835.9714.0×
Medicaid672$82.27$187.10$269.373.3×
mhs care connect636$82.27$187.10$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$353.70$579.83$934.802.6×
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$1,200.00$1,200.00$1,200.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rehabilitation Hospital Of IndianaIndianapolisIN6$5,509.56$5,509.56$1,200.00$4,132.17$4,683.13
Ascension St. Vincent DunnBedfordIN23$2,526.50$934.81$351.31$369.23$934.80
Ascension St. Vincent WarrickBoonevilleIN20$3,627.00$2,176.20$59.65$232.74$2,526.21
Ascension St. Vincent JenningsNorth VernonIN20$4,729.00$2,837.40$82.27$232.74$3,158.50
Ascension St. Vincent WilliamsportWilliamsportIN20$5,117.00$3,070.20$59.65$232.74$2,737.60
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$3,627.00$2,176.20$59.65$232.74$2,526.21
Dupont HospitalFort WayneIN0$5,849.00$2,632.05
Laporte HospitalLaporteIN0$4,628.51$2,499.40
Dukes Memorial HospitalPeruIN0$7,217.00$3,969.35
Margaret Mary Community HospitalBatesvilleIN0$3,764.80$3,162.43
Lutheran Musculoskeletal CenterFort WayneIN0$5,422.00$1,463.94
Marion General HospitalMarionIN0$1,192.00$715.20
Lutheran Hospital Of IndianaFt WayneIN0$5,861.00$2,109.96
Porter Regional HospitalValparaisoIN0$9,368.00$3,372.48
Good Samaritan HospitalVincennesIN0$1,232.05$1,207.41
Schneck Medical CenterSeymourIN0$3,494.00$2,445.80
Bluffton Regional Medical CenterBlufftonIN0$8,898.00$4,893.90
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.