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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in NH

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Hospitals
1
Min
$1,342
Median
$1,342
Max
$1,342
Range multiplier
1.0×

By payer (8 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS124$340.9$1,013.13$1,582.844.6×
harvard pilgrim15$1,862.76$2,434.75$3,854.942.1×
tufts health plan13$5,897.78$5,897.78$6,406.951.1×
maine community health13$3,620.89$3,620.89$6,139.771.7×
UnitedHealthcare12$4,507$5,501.06$6,495.111.4×
well sense health plan11$1,259.44$1,259.44$1,259.441.0×
Cigna11$2,653$2,653$2,6531.0×
amerihealth caritas11$1,019.25$1,019.25$1,019.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CATHOLIC MEDICAL CENTERMANCHESTERNH8$8,996$8,996$340.9$1,342$6,495.11

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.