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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in MO

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Hospitals
19
Min
$994.64
Median
$3,151.85
Max
$5,503.87
Range multiplier
5.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1050$325.72$2,085.75$6,176.2219.0×
Blue Cross Blue Shield949$335.49$1,130.79$6,645.3019.8×
Cigna1032$366.12$3,016.08$6,264.8017.1×
UnitedHealthcare1031$325.72$2,066.28$5,808.7717.8×
cox health systems insurance company [220]724$1,529.55$2,666.95$5,785.323.8×
healthlink [225]721$1,348.79$3,075.80$5,902.594.4×
allied benefits [498]721$1,598.50$2,853.40$6,176.223.9×
Humana1020$325.72$1,035.56$5,824.4117.9×
consociate [478]714$983.00$1,024.00$4,237.364.3×
healthscope benefits [258]714$1,782.00$3,113.83$6,254.403.5×
med-pay [480]714$1,807.65$3,151.85$5,863.503.2×
phcs [244]714$2,085.75$3,636.75$6,254.403.0×
unicare [568]714$1,807.65$3,151.85$5,902.593.3×
Multiplan99$879.44$3,549.00$5,863.506.7×
Anthem BCBS29$755.93$4,204.35$4,204.355.6×
First Health99$726.09$3,602.81$5,808.778.0×
sarah bush lincoln [636]78$983.00$1,024.00$4,237.364.3×
preferred health professionals [561]77$2,099.66$3,661.00$5,902.592.8×
priority health [648]77$989.00$3,331.26$4,245.174.3×
healthcare sol mercy [609]77$2,085.75$3,636.75$5,863.502.8×
nalc health benefit plan [242]77$989.00$3,331.26$4,245.174.3×
coresource [497]77$1,598.50$2,923.95$6,176.223.9×
fmh benefit service inc [222]77$1,598.50$2,923.95$6,176.223.9×
mail handlers [495]77$1,598.50$2,923.95$6,176.223.9×
cox health [757]77$360.53$366.91$1,120.123.1×
hfn [563]77$2,224.80$3,879.20$6,645.303.0×
hope trust [806]77$1,612.98$2,812.42$4,534.442.8×
medica [662]77$360.53$366.91$1,141.453.2×
beechstreet [551]77$2,085.75$3,636.75$5,863.502.8×
health systems inc [620]77$2,085.75$3,636.75$5,863.502.8×
apwu health plan [216]77$989.00$3,331.26$4,245.174.3×
health alliance [224]77$2,250.00$2,250.00$3,550.001.6×
essence healthcare [221]77$343.36$366.12$1,066.783.1×
medica [661]77$2,224.80$3,879.20$6,254.402.8×
detego health [868]77$2,085.75$3,636.75$5,863.502.8×
devoted health plan [847]66$366.12$379.94$1,171.033.2×
Ambetter33$553.72$994.64$4,204.357.6×
php [503200005]13$4,698.60$4,744.02$5,787.111.2×
Meritain Health23$4,204.35$4,204.35$6,578.041.6×
Medicaid23$994.64$994.64$4,204.354.2×
Medicare23$325.72$332.23$366.121.1×
centivo [5032000982]12$537.44$537.44$537.441.0×
alt wppa [5032000964]12$651.44$2,697.73$4,744.027.3×
mh magellan health services [270]22$2,781.00$2,781.00$2,781.001.0×
6 degrees health [503999050]12$570.01$692.16$814.301.4×
healthlink ppo22$994.64$2,599.50$4,204.354.2×
medica22$994.64$2,599.50$4,204.354.2×
healthlink [503200007]12$4,744.02$5,265.57$5,787.111.2×
Empire BCBS22$994.64$3,502.47$6,010.296.0×
essence22$994.64$2,599.50$4,204.354.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mercy Rehabilitation Hospital-SpgfSpringfieldMO70$994.64$994.64$596.78$994.64$994.64
St. Louis Childrens HospitalSt. LouisMO34$7,818.00$4,690.80$343.36$5,503.87$6,645.30
Mercy Hospital - St. LouisSt. LouisMO19$4,204.35$4,204.35$4,204.35$4,204.35$4,204.35
North Kansas City HospitalNorth Kansas CityMO57$7,831.00$1,566.20$325.72$3,798.04$7,439.45
Parkland Health Center - FarmingtonFarmingtonMO35$4,849.00$2,909.40$374.25$3,151.85$4,218.63
Missouri Baptist Sullivan HospitalSullivanMO35$4,849.00$2,909.40$440.31$3,151.85$4,218.63
Missouri Baptist Hospital SullivanSullivanMO35$4,849.00$2,909.40$440.31$3,151.85$4,218.63
Parkland Hlth Ctr - Bonne TerreBonne TerreMO36$4,732.00$2,839.20$366.12$3,075.80$4,145.23
Barnes Jewish St. Peters HospitalSt. PetersMO36$2,781.00$1,668.60$349.44$1,722.50$2,781.00
Progress West HospitalOfallonMO36$2,781.00$1,668.60$349.44$1,663.00$2,781.00
Harrison County Community HospitalBethanyMO0$4,478.00$2,239.00
Cox Medical Center BransonBransonMO0$4,607.29$1,045.85
Barton County Memorial HospitalLamarMO0$4,607.29$1,469.73
Cox-Monett HospitalMonettMO0$4,607.29$1,405.22
Moberly Regional Medical CenterMoberlyMO0$4,059.14$1,948.39
CoxhealthSpringfieldMO0$4,607.29$1,161.04
Northeast Regional Medical CenterKirksvilleMO0$10,685$5,876.96
Missouri Delta Medical CenterSikestonMO0$3,696.50$924.13
Ranken JordanMaryland HeightsMO0$2,908.40$2,326.72

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.