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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in KY

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Hospitals
14
Min
$226.85
Median
$1,063.86
Max
$2,402.43
Range multiplier
10.6×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1353$102.72$1,311.2$6,729.365.5×
Anthem BCBS1242$101.46$760$2,085.9720.6×
WellCare1334$101.46$507.17$1,870.1818.4×
Humana1333$101.46$1,063.86$4,757.2846.9×
UnitedHealthcare1232$101.46$1,032.26$5,365.9852.9×
optum ccn region 21113$102.72$266.55$1,264.1212.3×
optum ccn region 11113$102.72$266.55$1,264.1212.3×
caresoure kentucky1012$102.72$4,067.7$4,486.243.7×
Molina1111$1,027.16$1,154.84$2,127.692.1×
umr1010$2,791.07$4,671$5,365.981.9×
Cigna28$101.46$680.99$2,394.8623.6×
medcost16$1,183.91$1,927.24$3,616.613.1×
va community care network14$101.46$234.31$329.723.2×
Blue Cross Blue Shield14$1,502.87$2,159.16$2,409.991.6×
amerigroup14$101.46$234.31$329.723.2×
Multiplan24$1,164.3$3,014.85$4,865.44.2×
CareSource14$101.46$234.31$445.134.4×
oscar12$1,729.92$2,054.28$2,378.641.4×
private healthcare systems12$4,432.92$4,432.92$4,432.921.0×
amerihealth12$1,018.49$1,252.03$1,485.571.5×
center care12$1,032.26$1,032.26$1,032.261.0×
commonwealth health alliance12$1,232.79$1,232.79$1,232.791.0×
directnet12$3,194.95$3,194.95$3,194.951.0×
First Health12$1,164.3$1,164.3$1,164.31.0×
healthgram12$4,324.8$4,324.8$4,324.81.0×
healthgram lexington home brands12$3,892.32$3,892.32$3,892.321.0×
national provider network12$4,865.4$4,865.4$4,865.41.0×
beechstreet12$4,757.28$4,757.28$4,757.281.0×
alliance11$1,039.03$1,039.03$1,039.031.0×
alliance coal11$494.59$494.59$494.591.0×
carolina complete11$1,018.49$1,018.49$1,018.491.0×
healthy blue11$1,018.49$1,018.49$1,018.491.0×
partners11$1,018.49$1,018.49$1,018.491.0×
the health plan11$206.48$206.48$206.481.0×
trillium11$1,049.3$1,049.3$1,049.31.0×
vaya11$1,028.76$1,028.76$1,028.761.0×
Ambetter11$1,551.52$1,551.52$1,551.521.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
TUG VALLEY ARHSOUTH WILLIAMSONKY11$7,477$4,486.2$206.48$951.99$6,729.3
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY9$7,193$4,315.8$224.83$760$5,394.75
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY10$7,193$4,315.8$199.68$663$4,315.8
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY14$1,369.77$424.63$101.46$329.72$1,304.71
HAZARD ARHHAZARDKY10$6,753$4,051.8$102.72$290.23$6,077.7
BAPTIST HEALTH LEXINGTONLEXINGTONKY23$5,406$2,703$1,018.49$2,402.43$4,995.14
WHITESBURG ARHWHITESBURGKY10$6,923$4,153.8$102.72$226.85$6,438.39
MORGAN CO. ARHWEST LIBERTYKY10$5,960$3,576$760$1,264.12$5,244.8
OUR LADY OF THE WAYMARTINKY8$6,258$3,754.8$760$1,251.6$5,507.04
MIDDLESBORO ARHMIDDLESBOROKY10$6,290$3,774$244.8$1,154.84$5,849.7
HARLAN ARHHARLANKY10$7,193$4,315.8$327.99$1,150.88$6,689.49
BARBOURVILLE ARH HOSPITALBARBOURVILLEKY10$6,258$3,754.8$760$1,074.5$5,507.04
MCDOWELL ARHMCDOWELLKY10$6,258$3,754.8$760$1,063.86$5,507.04
SPRING VIEW HOSPITALLEBANONKY0$11,309$4,523.54

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.