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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$139.88
Median
$369.23
Max
$3,062.22
Range multiplier
21.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2193$69.23$362.06$4,730.3268.3×
Medicare1382$103.78$348.3$557.285.4×
Medicaid1377$69.23$195.35$2,59437.5×
Aetna2256$139.88$390.89$4,262.0230.5×
Blue Cross Blue Shield1541$173.1$845.71$2,86716.6×
Humana1939$103.78$357.65$409.513.9×
Ambetter816$591.49$591.49$603.091.0×
Medicare Advantage916$346.06$358.48$363.151.0×
smarthealth816$501.87$501.87$521.191.0×
priority health914$157.04$157.04$3,866.0224.6×
blue mcr replacement714$358.48$358.48$358.481.0×
healthspring mcr replacement714$362.06$363.86$365.651.0×
Oscar Health714$573.57$573.57$573.571.0×
occunet714$663.19$734.89$806.581.2×
facility billing - op714$358.48$358.48$358.481.0×
WellCare714$358.48$358.48$358.481.0×
priority health op rate1012$954.01$1,598.46$3,455.623.6×
First Health812$147.87$1,705.83$4,464.8830.2×
mclaren commercial ins811$239.6$239.6$2,134.738.9×
TRICARE1011$314.92$346.06$986.753.1×
Cigna1011$244.91$2,080.29$3,062.2212.5×
u of m health plan810$119.35$119.35$3,249.5527.2×
mi amish medical board77$348.3$348.3$348.31.0×
cofinity auto66$661.77$661.77$661.771.0×
hap - hmo op rate56$695.35$982.07$2,749.254.0×
hap preferred op rate46$774.08$1,375.5$3,299.544.3×
cofinity - auto op rate46$1,070.12$1,778.02$3,544.663.3×
workers compensation66$793.68$1,293.03$2,273.972.9×
hp - hmo op rate45$807.69$872.17$1,149.411.4×
hp - ppo op rate45$1,074.84$1,210.16$1,529.61.4×
mclaren health op rate44$848.76$1,651.08$1,932.262.3×
cofinity - ppom op rate34$925.12$1,567$1,817.472.0×
harbor health plan14$185.5$204.05$346.061.9×
mclaren health advantage op rate23$1,009.78$1,027.21$2,408.162.4×
hcap op rate33$1,275.42$1,275.42$1,945.51.5×
health advantage - ppo op rate23$606.61$741.75$863.271.4×
Multiplan23$2,083.5$2,224.8$2,263.21.1×
mhp - hmo op rate23$606.61$741.75$863.271.4×
hap - ppo op rate33$1,362.57$1,362.57$1,452.981.1×
total health care priority health13$185.5$340.62$346.061.9×
hap-hmo op rate12$1,254.51$1,265.34$1,276.161.0×
bcn op rate22$793.55$1,046.24$1,298.931.6×
beech street op rate12$2,502.9$2,524.5$2,546.11.0×
blue care network op rate22$845.71$845.71$845.711.0×
Bright Health12$465.35$465.35$465.351.0×
cofinity - wc/auto op rate12$1,070.12$1,296.5$1,522.881.4×
cofinity op rate22$1,052.7$2,067.23$3,081.752.9×
cofinity w/c op rate12$1,771.78$1,787.07$1,802.361.0×
cofinity wc op rate12$925.12$1,120.83$1,316.531.4×
gift of life op rate12$1,946.7$1,963.5$1,980.31.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN BAY SPECIAL CAREBAY CITYMI18$1,105.35$186.86$927.12$1,817.47
MCLAREN FLINTFLINTMI27$3,253.2$1,626.6$69.23$634.19$2,283.78
TAWAS ST. JOSEPH HOSPITALTAWASMI10$4,336$1,430.88$244.91$409.51$2,867
ASCENSION STANDISH HOSPITALSTANDISHMI13$4,079$1,631.6$358.48$369.23$2,080.29
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$4,079$1,631.6$358.48$369.23$2,080.29
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$4,079$1,631.6$358.48$369.23$2,080.29
ASCENSION ALLEGAN HOSPITALALLEGANMI13$4,079$1,631.6$358.48$369.23$2,080.29
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$4,079$1,631.6$358.48$369.23$2,080.29
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$4,079$1,631.6$358.48$369.23$2,080.29
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$4,079$1,631.6$358.48$369.23$2,080.29
MCLAREN PORT HURONPORT HURONMI28$3,141.1$1,570.55$69.23$348.3$2,594
BAY REGIONAL MEDICAL CENTERBAY CITYMI27$2,549$1,274.5$69.23$348.3$2,081.51
MCLAREN CENTRAL MICHIGANMT PLEASANTMI18$4,999.3$2,499.65$69.23$348.3$3,749.48
MCLAREN GREATER LANSINGLANSING MI 489100MI21$6,757.6$3,378.8$69.23$348.3$4,730.32
MCLAREN LAPEER REGIONLAPEERMI25$3,053.8$1,526.9$69.23$348.3$2,522.1
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI20$4,934$346$30$346.06$536.39
MCLAREN NORTHERN MICHIGANPETOSKEYMI16$4,765.5$2,382.75$69.23$314.92$3,542.22
KARMANOS CANCER HOSPITALDETROITMI15$2,653.9$224.55$3,062.22$4,016.61
MCLAREN OAKLANDPONTIACMI14$2,374.35$224.55$2,749.25$4,566.1
MCLAREN MACOMBMT. CLEMENSMI20$1,529.95$217.89$1,643.02$2,546.1
MCLAREN THUMB REGIONBAD AXEMI10$2,777$1,388.5$69.23$139.88$986.75
ASCENSION ST JOHN HOSPITALDETROITMI3$3,775.25$1,396.84$147.87$1,124$1,591
SPARROW EATONCHARLOTTEMI0$3,638$909.5
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$4,082$2,857.4
CARSON CITY HOSPITALCARSON CITYMI0$4,061$1,015.25
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$4,430$3,544
MH - MERCY CAMPUSMUSKEGONMI0$1,900$912
MCKENZIE HEALTH SYSTEMSANDUSYMI0$4,883$3,906.4
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$3,516$2,461.2
SPARROW CLINTON HOSPITALST. JOHNSMI0$3,025$756.25

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.