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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in TX

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Hospitals
58
Min
$232.74
Median
$1,341.00
Max
$7,590.62
Range multiplier
32.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield41230$102.52$1,397.03$8,427.0082.2×
UnitedHealthcare37137$105.54$447.37$7,003.6266.4×
Medicaid25103$1.00$349.84$5,807.025807.0×
Aetna39102$100.51$1,036.02$6,027.5660.0×
Anthem BCBS371$82.27$439.78$1,532.0018.6×
Humana3269$100.51$1,050.00$7,183.2071.5×
Cigna2748$212.10$1,520.50$6,488.9930.6×
Medicare1241$232.74$375.95$442.301.9×
Multiplan2128$3,018.00$5,189.75$7,835.482.6×
First Health1424$875.00$4,479.80$6,734.257.7×
healthcare highways [2210]515$1,290.25$2,524.50$3,485.822.7×
commercial | galaxy | all plans914$4,827.15$5,858.20$7,045.201.5×
healthsmart714$903.00$7,991.31$7,991.318.8×
mhs care connect212$82.27$187.10$269.373.3×
Molina812$349.84$350.49$1,913.925.5×
Ambetter1111$232.74$534.12$720.983.1×
commercial | usa health network | all plans510$4,827.15$5,342.68$5,858.201.2×
wellpoint610$363.84$409.36$1,973.735.4×
commercial | nppn | all plans510$4,543.20$5,028.40$5,513.601.2×
commercial | healthsmart | ppo59$1,100.00$3,975.30$4,824.404.4×
health partners open network29$224.22$649.71$2,120.199.5×
prime health services58$469.26$8,178.39$8,325.2017.7×
assurant health48$5,926.14$5,926.14$5,926.141.0×
commercial | entrust | all plans88$732.18$869.59$968.791.3×
web tpa48$4,040.55$4,040.55$4,040.551.0×
wellmed88$335.34$342.17$1,656.234.9×
Medicare Advantage37$232.74$232.74$1,705.207.3×
commercial | community health choice | exchange77$401.45$552.54$552.871.4×
web tpa [2115]57$1,290.25$3,079.25$6,256.604.8×
velocity provider ppo network46$433.16$7,345.76$7,345.7617.0×
tmhp [50160]16$349.84$349.84$349.841.0×
healthscope benefits [2290]56$975.06$2,751.77$3,485.823.6×
scott & white56$536.54$536.54$4,246.517.9×
wellpoint amerigroup [50170]15$349.84$349.84$349.841.0×
commercial | superior health plan | all plans55$552.54$552.87$552.871.0×
commercial | phcs | all plans55$5,210.50$5,283.90$5,283.901.0×
commercial | renaissance | all plans55$265.22$265.38$265.381.0×
commercial | kelseycare | exchange55$497.29$497.58$497.581.0×
commercial | nxhealth | all plans55$1,189.79$1,197.17$1,197.881.0×
commercial | kelseycare | all plans55$1,398.60$1,398.60$1,398.601.0×
commercial | harris health | ers55$552.54$552.87$552.871.0×
quik trip45$7,086.69$7,345.76$7,345.761.0×
90 degree benefits55$366.00$838.34$838.342.3×
provider network of america45$7,086.69$7,345.76$8,814.921.2×
black lung [6055]44$1,290.25$2,801.88$3,485.822.7×
patoka valley tier 224$439.78$439.78$439.781.0×
lucent health [6000]44$1,290.25$2,801.88$3,485.822.7×
cook childrens health plan [50177]14$349.84$349.84$349.841.0×
iowa health14$105.54$252.93$1,736.4416.5×
kempton group44$670.68$670.68$670.681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Lukes Lakeside HospitalThe WoodlandsTX21$6,892.00$2,412.20$265.38$950.00$5,858.20
Chi St Lukes Health Memorial LufkinLufkinTX10$7,828.00$2,739.80$314.09$931.00$7,045.20
Falls Community Hospital And ClinicMarlinTX6$5,494.02$4,395.22$368.43$800.00$4,395.22
Warm Springs Rehab Hosp KyleKyleTX8$9,794.35$9,794.35$6,856.05$7,590.62$8,814.92
Corpus Christi Specialty HospitalCorpus ChristiTX9$9,794.35$9,794.35$400.00$7,345.76$8,814.92
Acuity Hospital Of South TexasSan AntonioTX13$9,448.92$9,448.92$342.21$7,086.69$8,504.03
Crescent Medical Center LancasterLancasterTX12$2,282.00$1,483.00$349.00$684.50$49,900
St. Joseph Regional Health CenterBryanTX10$6,130.00$2,145.50$359.19$631.51$5,210.50
College Station Medical CenterCollege StationTX10$6,130.00$2,145.50$359.19$631.51$5,210.50
Baptist Saint Anthonys HospitalAmarilloTX77$8,938.00$893.80$2,770.78$6,256.60$7,597.30
