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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in PA

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Hospitals
58
Min
$336.46
Median
$2,341.17
Max
$7,862.79
Range multiplier
23.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27186$104.53$2,710.36$5,768.2955.2×
Blue Cross Blue Shield27182$149.02$1,214.10$8,173.5054.8×
upmc health plan2595$139.63$372.90$7,665.1154.9×
UnitedHealthcare2795$139.63$420.47$10,83777.6×
Cigna2790$320.44$2,401.20$6,512.4020.3×
Multiplan1150$2,543.20$5,213.52$13,0785.1×
intergroup1544$2,543.20$5,347.20$13,8955.5×
pa health & wellness2141$367.72$577.72$2,315.526.3×
amerihealth caritas2240$350.69$419.94$2,208.326.3×
First Health1334$3,348.68$4,498.33$11,4433.4×
geisinger1832$372.90$471.18$5,097.8613.7×
private health care systems1326$3,035.91$4,952.80$13,0784.3×
Humana1425$314.28$4,326.30$13,89544.2×
upmc work partners2121$425.00$2,610.88$2,656.886.3×
Medicaid220$70.00$351.47$675.939.7×
keystone first517$330.87$714.37$945.812.9×
Medicare214$94.99$322.57$619.206.5×
wirerope works512$3,371.03$3,716.30$3,716.301.1×
america's choice512$5,347.20$5,347.20$6,015.601.1×
preferred healthcare system612$2,170.00$2,170.00$10,6264.9×
health partners plans (jefferson health plan)1111$405.65$511.21$511.211.3×
health partners plans39$293.72$293.72$374.031.3×
jup geisinger commercial18$170.96$790.32$1,102.446.4×
three rivers provider network48$2,793.04$4,404.32$6,015.602.2×
selectcare48$4,326.30$7,906.40$13,0783.0×
health coalition partners46$4,202.10$4,459.59$13,0783.1×
abington pro ibc16$115.28$301.09$477.554.1×
pennsylvania health and wellness36$394.26$580.10$756.821.9×
jup health partners chip16$87.26$165.37$575.346.6×
premier comp solutions66$2,428.73$2,428.73$2,471.521.0×
gateway health plan35$139.24$348.10$458.383.3×
innovage55$308.12$374.03$433.691.4×
naphcare45$492.99$550.05$612.891.2×
health payors organization24$9,768.60$11,832$13,8951.4×
pa health_wellness chc24$349.70$395.20$440.701.3×
national provider network24$4,320.80$6,610.54$8,900.282.1×
Medicare Advantage24$338.70$346.63$370.961.1×
fidelis23$392.96$12,260$12,26031.2×
Anthem BCBS13$608.00$2,047.02$2,737.374.5×
health plan of upper ohio valley13$340.48$340.48$4,619.5413.6×
elder health33$430.10$440.04$440.041.0×
prime health services33$570.53$583.71$583.711.0×
geisinger health plan23$1,255.59$1,271.27$1,314.491.0×
univera13$634.05$1,394.91$1,859.882.9×
jup pa health_wellness13$91.00$349.70$440.704.8×
occunet33$425.60$605.05$605.051.4×
Oscar Health33$537.63$550.05$550.051.0×
ibc23$429.21$1,570.26$2,330.795.4×
clover health33$379.93$388.70$388.701.0×
st agnes22$308.12$315.35$322.571.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc ShadysidePittsburghPA21$16,347$9,808.20$322.80$7,862.79$13,895
American Oncologic HospialPhiladelphiaPA16$18,653$293.72$714.37$11,565
Temple University HospitalPhiladelphiaPA20$18,653$293.72$550.05$6,342.02
Jeanes HospitalPhiladelphiaPA18$18,653$293.72$516.88$6,342.02
Upmc JamesonNew CastlePA13$4,910.00$2,946.00$309.35$455.96$4,320.80
WellsboroWellsboroPA14$6,684.00$4,850.40$344.32$4,447.82$6,349.80
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$5,511.00$412.18$293.72$403.22$3,352.05
Upmc Mercy HospitalPittsburghPA17$10,854$6,512.40$283.82$3,959.65$9,768.60
