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MRI lumbar spine with contrast

CPT 72158 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$307.95
Median
$1,320.44
Max
$1,406.00
Range multiplier
4.6×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare38$307.95$3,242.45$5,334.8717.3×
Aetna38$102.72$1,724.38$5,942.6457.9×
Blue Cross Blue Shield36$437.33$1,694.52$4,718.5310.8×
the health plan24$81.84$779.78$1,264.1215.4×
Cigna12$423.28$2,277.51$4,131.749.8×
Humana22$307.95$786.04$1,264.124.1×
umr22$4,943.82$5,139.35$5,334.871.1×
Anthem BCBS22$307.95$786.04$1,264.124.1×
WellCare22$307.95$786.04$1,264.124.1×
optum ccn region 122$307.95$786.04$1,264.124.1×
optum ccn region 222$307.95$786.04$1,264.124.1×
the health plan hmo22$5,256.72$5,464.62$5,672.521.1×
hp optum bh [32]11$5,352.00$5,352.00$5,352.001.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
institution [10406]11$423.28$423.28$423.281.0×
masshealth mcd mbhp [38]11$5,352.00$5,352.00$5,352.001.0×
Medicaid11$2,783.04$2,783.04$2,783.041.0×
mgb mcr [10124]11$423.28$423.28$423.281.0×
senior whole health [10110]11$452.91$452.91$452.911.0×
tufts connectorcare [10507]11$720.00$720.00$720.001.0×
tufts mcr [10112]11$444.45$444.45$444.451.0×
tufts us family [11203]11$423.28$423.28$423.281.0×
wellpoint [11112]11$1,117.48$1,117.48$1,117.481.0×
wellsense mcaid carelon hlth [21]11$5,352.00$5,352.00$5,352.001.0×
workers compensation [20501]11$1,000.79$1,000.79$1,000.791.0×
CHAMPVA11$424.11$424.11$424.111.0×
commonwealth care alliance [10103]11$444.45$444.45$444.451.0×
connecticare [11105]11$5,352.00$5,352.00$5,352.001.0×
evernorth behavioral health [27]11$4,281.60$4,281.60$4,281.601.0×
fallon carelon hlth [28]11$5,352.00$5,352.00$5,352.001.0×
fallon mcaid carelon hlth [29]11$5,352.00$5,352.00$5,352.001.0×
fallon mcr [10105]11$444.45$444.45$444.451.0×
fallon mcr supp [20202]11$444.45$444.45$444.451.0×
First Health11$4,014.00$4,014.00$4,014.001.0×
grants [20507]11$5,352.00$5,352.00$5,352.001.0×
hne [11108]11$3,483.08$3,483.08$3,483.081.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beckley ArhBeckleyWV11$6,753.00$4,051.80$81.84$307.95$5,942.64
Webster County Memorial HospitalWebster SpringsWV28$5,352.00$5,352.00$423.28$1,406.00$5,352.00
Summers County ArhHintonWV11$6,258.00$3,754.80$1,251.60$1,320.44$5,507.04
Reynolds Memorial HospitalGlen DaleWV0$4,519.00$2,259.50
Jackson General HospitalRipleyWV0$4,059.00$2,029.50
Princeton Community HospitalPrincetonWV0$5,985.00$2,992.50
Wheeling HospitalWheelingWV0$4,127.00$2,063.50
Camden-Clark Memorial HospitalParkersburgWV0$6,019.00$3,009.50
Wetzel County HospitalNew MartinsvilleWV0$5,376.00$2,688.00
Summersville Regional Med CenterSummersvilleWV0$3,381.00$1,690.50
Braxton County Memorial HospitalGassawayWV0$2,891.00$1,445.50
Potomac Valley HospitalKeyserWV0$3,510.00$1,755.00
Grant Memorial HospitalPetersburgWV0$1,986.00$1,588.80
Jefferson Memorial HospitalRansonWV0$3,709.00$1,854.50
Jackson General HospitalRipleyWV0$4,059.00$2,029.50
St. Josephs Hospital Of BuckhannonBuckhannonWV0$3,943.00$1,971.50
West Virginia University HospitalsMorgantownWV0$4,192.00$2,096.00
Summersville Regional Med CenterSummersvilleWV0$3,381.00$1,690.50
United Hospital CenterBridgeportWV0$3,772.00$1,886.00
City Hospital Inc.MartinsburgWV0$3,719.00$1,859.50

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.