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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$80.00
Median
$330.97
Max
$335.84
Range multiplier
4.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid1188$85.92$198.76$514.846.0×
Blue Cross Blue Shield5185$93.09$295.72$3,135.4933.7×
Medicare1141$103.02$209.22$569.915.5×
UnitedHealthcare5115$45.00$219.77$1,613.1235.8×
no fault [114001]184$218.98$875.91$1,094.895.0×
independent health [100165]156$113.94$284.56$943.468.3×
univera healthcare [100169]154$91.29$260.97$389.844.3×
Molina448$214.22$681.75$1,300.906.1×
Aetna533$29.10$58.80$329.6611.3×
WellCare130$109.98$219.69$345.363.1×
Cigna530$25.20$256.30$455.2518.1×
Humana526$65.00$219.68$1,300.9020.0×
fidelis essential [100163]124$115.21$287.76$1,136.259.9×
independent health essential [100166]124$95.21$419.63$514.845.4×
univera healthcare essential [100170]124$91.29$230.50$606.006.6×
TRICARE118$104.74$209.22$313.963.0×
VA Health118$89.03$177.84$266.873.0×
beacon essential [350122]118$94.27$251.06$376.754.0×
federal workers compensation [500100]118$218.98$875.91$1,094.895.0×
iha first choice [800001]116$113.94$284.56$1,019.158.9×
absolute total care414$18.00$429.94$1,365.9575.9×
fidelis dual advantage [450120]112$109.98$219.69$329.663.0×
amerigroup [350102]112$95.21$305.03$514.845.4×
select health312$340.70$480.23$1,300.903.8×
hospice [550001]112$104.74$209.22$313.963.0×
ghi [100153]18$99.50$203.99$313.963.2×
covid19 hrsa [45013]16$104.74$209.22$313.963.0×
clover insurance company36$337.46$337.46$337.461.0×
upmc health plan [100181]16$188.53$376.60$565.133.0×
mvp healthcare [100168]16$142.41$302.24$444.663.1×
fidelis exchange [100164]16$125.69$251.07$376.763.0×
fallon health [450115]16$104.74$209.22$313.963.0×
catholic health life pace [400005]16$104.74$209.22$313.963.0×
seneca nation [450119]16$104.74$209.22$313.963.0×
champ va [700002]16$104.74$209.22$313.963.0×
beacon health options [100023]16$125.69$251.06$376.753.0×
devoted health24$324.48$324.48$324.481.0×
tuscarora nation [550120]14$95.21$305.03$514.845.4×
vna option mltc [350110]14$95.21$305.03$514.845.4×
excellus rochester mcd [350117]14$95.21$305.03$514.845.4×
crime victims [100176]14$95.21$305.03$514.845.4×
Multiplan44$85.00$90.00$90.001.1×
plotkin health33$60.00$60.00$60.001.0×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90.00$90.00$90.001.0×
medcost12$56.90$65.30$73.701.3×
devoted health plan12$324.48$324.48$324.481.0×
prime health11$85.00$85.00$85.001.0×
pruitt health11$19.00$19.00$19.001.0×
sc state employees11$1,051.01$1,051.01$1,051.011.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Colleton Medical CenterWalterboroSC24$10,635$10,635$18.00$80.00$3,135.49
East Cooper Regional Medical CenterMt. PleasantSC14$1,131.61$36.90$335.84$2,624.09
Coastal Carolina Medical CenterHardeevilleSC14$1,131.61$25.20$330.97$2,715.26
Hilton Head HospitalHilton Head IslandSC14$1,131.61$32.20$330.97$3,062.51
Mary Black Memorial HospitalSpartanburgSC37$2,916.00$1,149.63$73.32$251.06$1,158.38
Roper St. Francis Mt Pleasant HospitMt. PleasantSC0$3,486.00$2,265.90
Mcleod Loris Seacoast HospitalLorisSC0$6,567.00$4,662.57
Mcleod Health CherawCherawSC0$6,567.00$4,662.57
Mcleod Health ClarendonManningSC0$6,567.00$4,662.57
Roper St. Francis Hospital-BerkeleySummervilleSC0$3,486.00$2,265.90
Mcleod Medical Center - DillonDillonSC0$6,567.00$4,662.57
Edgefield County HealthcareEdgefieldSC0$4,152.15$2,491.29
Mcleod Regional Medical CenterFlorenceSC0$6,567.00$4,662.57
Bon Secours St. Francis Xavier HospiCharlestonSC0$3,486.00$2,265.90
Self Regional HealthcareGreenwoodSC0$4,152.15$2,491.29
Roper Hospital Inc.CharlestonSC0$3,486.00$2,265.90

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.