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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in OK

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Hospitals
13
Min
$87.50
Median
$1,744.07
Max
$3,376.11
Range multiplier
38.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield635$335.54$922.85$1,376.374.1×
healthcare highways [2210]629$1,164.50$1,915.65$3,056.952.6×
Aetna615$85.00$309.37$1,591.0018.7×
Cigna913$90.00$1,113.68$3,870.5743.0×
First Health813$85.00$932.04$4,042.2747.6×
UnitedHealthcare712$68.00$1,113.68$2,887.3442.5×
Humana511$54.00$1,113.68$1,436.6826.6×
healthcare highways58$44.00$677.90$1,249.2928.4×
Multiplan88$1,873.94$3,497.81$4,149.812.2×
Oscar Health88$957.79$1,317.00$1,826.501.9×
community care26$671.07$1,457.51$1,457.512.2×
healthscope benefits [2290]66$1,399.26$1,714.95$2,321.851.7×
hooray health [8000]66$1,164.50$1,461.00$1,826.501.6×
oncology patient assistance programs [2295]66$1,164.50$1,461.00$1,826.501.6×
umr - ardent employee [2036]66$1,399.26$1,714.95$2,321.851.7×
web tpa [2115]66$1,744.07$2,216.65$3,056.951.8×
the kempton group administrators [2905]55$2,096.10$2,634.75$3,287.701.6×
osma health network [2345]55$1,164.50$1,463.75$1,826.501.6×
pba [1775]55$2,306.87$2,852.34$3,870.571.7×
pending ssi [1616]55$4,703.00$5,833.00$7,306.001.6×
resource one administrators [2815]55$1,835.25$2,517.65$3,056.951.7×
lucent health [6000]55$1,164.50$1,445.25$1,826.501.6×
medica [2910]55$2,631.77$3,470.81$4,149.811.6×
black lung [6055]55$1,164.50$1,445.25$1,826.501.6×
Medicare24$335.54$335.54$335.541.0×
healthsmart33$94.00$1,113.68$1,113.6811.8×
healthsmart [1505]33$4,913.85$4,958.05$5,921.101.2×
global health [1430]33$2,915.86$3,584.22$3,616.461.2×
Self-Pay (Cash)33$35.10$1,113.68$1,113.6831.7×
healthpartners [1500]33$2,852.34$3,167.99$3,870.571.4×
medica33$42.00$1,113.68$1,113.6826.5×
national association of letter carriers [1695]33$2,306.87$2,852.34$3,167.991.4×
preferred community choice33$92.00$1,582.43$1,582.4317.2×
healthcare solutions [1485]33$3,970.62$4,104.51$4,141.431.0×
the kempton group22$838.84$838.84$838.841.0×
healthchoice22$1,113.68$1,113.68$1,113.681.0×
healthscope22$957.79$957.79$957.791.0×
va ccn22$335.54$335.54$335.541.0×
Centene22$1,113.68$1,113.68$1,113.681.0×
manhattan life22$1,436.68$1,436.68$1,436.681.0×
Medicare Advantage22$345.60$345.60$345.601.0×
webtpa hobby lobby hch22$1,103.54$1,103.54$1,103.541.0×
beacon health options behavioral health [2890]22$2,002.94$2,459.40$2,915.861.5×
phcs22$1,457.51$1,457.51$1,457.511.0×
sana benefits22$1,353.40$1,353.40$1,353.401.0×
Ambetter22$469.75$469.75$469.751.0×
global health22$1,311.75$1,311.75$1,311.751.0×
globalhealth22$1,113.68$1,113.68$1,113.681.0×
globalhealth/generations22$1,113.68$1,113.68$1,113.681.0×
GEHA22$356.43$356.43$356.431.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jefferson County HospitalWaurikaOK14$35.10$87.50$1,376.37
Oklahoma Heart Hospital SouthOklahoma CityOK26$2,082.15$728.75$174.52$722.96$1,873.94
Oklahoma Heart HospitalOklahoma CityOK25$2,082.15$728.75$174.52$617.60$1,873.94
Hillcrest Hospital HenryettaHenryettaOK12$5,781.00$1,734.30$1,445.25$3,376.11$5,781.00
Hillcrest Hospital PryorPryorOK22$4,703.00$1,410.90$1,175.75$3,056.95$4,703.00
Hillcrest Medical CenterTulsaOK15$7,306.00$2,191.80$1,826.50$2,820.12$7,306.00
Hillcrest Hospital SouthTulsaOK15$5,855.00$1,756.50$1,463.75$2,306.87$3,448.60
Bailey Medical CenterOwassoOK16$6,966.00$2,089.80$1,741.50$1,915.65$6,966.00
Hillcrest Hospital ClaremoreClaremoreOK16$4,658.00$1,397.40$1,164.50$1,827.33$2,631.77
Hillcrest Hospital CushingCushingOK20$5,833.00$1,749.90$1,458.25$1,744.07$5,833.00
Nowata Health CenterNowataOK3$3,775.25$1,396.84$147.87$1,124.00$1,591.00
Mercy Rehab Hospital Oklahoma CityOklahoma CityOK13$1,113.68$1,113.68$835.26$1,113.68$1,113.68
Mercy Rehab Hospital Oklahoma City SOklahoma CityOK13$1,113.68$1,113.68$835.26$1,113.68$1,113.68

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.