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MRI upper extremity joint without contrast

CPT 73221 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$2,802.61
Median
$4,057.51
Max
$5,915
Range multiplier
2.1×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$235$1,544.36$2,884.2912.3×
UnitedHealthcare536$1,171.24$4,099.34$5,9155.1×
Blue Cross Blue Shield527$841$3,722.87$5,9157.0×
Cigna424$4,015.68$4,141.17$4,141.171.0×
medica (commercial) 94265 [3081118]424$3,471.89$4,099.34$4,099.341.2×
govt employees health assn [3081090]424$2,760.78$4,099.34$4,099.341.5×
healthpartners [3081368]421$251$4,099.34$4,099.3416.3×
national telephone cooperative assn 52103 [3081149]416$2,760.78$4,099.34$4,099.341.5×
Meritain Health416$4,015.68$4,141.17$4,141.171.0×
risk admin svs [3081167]416$1,027.87$2,187.14$3,346.43.3×
Aetna412$3,764.7$3,869.28$3,973.851.1×
Humana510$213.32$4,183$5,91527.7×
tlc advantage llc [3081189]59$3,932.02$3,932.02$4,095.581.0×
avera health plans 46045 [3081018]59$3,074.51$4,057.51$4,057.511.3×
midlands choice 47080 [3081136]48$4,015.68$4,141.17$4,141.171.0×
allied benefit systems inc [3081320]48$4,015.68$4,141.17$4,141.171.0×
coresource 38225 [3081146]48$2,718.95$3,764.7$3,764.71.4×
employee benefit management 12x44 [3081079]48$3,555.55$3,764.7$3,764.71.1×
fedmed inc [3081283]48$3,973.85$4,057.51$4,057.511.0×
health partners sx009 [3081102]48$2,593.46$4,099.34$4,099.341.6×
key benefit administrators [3081332]48$4,015.68$4,141.17$4,141.171.0×
pacificsource health plans [3081333]48$3,555.55$3,764.7$3,764.71.1×
preferred one 41147 [3081160]48$4,015.68$4,141.17$4,141.171.0×
rocky mountain admin llc 83028 [3081168]48$3,346.4$3,764.7$3,764.71.1×
sanford health plan 91184 [3081174]48$3,764.7$4,057.51$4,057.511.1×
surest [3081369]48$2,760.78$4,099.34$4,099.341.5×
va ccn optum [3081339]44$203.16$1,171.24$1,547.717.6×
Medicare44$1,171.24$1,359.48$5,9155.1×
Multiplan24$3,764.7$3,911.11$4,057.511.1×
group and pension administrators inc [3081098]24$3,764.7$3,911.11$4,057.511.1×
va black hills health care system 12115 [3081206]44$203.16$1,171.24$1,547.717.6×
va black hills health care system 12115 [3081207]33$1,171.24$1,171.24$1,547.711.3×
VA Health33$1,171.24$1,171.24$1,547.711.3×
Health Net33$1,171.24$1,171.24$1,547.711.3×
triwest healthcare alliance [3081322]33$1,171.24$1,171.24$1,547.711.3×
minnesota health care programs 12k16 [3081295]12$1,267.45$1,267.45$1,267.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD6$4,357$4,357$841$5,915$5,915
MONUMENT HEALTH CUSTER HOSPITALCUSTERSD35$4,183$4,183$1,027.87$4,099.34$4,183
MONUMENT HEALTH LEAD-DEADWOOD HOSPITDEADWOODSD33$4,183$4,183$1,027.87$4,057.51$4,183
MONUMENT HEALTH STURGIS REGIONALSTURGISSD33$4,183$4,183$1,027.87$4,057.51$4,183
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD31$4,183$4,183$203.16$2,802.61$4,015.68

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.