Upmc MckeesportMckeesportPA14$10,082$6,049.20$315.59$3,831.16$8,569.70
Upmc East HospitalMonroevillePA14$10,364$6,218.40$341.40$3,684.40$8,291.20
Curahealth Heritage ValleyBeaverPA9$3,355.00$905.85$139.24$349.07$2,791.13
Aria HealthPhiladelphiaPA34$4,872.00$393.71$70.00$336.46$1,271.27
Muncy Valley HospitalMuncyPA15$6,684.00$4,010.40$344.32$3,348.68$6,349.80
Lock Haven HospitalLock HavenPA15$6,684.00$4,010.40$343.82$3,188.27$6,015.60
Divine Providence HospitalWilliamsportPA15$6,684.00$4,010.40$343.82$3,188.27$6,015.60
Williamsport Hospital & Medical CtrWilliamsportPA15$6,684.00$4,010.40$343.82$3,188.27$6,015.60
Upmc Northwest HospitalSenecaPA13$6,379.00$3,827.40$308.78$3,121.32$5,422.15
Upmc Bedford Memorial HospitalEverettPA17$4,807.00$2,884.20$122.85$2,980.34$4,326.30
Upmc PassavantPittsburghPA15$9,999.00$5,999.40$316.41$2,869.54$9,299.07
Upmc St MargaretPittsburghPA13$9,684.00$5,810.40$293.97$2,750.26$8,231.40
Upmc Horizon HospitalGreenvillePA17$6,003.00$3,601.80$304.83$2,341.17$5,102.55
Altoona Regional Health SystemAltoonaPA12$4,340.00$2,604.00$269.00$2,170.00$4,134.82
Upmc Magee-Womens HospitalPittsburghPA12$4,340.00$2,604.00$269.00$2,170.00$4,134.82
Upmc Childrens Hospital Of PghPittsburghPA12$4,340.00$2,604.00$269.00$2,170.00$4,134.82
The Childrens Home Of PittsburghPittsburghPA12$4,340.00$2,604.00$269.00$2,170.00$4,134.82
Upmc HamotEriePA16$4,227.00$2,536.20$281.64$1,268.10$5,814.46
Charles Cole Memorial HospitalCoudersportPA14$3,179.00$1,907.40$355.95$1,211.85$3,794.78
Allied Services Rehab HospitalScrantonPA0$986.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$986.00
Penn State Hershey Rehabilitation LlHummelstownPA0$1,786.00$464.54
St Christophers Hospital For ChildrPhiladelphiaPA0$15,133$7,566.50
Lifecare Hospitals Of Chester CountyWest ChesterPA0$6,187.00$6,187.00
Holy Spirit HospitalCamp HillPA0$1,786.00$426.68
Chestnut Hill HospitalPhiladelphiaPA0$8,220.00$2,055.00
Uniontown HospitalUniontownPA0$2,264.00$1,132.00
Reading Hospital And Medical CenterReadingPA0$8,220.00$5,754.00
Clarion HospitalClarionPA0$3,000.00$1,680.00
St. Joseph Medical CenterReadingPA0$1,786.00$464.54
Hospital Of The Univ Of PennaPhiladelphiaPA0$19,434$19,434
Windber Hospital Inc.WindberPA0$2,519.79$2,141.82
Pottstown Memorial Medical CenterPottstownPA0$9,328.00$2,332.00
Wayne Memorial HospitalHonesdalePA0$4,983.00$3,488.10
Phoenixville HospitalPhoenixvillePA0$8,220.00$2,055.00
Miners HospitalHastingsPA0$4,247.00$1,698.80
Westmoreland Regional HospitalGreensburgPA0$2,671.00$1,602.60
Armstrong County MemorialKittanningPA0$3,530.00$1,059.00
Butler Memorial HospitalButlerPA0$5,035.00$3,524.50
The Chester County HospitalWest ChesterPA0$6,187.00$6,187.00
Doylestown HospitalDoylestownPA0$6,496.00$6,496.00
Frick HospitalMount PleasantPA0$2,671.00$1,602.60
Latrobe Area HospitalLatrobePA0$2,671.00$1,602.60
Presbyterian Medical CenterPhiladelphiaPA0$10,822$10,822
Pennsylvania Hospital Of UphsPhiladelphiaPA0$19,434$19,434
Milton S. Hershey Medical CenterHersheyPA0$1,786.00$591.70
Physicians Care Surgical HospitalRoyersfordPA0$7,581.00$393.40
Hampden Medical CenterEnolaPA0$1,786.00$562.05
Meyersdale Community HospitalMeyersdalePA0$5,361.00$2,144.40
Miners HospitalHastingsPA0$4,247.00$1,698.80

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.