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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in KS

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Hospitals
15
Min
$44.00
Median
$369.23
Max
$7,058.96
Range multiplier
160.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1252$40.00$374.30$4,352.00108.8×
Blue Cross Blue Shield1346$212.89$718.24$6,010.2928.2×
Aetna1344$92.94$463.63$6,726.0072.4×
Cigna929$90.00$870.00$6,264.8069.6×
Medicare725$325.72$333.58$358.481.1×
Humana1124$40.00$330.28$1,974.8149.4×
Medicare Advantage522$330.28$330.28$365.651.1×
Ambetter915$44.00$561.48$681.1115.5×
providrs care313$145.75$309.24$454.993.1×
First Health611$1,446.96$4,197.02$5,160.633.6×
smarthealth510$462.39$462.39$501.871.1×
kancare amerigroup39$93.84$184.66$380.704.1×
kancare sunflower39$92.94$214.96$325.703.5×
kancare healthy blue39$92.94$214.96$325.703.5×
va48$330.28$330.28$330.281.0×
Medicaid17$206.69$227.36$456.682.2×
transplants-case rates [5750]16$463.63$2,655.00$7,080.0015.3×
TRICARE55$325.72$549.47$549.471.7×
php [503200005]24$1,779.00$4,721.31$5,787.113.3×
vc hope24$330.28$330.28$330.281.0×
alt wppa [5032000964]23$651.44$1,245.30$4,744.027.3×
celtic insurance company13$40.00$44.00$44.001.1×
sunflower state13$40.00$44.00$265.246.6×
occunet23$663.19$806.58$2,901.004.4×
Multiplan33$879.44$2,600.73$7,529.568.6×
Meritain Health23$1,245.30$1,779.00$6,578.045.3×
Workers Comp23$325.72$325.72$7,439.4522.8×
commercial-contracted [8000]13$1,439.00$5,310.00$5,727.724.0×
6 degrees health [503999050]23$570.01$814.30$814.301.4×
healthcare highways [2210]13$1,372.33$1,372.33$1,372.331.0×
WellCare23$40.00$358.48$358.489.0×
research study encore borland-groover12$358.48$358.48$358.481.0×
aha-healthcare preferred [503200050]22$1,779.00$3,469.82$5,160.632.9×
saint lukes health systems12$330.28$330.28$330.281.0×
centurion [5032000966]22$423.44$423.44$423.441.0×
centivo [5032000982]12$537.44$537.44$537.441.0×
Centene12$210.82$265.13$319.431.5×
careplus mcr replacement12$365.65$365.65$365.651.0×
90 degree benefits12$645.26$645.26$645.261.0×
pace place12$358.48$358.48$358.481.0×
prime health services22$3,626.00$5,813.08$8,000.162.2×
fort hays state student athletes [5032000960]22$684.01$684.01$684.011.0×
advanced medical pricing solutions [503301513]22$977.16$1,004.02$1,030.871.1×
Molina12$663.19$663.19$663.191.0×
employer direct healthcare12$627.34$627.34$627.341.0×
bc advantage mcr replacement12$358.48$358.48$358.481.0×
alt carelon behavioral health [503200905]22$1,482.50$2,699.00$3,915.502.6×
avmed exchange12$645.26$645.26$645.261.0×
occunet [503999930]22$684.01$684.01$684.011.0×
correct care solutions [50311253]22$2,075.50$3,778.60$5,481.702.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rehabilitation Hosp Of Overland ParkOverland ParkKS9$9,411.95$9,411.95$5,647.17$7,058.96$8,470.76
Ninnescah Valley Health SystemsKingmanKS11$40.00$44.00$1,256.16
University Of Kansas HospitalKansas CityKS57$7,831.00$1,566.20$325.72$3,798.04$7,439.45
Great Plains Of Ottawa County IncMinneapolisKS23$2,526.50$934.81$351.31$369.23$934.80
Via Christi Rehab Center IncWichitaKS12$330.28$336.89$2,035.72
Via Christi Hosp. Wichita St. TeresaWichitaKS15$330.28$333.58$1,446.96
Mercy Regional Health CenterManhattanKS14$4,516.00$1,806.40$89.37$330.28$924.78
Via Christi Hospital Pittsburg Inc.PittsburgKS14$4,516.00$1,806.40$89.37$330.28$924.78
Stormont-Vail Regional Health CenterTopekaKS5$5,712.30$210.82$322.57$704.95
Newton Medical CenterNewtonKS12$4,835.00$3,385.00$354.00$2,780.00$4,593.00
Wamego Hospital AssociationWamegoKS8$7,123.00$2,849.20$89.37$214.96$763.86
St. Lukes SouthOverland ParkKS9$7,080.00$4,248.00$206.69$1,782.00$7,080.00
St.francis Health CenterTopekaKS19$3,347.14$1,004.14$1,372.33$1,372.33$3,347.14
Ukhs Great Bend CampusGreat BendKS28$2,965.00$593.00$325.72$1,030.87$2,668.50
Childrens Mercy Hospital KansasOverland ParkKS0$5,236.00$2,513.28

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.