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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in WA

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Hospitals
4
Min
$307.95
Median
$1,062.62
Max
$2,646
Range multiplier
8.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield315$468.4$1,089.22$2,6465.6×
UnitedHealthcare38$307.95$1,062.62$5,334.8717.3×
Aetna36$102.72$822.58$5,942.6457.9×
Humana34$307.95$409.18$451.211.5×
zzprovidence [150129]12$1,062.62$1,062.62$1,062.621.0×
benefit md [150113]12$1,062.62$1,062.62$1,062.621.0×
coresource [150109]12$1,062.62$1,062.62$1,062.621.0×
employee benefit management services [150108]12$1,062.62$1,062.62$1,062.621.0×
fc moda health [150139]12$1,062.62$1,062.62$1,062.621.0×
first choice [150134]12$1,062.62$1,062.62$1,062.621.0×
first choice health administrators [150110]12$1,062.62$1,062.62$1,062.621.0×
first choice health comp [150112]12$1,062.62$1,062.62$1,062.621.0×
first choice umr [150138]12$1,062.62$1,062.62$1,062.621.0×
Health Net12$1,062.62$1,062.62$1,062.621.0×
here [150114]12$1,062.62$1,062.62$1,062.621.0×
hotel employees health trust [150115]12$1,062.62$1,062.62$1,062.621.0×
international longshore & warehouse union [150116]12$1,062.62$1,062.62$1,062.621.0×
kitsap physician services [150118]12$1,062.62$1,062.62$1,062.621.0×
loomis benefits west [150119]12$1,062.62$1,062.62$1,062.621.0×
Medicare Advantage12$468.4$468.4$468.41.0×
mega [150120]12$1,062.62$1,062.62$1,062.621.0×
midwest [150121]12$1,062.62$1,062.62$1,062.621.0×
nw administrators [150123]12$1,062.62$1,062.62$1,062.621.0×
operating engineers [150125]12$1,062.62$1,062.62$1,062.621.0×
painters trust [150126]12$1,062.62$1,062.62$1,062.621.0×
puget sound electric [150131]12$1,062.62$1,062.62$1,062.621.0×
seattle plumb and pipe [150132]12$1,062.62$1,062.62$1,062.621.0×
the health plan12$81.84$194.9$307.953.8×
trusteed plan [150101]12$1,062.62$1,062.62$1,062.621.0×
washington bakers trust [150102]12$1,062.62$1,062.62$1,062.621.0×
washington employers trust [150103]12$1,062.62$1,062.62$1,062.621.0×
washington state health ins pool [150104]12$1,062.62$1,062.62$1,062.621.0×
welfare pension administration services [150105]12$1,062.62$1,062.62$1,062.621.0×
zenith admin [150106]12$1,062.62$1,062.62$1,062.621.0×
zzjohn alden [150117]12$1,062.62$1,062.62$1,062.621.0×
zzprincipal financial group [150128]12$1,062.62$1,062.62$1,062.621.0×
carpenters trust [150122]12$1,062.62$1,062.62$1,062.621.0×
cement masons and plasterers [150127]12$1,062.62$1,062.62$1,062.621.0×
asuris truadvantage [4011]11$468.4$468.4$468.41.0×
mid west natl life [8006]11$2,646$2,646$2,6461.0×
WellCare11$307.95$307.95$307.951.0×
chp advantage [4001]11$537.15$537.15$537.151.0×
chpw [130116]11$648.2$648.2$648.21.0×
Cigna11$2,646$2,646$2,6461.0×
community health network of wa [1055]11$794.98$794.98$794.981.0×
Molina11$966.87$966.87$966.871.0×
Multiplan11$2,822.4$2,822.4$2,822.41.0×
mutual of omaha [8007]11$2,646$2,646$2,6461.0×
mva farmers [1026]11$2,822.4$2,822.4$2,822.41.0×
first choice [8009]11$2,646$2,646$2,6461.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EAST ADAMS RURAL HOSPITALRITZVILLEWA11$6,753$4,051.8$81.84$307.95$5,942.64
WENATCHEE VALLEY HOSPITALWENATCHEEWA27$2,940$2,646$451.21$2,646$2,940
VALLEY MEDICAL CENTERRENTONWA38$2,523$1,766.1$405.13$1,062.62$1,355.99
KFH - WASHINGTONSEATTLEWA0$4,300$3,440

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.