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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in ND

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Hospitals
11
Min
$1,467.86
Median
$3,011.98
Max
$8,532.86
Range multiplier
5.8×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare932$343.10$3,350.79$4,883.7214.2×
medica927$206.80$2,493.92$5,413.2826.2×
Blue Cross Blue Shield919$210.94$2,242.68$4,587.8021.7×
sanford health plan918$282.00$3,144.49$5,338.0518.9×
health partners818$441.80$3,919.70$5,589.8012.7×
Multiplan714$441.80$4,013.63$9,101.7220.6×
Aetna23$1,820.00$1,966.20$3,277.001.8×
Humana33$1,267.50$1,267.50$3,277.002.6×
Medicare12$3,277.00$3,604.70$3,932.401.2×
Medicare Advantage11$2,949.30$2,949.30$2,949.301.0×
medincrease11$10,239$10,239$10,2391.0×
healthpartners11$2,949.30$2,949.30$2,949.301.0×
nextblue11$3,277.00$3,277.00$3,277.001.0×
nextblue north dakota11$1,650.00$1,650.00$1,650.001.0×
prime health services11$9,670.58$9,670.58$9,670.581.0×
provider network of america11$8,532.86$8,532.86$8,532.861.0×
quik trip11$8,532.86$8,532.86$8,532.861.0×
Cigna11$2,949.30$2,949.30$2,949.301.0×
tlc advantage11$2,621.60$2,621.60$2,621.601.0×
TRICARE11$2,457.75$2,457.75$2,457.751.0×
america's choice provider network11$7,964.01$7,964.01$7,964.011.0×
usa managed care organization11$8,532.86$8,532.86$8,532.861.0×
Medicaid11$2,346.33$2,346.33$2,346.331.0×
velocity provider ppo network11$8,532.86$8,532.86$8,532.861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Pam Rehabilitation Hospital Of FargoFargoND8$11,377$11,377$7,964.01$8,532.86$10,239
Oakes Community HospitalOakesND6$5,619.00$2,921.88$2,235.24$5,338.05$5,450.43
Mercy HospitalDevils LakeND5$5,884.00$2,471.28$2,235.92$4,295.32$5,589.80
St Josephs Hospital & Health CtrDickinsonND6$5,235.00$3,298.05$2,198.70$4,135.65$5,077.95
Carrington Health CenterCarringtonND5$4,126.00$2,393.08$1,320.32$3,011.98$3,960.96
Jacobson Memorial HospitalElginND15$3,277.00$2,457.75$1,966.20$2,949.30$4,587.80
St Alexius Medical CenterBismarckND7$2,535.00$1,723.80$1,267.50$2,154.75$2,408.25
Garrison Memorial HospitalGarrisonND7$2,535.00$1,723.80$1,267.50$2,154.75$2,408.25
Linton HospitalLintonND7$2,427.00$2,427.00$728.00$1,699.00$2,427.00
Mercy Medical CenterWillistonND6$5,668.00$3,287.44$206.80$1,467.86$5,327.92
Presentation Medical CenterRollaND0$3,600.00$3,240.00

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.