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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in VA

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Hospitals
12
Min
$1,136.00
Median
$3,086.14
Max
$4,165.00
Range multiplier
3.7×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare636$307.90$3,435.92$6,629.9321.5×
Aetna933$306.29$3,059.09$5,385.7017.6×
Humana624$307.90$325.84$355.311.2×
Anthem BCBS624$293.91$737.62$1,841.696.3×
sentara health plan618$299.50$342.13$5,028.8216.8×
Cigna918$856.00$4,050.74$5,491.156.4×
First Health99$307.90$307.90$1,159.003.8×
vhn - ultra66$3,726.20$3,726.20$5,028.821.3×
connecticare66$4,207.00$4,207.00$5,677.701.3×
gateway - tier 166$5,709.50$5,709.50$7,705.451.3×
gateway - tier 266$4,808.00$4,808.00$6,488.801.3×
gateway - tier 366$3,305.50$3,305.50$4,461.051.3×
vhn66$4,808.00$4,808.00$6,488.801.3×
vhn - link66$5,409.00$5,409.00$7,299.901.3×
vhn - plus66$4,627.70$4,627.70$6,245.471.3×
vhn - secondary payors66$5,709.50$5,709.50$7,705.451.3×
medcost/vhn commercial33$1,099.00$1,099.00$1,099.001.0×
sentara hmo/ppo/pos33$1,136.00$1,136.00$1,136.001.0×
medcost/vhn link33$2,691.00$2,691.00$2,691.001.0×
national provider network11$7,786.56$7,786.56$7,786.561.0×
integrated health plan11$6,894.35$6,894.35$6,894.351.0×
corvel11$265.91$265.91$265.911.0×
allcare11$325.84$325.84$325.841.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Tazewell Community HospitalTazewellVA20$8,111.00$2,838.85$265.91$4,165.00$7,786.56
Carilion Giles Community HospitalPearisburgVA16$6,428.00$2,249.80$293.91$3,300.78$6,106.60
Carilion Stonewall Jackson HospitalLexingtonVA16$6,010.00$2,103.50$293.91$3,086.14$5,709.50
Carilion Medical CenterRoanokeVA16$6,010.00$2,103.50$293.91$3,086.14$5,709.50
Carilion New River Valley Med CenterChristiansburgVA16$6,010.00$2,103.50$293.91$3,086.14$5,709.50
Carilion Franklin Memorial HospitalRocky MountVA16$6,010.00$2,103.50$293.91$3,086.14$5,709.50
Sheltering Arms HospitalMechanicsvilleVA6$2,990.00$2,990.00$856.00$1,136.00$2,691.00
Sheltering Arms InstituteRichmondVA6$2,990.00$2,990.00$856.00$1,136.00$2,691.00
Sheltering Arms Hospital SouthMidlothianVA6$2,990.00$2,990.00$856.00$1,136.00$2,691.00
Childrens Hospital Of The Kings DaNorfolkVA0$7,355.05$6,619.55
Lynn House Of Potomac Valley Inc.AlexandriaVA0$3,510.00$1,755.00
Bon Secours Depaul Medical CenterNorfolkVA0$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.