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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$342.58
Median
$416.50
Max
$6,965.00
Range multiplier
20.3×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield543$52.97$1,154.58$8,516.00160.8×
UnitedHealthcare533$71.84$342.58$9,091.00126.5×
mvp320$104.97$339.28$5,845.7355.7×
capital district physicians' health plan319$102.63$359.92$5,892.3857.4×
Anthem BCBS218$102.91$326.43$6,928.0067.3×
Cigna516$102.91$2,845.16$8,899.0086.5×
tufts health plan115$269.59$952.64$5,171.3519.2×
wellpath312$144.07$689.04$4,326.8530.0×
fidelis care211$92.62$356.81$1,986.8321.5×
Aetna511$102.91$359.92$9,091.0088.3×
First Health411$102.91$5,483.99$6,686.9565.0×
harvard pilgrim health care110$102.91$3,290.40$4,918.6347.8×
Humana410$97.76$339.50$2,570.9026.3×
harvard pilgrim39$120.35$3,757.60$6,293.6052.3×
wellsense18$90.35$248.94$366.564.1×
martins point38$102.92$332.07$4,042.6939.3×
VA Health37$102.91$310.27$2,207.5921.5×
mvp healthcare17$102.91$342.58$5,088.2449.4×
Multiplan25$376.84$4,462.15$5,483.9914.6×
amerihealth-caritas14$90.35$230.82$276.063.1×
magnacare14$392.00$3,756.40$6,293.6016.1×
new hampshire healthy families14$90.35$230.82$276.063.1×
nppn14$441.00$4,225.95$7,080.3016.1×
WellCare14$108.06$271.76$359.713.3×
ebpa14$377.30$3,969.55$6,765.6217.9×
martin's point14$102.91$258.82$342.583.3×
st. regis13$102.91$310.27$359.923.5×
vermont health plan13$319.16$5,059.97$5,059.9715.9×
medical corporation12$539.60$2,500.88$4,462.158.3×
mvp health plan, inc.12$6,698.00$7,703.00$8,708.001.3×
veterans choice12$102.91$1,155.25$2,207.5921.5×
hphc insurance company, inc.12$6,845.00$7,872.00$8,899.001.3×
the vermont health plan12$5,336.00$6,137.00$6,938.001.3×
health new england12$5,483.99$5,483.99$5,483.991.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mt Ascutney Hospital And Health CentWindsorVT8$9,569.00$7,655.00$5,329.00$6,965.00$9,091.00
Porter HospitalMiddleburyVT16$4,697.00$4,697.00$71.84$489.19$4,650.03
University Of Vermont Medical CenterBurlingtonVT17$7,867.00$7,867.00$52.97$416.50$7,744.27
Central Vermont HospitalBarreVT12$6,316.70$6,316.70$100.85$353.87$6,278.80
Brattleboro Memorial HospitalBrattleboroVT18$5,653.60$3,957.52$90.35$342.58$5,483.99
Copley Hospital Inc.MorrisvilleVT0$2,666.00$2,132.80

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.