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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$1,311.20$6,729.3065.5×
Anthem BCBS1242$101.46$760.00$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$4,067.70$4,486.2043.7×
Molina1111$1,027.16$1,154.84$2,127.692.1×
umr1010$2,791.07$4,671.00$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$1,164.30$3,014.85$4,865.404.2×
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$1,164.30$1,164.30$1,164.301.0×
healthgram12$4,324.80$4,324.80$4,324.801.0×
healthgram lexington home brands12$3,892.32$3,892.32$3,892.321.0×
national provider network12$4,865.40$4,865.40$4,865.401.0×
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$1,049.30$1,049.30$1,049.301.0×
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$7,477.00$4,486.20$206.48$951.99$6,729.30
Paintsville Arh HospitalPaintsvilleKY9$7,193.00$4,315.80$224.83$760.00$5,394.75
Highlands Regional Medical CenterPrestonsburgKY10$7,193.00$4,315.80$199.68$663.00$4,315.80
Jennie Stuart Medical CenterHopkinsvilleKY14$1,369.77$424.63$101.46$329.72$1,304.71
Hazard ArhHazardKY10$6,753.00$4,051.80$102.72$290.23$6,077.70
Baptist Health LexingtonLexingtonKY23$5,406.00$2,703.00$1,018.49$2,402.43$4,995.14
Whitesburg ArhWhitesburgKY10$6,923.00$4,153.80$102.72$226.85$6,438.39
Morgan Co. ArhWest LibertyKY10$5,960.00$3,576.00$760.00$1,264.12$5,244.80
Our Lady Of The WayMartinKY8$6,258.00$3,754.80$760.00$1,251.60$5,507.04
Middlesboro ArhMiddlesboroKY10$6,290.00$3,774.00$244.80$1,154.84$5,849.70
Harlan ArhHarlanKY10$7,193.00$4,315.80$327.99$1,150.88$6,689.49
Barbourville Arh HospitalBarbourvilleKY10$6,258.00$3,754.80$760.00$1,074.50$5,507.04
Mcdowell ArhMcdowellKY10$6,258.00$3,754.80$760.00$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.