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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$5,42315.1×
UnitedHealthcare736$175.43$548.51$4,56326.0×
Aetna522$387.09$2,232.79$16,97443.9×
institution [10406]420$423.28$4,148.6$5,42312.8×
Cigna715$312.88$436$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$1,494.1$2,266.24$3,573.582.4×
Multiplan45$3,059.25$4,067.25$5,017.51.6×
First Health55$2,915.4$4,014$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$5,387.5$5,4231.3×
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$420.7$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$5,387.5$5,4231.3×
grants [20507]44$4,079$5,387.5$5,4231.3×
CHAMPVA44$381.7$439.17$454.231.2×
tufts connectorcare [10507]44$720$720$7201.0×
hne [11108]44$2,275.67$2,445.77$3,483.081.5×
hsno/free care [10801]44$294.3$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$406.8$15,37041.2×
upmc health plan13$376.34$474.6$6781.8×
tufts dual [10111]33$423.28$423.28$423.281.0×
evernorth behavioral health [27]33$4,281.6$4,338.4$4,338.41.0×
masshealth mcd mbhp [38]33$5,352$5,423$5,4231.0×
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$400.67$2,769.6348.6×
eternalhealth mcr replace [10116]22$444.45$444.45$444.451.0×
automobile [10401]22$5,423$5,423$5,4231.0×
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$4,715.5$5,3521.3×
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$4,715.5$5,3521.3×
keystone first12$365.59$3,067.48$5,769.3715.8×
optum transplant [20601]22$5,423$5,423$5,4231.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$4,859$1,012.12$57$700.33$4,534.9
HEALTHALLIANCE-CLINTONLEOMINSTERMA31$4,079$4,079$222.22$534.42$4,079
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$18,653$312.88$415.28$18,280
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$5,575$2,787.5$808.38$2,344.29$5,296.25
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA28$5,352$5,352$423.28$1,406$5,352
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA35$5,423$5,423$222.22$1,113.21$5,423
MARLBOROUGH HOSPITALMARLBOROUGHMA35$5,423$5,423$222.22$1,113.21$5,423
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.