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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$344.22
Median
$1,384.75
Max
$3,086.14
Range multiplier
9.0×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS416$293.91$1,923.02$2,951.2310.0×
UnitedHealthcare412$29$339.92$4,912.57169.4×
Aetna38$29$339.92$3,990.64137.6×
Humana25$307.9$332.36$355.311.2×
Cigna45$900$900$4,327.24.8×
Medicaid33$30.31$30.31$375.212.4×
harvard pilgrim33$1,869.49$1,869.69$1,939.31.0×
sentara health plan13$299.5$342.13$3,726.212.4×
WellCare22$29$186.61$344.2211.9×
community health options22$76.27$77.4$78.531.0×
Medicare22$31$187.61$344.2211.1×
connecticare11$4,207$4,207$4,2071.0×
Self-Pay (Cash)11$344.22$344.22$344.221.0×
workers compensation11$582.14$582.14$582.141.0×
TRICARE11$344.22$344.22$344.221.0×
vhn11$4,808$4,808$4,8081.0×
vhn - link11$5,409$5,409$5,4091.0×
vhn - plus11$4,627.7$4,627.7$4,627.71.0×
vhn - secondary payors11$5,709.5$5,709.5$5,709.51.0×
vhn - ultra11$3,726.2$3,726.2$3,726.21.0×
gateway - tier 111$5,709.5$5,709.5$5,709.51.0×
gateway - tier 311$3,305.5$3,305.5$3,305.51.0×
gateway - tier 211$4,808$4,808$4,8081.0×
First Health11$307.9$307.9$307.91.0×
martins point11$344.22$344.22$344.221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BRIDGTON HOSPITALBRIDGTONME7$3,257.5$1,009$30.31$900$2,951.23
CENTRAL MAINE MEDICAL CENTERLEWISTONME14$3,257.5$344$76.27$344.22$1,939.3
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$6,010$2,103.5$293.91$3,086.14$5,709.5
RUMFORD HOSPITALRUMFORDME7$3,257.5$944$29$1,384.75$2,670.71
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$317$237.75

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.