Wilson N Jones Regional Medical CtrShermanTX12$4,240.38$3,392.31$100.51$596.99$4,240.38
St. Lukes Patients Medical CenterPasadenaTX12$6,601.00$2,310.35$341.23$579.84$5,610.85
Rice Medical CenterEagle LakeTX19$6,567.00$4,596.90$1.00$4,728.24$6,567.00
Brazosport Regional Health SystemLake JacksonTX11$4,884.00$1,709.40$359.19$467.79$2,442.00
Baylor Orthopedic And Spine HospitalArlingtonTX2$6,155.00$3,693.00$2,335.78$4,444.41$8,427.00
Chi St Lukes Health Mem LivingstonLivingstonTX11$7,828.00$2,739.80$314.09$439.26$7,045.20
Pam Squared At Corpus ChristiCorpus ChrstiTX26$9,794.35$9,794.35$160.00$433.16$8,325.20
Childrens Medical Center Of PlanoPlanoTX31$5,981.00$4,485.75$269.47$4,186.70$5,801.57
North Texas Medical CenterGainsvilleTX17$4,311.00$1,078.00$366.00$385.00$3,966.00
Methodist Hospital For SurgeryAddisonTX32$6,383.00$3,829.80$342.79$365.07$1,073.00
Driscoll Childrens HospitalCorpus ChristiTX25$14,076$2,815.23$165.82$349.84$1,000.00
Trinity Regional Hospital SachseSachseTX10$5,596.67$4,477.34$100.51$345.74$4,757.17
Hansford County Hospital DistrictSpearmanTX5$3,740.00$2,805.00$2,618.00$3,366.00$3,927.00
Texas Rehabilitation Hospital Of KelKellerTX11$12,317$1,231.70$3,079.25$3,079.25$6,293.99
Shannon Medical CenterSan AngeloTX22$8,979.00$4,489.50$335.34$2,812.62$7,991.31
San Angelo Community Medical CenterSan AngeloTX22$8,979.00$4,489.50$335.34$2,812.62$7,991.31
River Crest HospitalSan AngeloTX22$8,979.00$4,489.50$335.34$2,812.62$7,991.31
Big Spring State HospitalBig SpringsTX22$8,979.00$4,489.50$335.34$2,812.62$7,991.31
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$4,348.00$2,608.80$350.37$2,693.79$4,020.58
Heritage Park Surgical HospitalShermanTX2$3,863.00$2,317.80$350.37$2,693.79$4,020.58
Ut Health East Texas Specialty HospiTylerTX7$10,098$1,009.80$2,524.50$2,524.50$2,524.50
Ascension Seton BastropBastropTX20$82.27$232.74$835.97
Ascension Seton Shoal CreekAustinTX20$82.27$232.74$835.97
Eastland Memorial HospitalEastlandTX3$3,122.00$1,561.00$1,936.00$2,232.50$2,810.00
Seton Medical Center Harker HeightsHarker HeightsTX14$5,417.00$541.70$975.06$2,112.63$5,807.02
Limestone Medical CenterGroesbeckTX8$5,880.00$3,528.00$456.37$1,739.30$4,704.00
Golden Plains Community HospitalBorgerTX6$7,201.00$5,040.70$744.61$1,656.23$4,896.68
St Lukes Health Memorial San AugustSan AugustineTX9$7,828.00$2,739.80$359.19$1,490.05$7,045.20
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$1,600.00$960.00$608.00$1,464.00$1,536.00
Madison St. Joseph Health CenterMadisonvilleTX8$6,130.00$2,145.50$359.19$1,450.00$5,517.00
Burleson St. Joseph Health CenterCaldwellTX8$6,130.00$2,145.50$359.19$1,430.09$5,517.00
Glen Rose Medical CenterGlen RoseTX8$1,915.00$1,915.00$881.00$1,341.00$1,819.00
Grimes St. Joseph Health CenterNavasotaTX5$6,130.00$2,145.50$359.19$1,296.09$5,210.50
Lifecare Spec Hosp Of North TexasDallasTX7$5,161.00$516.10$1,290.25$1,290.25$1,290.25
Clay County Memorial HospitalHenriettaTX5$4,514.00$3,160.00$903.00$1,129.00$1,444.00
Chi St Lukes Health Baylor Med CtrHoustonTX22$6,892.00$2,412.20$265.22$1,055.00$5,858.20
St. Lukes Sugar Land HospitalSugar LandTX20$6,892.00$2,412.20$265.38$1,050.00$5,858.20
St. Lukes The Woodlands HospitalThe WoodlandsTX21$6,892.00$2,412.20$265.22$1,050.00$5,858.20
St Lukes Hospital At The VintageHoustonTX22$6,892.00$2,412.20$265.38$1,050.00$5,858.20
Kingwood Emergency HospitalKingwoodTX0$2,738.22$1,369.11
St Joseph Medical CenterHoustonTX0$12,073$12,073
Trustpoint Rehabilitation Hospital OLubbockTX0$2,855.64
Yoakum County HospitalDenver CityTX0$2,750.00$2,750.00
Laredo Medical CenterLaredoTX0$16,750$5,862.35
Longview Regional Medical CenterLongviewTX0$9,903.48$2,673.94
The Medical Ctr Of Southeast TexasPort ArthurTX0$11,315$11,315
Laredo Specialty HospitalLaredoTX0$2,855.64
Navarro Regional HospitalCorsicanaTX0$6,188.00$2,165.80

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.