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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in NE

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Hospitals
4
Min
$380.38
Median
$2,472.00
Max
$4,768.50
Range multiplier
12.5×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica315$100.79$416.79$5,679.7056.4×
Cigna211$265.08$830.63$6,013.8022.7×
Aetna210$100.79$367.67$6,214.2661.7×
UnitedHealthcare38$127.82$858.61$4,201.0032.9×
Blue Cross Blue Shield48$193.10$2,610.22$5,345.6027.7×
winhealth15$191.50$563.58$5,679.7029.7×
Humana25$100.79$296.62$362.273.6×
rci insurance group15$265.08$830.63$5,612.8821.2×
WellCare25$105.83$311.45$2,472.0023.4×
medica cost14$105.83$258.54$380.383.6×
naphcare14$151.19$369.34$543.403.6×
Ambetter14$186.28$455.64$554.153.0×
Centene13$301.29$358.48$795.772.6×
midlands choice23$2,434.12$3,510.75$5,393.002.2×
nebraska total care22$2,472.00$2,922.00$3,372.001.4×
one world12$1,200.37$1,290.40$1,380.421.1×
phcs12$3,323.51$3,417.13$3,510.751.1×
greater omaha packing12$1,200.37$1,290.40$1,380.421.1×
quiktrip12$2,808.60$2,808.60$2,808.601.0×
amerigroup12$301.29$333.37$365.441.2×
millard public schools12$1,200.37$1,290.40$1,380.421.1×
Multiplan12$3,978.85$3,978.85$3,978.851.0×
elap11$1,544.73$1,544.73$1,544.731.0×
iamolina11$307.20$307.20$307.201.0×
amps11$744.81$744.81$744.811.0×
pace11$348.04$348.04$348.041.0×
timpte11$1,380.42$1,380.42$1,380.421.0×
todays options11$355.00$355.00$355.001.0×
creighton university employees11$695.91$695.91$695.911.0×
great plains11$365.44$365.44$365.441.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi Health-Creighton Univ Med CenterOmahaNE21$4,681.00$1,966.02$301.29$795.77$3,978.85
Regional West Garden County HospitalOshkoshNE6$5,677.00$3,860.00$3,372.00$4,768.50$5,450.00
Regional West Medical CenterScottsbluffNE12$6,682.00$4,009.20$100.79$380.38$6,214.26
Genoa Community HospitalGenoaNE4$4,189.00$3,770.00$2,472.00$2,472.00$4,646.00

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.