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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$29.00$339.92$4,912.57169.4×
Aetna38$29.00$339.92$3,990.64137.6×
Humana25$307.90$332.36$355.311.2×
Cigna45$900.00$900.00$4,327.204.8×
Medicaid33$30.31$30.31$375.2012.4×
harvard pilgrim33$1,869.49$1,869.69$1,939.301.0×
sentara health plan13$299.50$342.13$3,726.2012.4×
WellCare22$29.00$186.61$344.2211.9×
community health options22$76.27$77.40$78.531.0×
Medicare22$31.00$187.61$344.2211.1×
connecticare11$4,207.00$4,207.00$4,207.001.0×
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$4,808.00$4,808.00$4,808.001.0×
vhn - link11$5,409.00$5,409.00$5,409.001.0×
vhn - plus11$4,627.70$4,627.70$4,627.701.0×
vhn - secondary payors11$5,709.50$5,709.50$5,709.501.0×
vhn - ultra11$3,726.20$3,726.20$3,726.201.0×
gateway - tier 111$5,709.50$5,709.50$5,709.501.0×
gateway - tier 311$3,305.50$3,305.50$3,305.501.0×
gateway - tier 211$4,808.00$4,808.00$4,808.001.0×
First Health11$307.90$307.90$307.901.0×
martins point11$344.22$344.22$344.221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bridgton HospitalBridgtonME7$3,257.50$1,009.00$30.31$900.00$2,951.23
Central Maine Medical CenterLewistonME14$3,257.50$344.00$76.27$344.22$1,939.30
Franklin Memorial HospitalFarmingtonME16$6,010.00$2,103.50$293.91$3,086.14$5,709.50
Rumford HospitalRumfordME7$3,257.50$944.00$29.00$1,384.75$2,670.71
Redington-Fairview General HospitalSkowheganME0$317.00$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.