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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$100.89
Median
$348.90
Max
$610.96
Range multiplier
6.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield13135$221.04$390.71$1,339.356.1×
UnitedHealthcare1394$50.00$610.96$782.7915.7×
Cigna1380$89.56$805.66$1,329.8314.8×
Aetna1255$100.89$908.41$2,469.7124.5×
Medicare928$100.89$340.31$359.123.6×
Humana1228$100.89$337.10$425.804.2×
Ambetter1118$141.25$444.63$987.007.0×
Medicare Advantage817$327.02$342.02$342.021.0×
optum va714$337.10$342.02$342.021.0×
smart health714$471.94$478.83$478.831.0×
amerigroup mcr replacement714$337.10$342.02$352.281.0×
point comfort underwriters714$303.39$307.82$307.821.0×
nhc advantage714$337.10$342.02$342.021.0×
centurion of tn714$337.10$342.02$342.021.0×
healthspring mcr replacement714$337.10$342.02$342.021.0×
ascension complete612$337.10$339.56$342.021.0×
wellpoint39$342.41$342.41$348.041.0×
farm bureau47$102.91$335.21$335.213.3×
Self-Pay (Cash)77$337.10$342.02$342.021.0×
Oscar Health77$471.94$478.83$478.831.0×
devoted health36$342.41$342.41$342.411.0×
Medicaid16$284.93$353.73$578.002.0×
TRICARE56$326.10$327.22$344.021.1×
triwest va pccc36$342.02$342.02$342.021.0×
community plan44$264.35$264.35$264.351.0×
WellCare44$100.89$342.41$342.413.4×
galaxy health network33$2,601.00$2,601.00$2,601.001.0×
community services network33$1,878.50$1,878.50$1,878.501.0×
direct care america33$2,312.00$2,312.00$2,312.001.0×
ehn33$1,300.50$1,300.50$1,300.501.0×
initial group33$2,543.20$2,543.20$2,543.201.0×
ccn managed care33$2,456.50$2,456.50$2,456.501.0×
medsave usa33$2,312.00$2,312.00$2,312.001.0×
national provider network33$2,312.00$2,312.00$2,312.001.0×
novanet33$2,167.50$2,167.50$2,167.501.0×
optum33$326.10$326.10$326.101.0×
beech street33$2,456.50$2,456.50$2,456.501.0×
usa managed care organization33$2,023.00$2,023.00$2,023.001.0×
correctional medical services33$1,734.00$1,734.00$1,734.001.0×
Molina12$284.93$320.55$356.161.2×
amerigroup22$88.28$203.18$318.083.6×
americhoice mcr replacement12$321.50$330.05$338.601.1×
blue11$100.89$100.89$100.891.0×
devoted health [450111]11$336.83$336.83$336.831.0×
amerivantage11$88.28$88.28$88.281.0×
provider network of america11$171.51$171.51$171.511.0×
amerigroup mcaid replacement11$313.50$313.50$313.501.0×
bluecare11$587.43$587.43$587.431.0×
generic hospice vbid [10940000101]11$327.02$327.02$327.021.0×
transplant optum tenncare [350013]11$269.35$269.35$269.351.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St Thomas Hickman HospitalCentervilleTN4$295.54$610.96$985.24
Saint Thomas Rutherford HospitalMurfreesboroTN19$4,416.35$1,324.91$295.54$390.71$2,296.50
Saint Thomas West HospitalNashvilleTN19$4,416.35$1,324.91$295.54$390.71$2,296.50
Saint Thomas Stones River HospitalWoodburyTN19$4,749.45$1,424.84$264.35$374.92$2,469.71
Saint Thomas Highland HospitalSpartaTN19$4,749.45$1,424.84$264.35$353.96$2,469.71
St Thomas Dekalb HospitalSmithvilleTN19$4,749.45$1,424.84$264.35$353.96$2,469.71
Ascension St Thomas River ParkMcminnvilleTN20$4,523.25$1,356.98$264.35$348.90$2,352.09
Morristown-Hamblen HospitalMorristownTN24$2,890.00$895.90$198.87$342.41$2,601.00
Fort Loudoun Medical CenterLenoir CityTN24$2,890.00$924.80$198.87$342.41$2,601.00
Roane County Medical CenterHarrimanTN24$2,890.00$895.90$198.87$342.41$2,601.00
Saint Thomas Midtown HospitalNashvilleTN21$295.54$342.02$985.24
Methodist H/C Memphis Hospt.MemphisTN15$8,449.00$1,858.78$50.00$331.93$1,048.77
Metro Nashville General HospitalNashvilleTN19$4,448.00$2,668.80$55.49$100.89$2,446.40
Big South Fork Medical CenterOneidaTN0$2,673.00$801.90
St Thomas AscensionNashvilleTN0$12,575$3,143.78

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.