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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$415.28
Median
$1,113.21
Max
$2,344.29
Range multiplier
5.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield742$358.42$1,102.81$5,423.0015.1×
UnitedHealthcare736$175.43$548.51$4,563.0026.0×
Aetna522$387.09$2,232.79$16,97443.9×
institution [10406]420$423.28$4,148.60$5,423.0012.8×
Cigna715$312.88$436.00$4,572.5714.6×
tufts [11201]310$485.63$809.67$1,296.152.7×
Medicaid49$418.11$1,789.59$2,819.966.7×
correctional care [11003]38$423.28$423.28$4,572.5710.8×
medcost16$1,494.10$2,266.24$3,573.582.4×
Multiplan45$3,059.25$4,067.25$5,017.501.6×
First Health55$2,915.40$4,014.00$4,067.251.4×
Humana34$369.17$2,792.71$5,296.2514.3×
mgb mcr [10124]44$423.28$444.45$444.451.1×
senior whole health [10110]44$447.37$450.14$452.911.0×
connecticare [11105]44$4,079.00$5,387.50$5,423.001.3×
wellpoint [11112]44$1,117.48$1,117.48$1,117.481.0×
amerihealth24$808.38$1,076.87$1,809.652.2×
tufts us family [11203]44$418.11$420.70$423.281.0×
tufts mcr supp [20209]24$222.22$333.34$444.452.0×
workers compensation [20501]44$1,000.79$1,000.79$1,000.791.0×
fallon mcaid carelon hlth [29]44$4,079.00$5,387.50$5,423.001.3×
grants [20507]44$4,079.00$5,387.50$5,423.001.3×
CHAMPVA44$381.70$439.17$454.231.2×
tufts connectorcare [10507]44$720.00$720.00$720.001.0×
hne [11108]44$2,275.67$2,445.77$3,483.081.5×
hsno/free care [10801]44$294.30$672.16$680.812.3×
pennsylvania health and wellness13$376.34$423.75$663.081.8×
tufts mcr [10112]23$222.22$444.45$444.452.0×
geisinger13$372.76$406.80$15,37041.2×
upmc health plan13$376.34$474.60$678.001.8×
tufts dual [10111]33$423.28$423.28$423.281.0×
evernorth behavioral health [27]33$4,281.60$4,338.40$4,338.401.0×
masshealth mcd mbhp [38]33$5,352.00$5,423.00$5,423.001.0×
fallon connectorcare [10503]33$1,285.25$1,285.25$1,919.531.5×
Medicare33$423.28$423.28$423.281.0×
fallon mcr [10105]33$444.45$444.45$444.451.0×
commonwealth care mcr [10115]33$444.45$444.45$444.451.0×
wellpoint13$57.00$400.67$2,769.6348.6×
eternalhealth mcr replace [10116]22$444.45$444.45$444.451.0×
automobile [10401]22$5,423.00$5,423.00$5,423.001.0×
devon health12$18,280$18,280$18,2801.0×
directnet12$3,294.83$3,294.83$3,294.831.0×
fallon carelon hlth [28]22$4,079.00$4,715.50$5,352.001.3×
fallon mcr supp [20202]22$444.45$444.45$444.451.0×
fidelis care12$400.67$831.03$1,261.393.1×
harvard pilgrim mcr supp [20203]22$444.45$444.45$444.451.0×
health partners plans12$376.34$400.05$423.751.1×
hp optum bh [32]22$4,079.00$4,715.50$5,352.001.3×
keystone first12$365.59$3,067.48$5,769.3715.8×
optum transplant [20601]22$5,423.00$5,423.00$5,423.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beth Israel Deaconess - PlymouthPlymouthMA13$4,859.00$1,012.12$57.00$700.33$4,534.90
Healthalliance-ClintonLeominsterMA31$4,079.00$4,079.00$222.22$534.42$4,079.00
Chestnut Hill Benevolent AssociationChestnut HillMA19$18,653$312.88$415.28$18,280
High Point HospitalMiddleboroughMA19$5,575.00$2,787.50$808.38$2,344.29$5,296.25
Harrington Memorial HospitalSouthbridgeMA28$5,352.00$5,352.00$423.28$1,406.00$5,352.00
Umass Memorial Medical CenterWorcesterMA35$5,423.00$5,423.00$222.22$1,113.21$5,423.00
Marlborough HospitalMarlboroughMA35$5,423.00$5,423.00$222.22$1,113.21$5,423.00
North Adams Regional HospitalNorth AdamsMA0$4,864.98$4,621.73
Fairview HospitalGreat BarringtonMA0$4,864.98$4,621.73
North Shore Medical CenterSalemMA0$12,969$12,969
Berkshire Medical CenterPittsfieldMA0$4,864.98$4,621.73

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.