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MRI upper extremity joint with and without contrast
CPT 73223 · negotiated-rate distribution across hospitals in SD
Hospitals
4
Min
$3,335.26
Median
$4,878.44
Max
$5,968
Range multiplier
1.8×
By payer (36 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| TRICARE | 3 | 54 | $376.09 | $1,560.6 | $3,432.47 | 9.1× |
| UnitedHealthcare | 4 | 27 | $1,393.84 | $4,878.44 | $5,968 | 4.3× |
| Blue Cross Blue Shield | 4 | 20 | $1,176 | $2,929.56 | $5,968 | 5.1× |
| Cigna | 3 | 18 | $4,778.88 | $4,928.22 | $4,928.22 | 1.0× |
| medica (commercial) 94265 [3081118] | 3 | 18 | $4,131.74 | $4,878.44 | $4,878.44 | 1.2× |
| govt employees health assn [3081090] | 3 | 18 | $3,285.48 | $4,878.44 | $4,878.44 | 1.5× |
| healthpartners [3081368] | 3 | 15 | $393 | $4,878.44 | $4,878.44 | 12.4× |
| national telephone cooperative assn 52103 [3081149] | 3 | 12 | $3,285.48 | $4,878.44 | $4,878.44 | 1.5× |
| Meritain Health | 3 | 12 | $4,778.88 | $4,928.22 | $4,928.22 | 1.0× |
| risk admin svs [3081167] | 3 | 12 | $1,308.2 | $2,645.3 | $3,982.4 | 3.0× |
| Aetna | 3 | 10 | $4,480.2 | $4,480.2 | $4,729.1 | 1.1× |
| Humana | 4 | 8 | $407.88 | $4,978 | $5,968 | 14.6× |
| tlc advantage llc [3081189] | 4 | 7 | $4,679.32 | $4,679.32 | $4,873.9 | 1.0× |
| avera health plans 46045 [3081018] | 4 | 7 | $3,658.83 | $4,828.66 | $4,828.66 | 1.3× |
| midlands choice 47080 [3081136] | 3 | 6 | $4,778.88 | $4,928.22 | $4,928.22 | 1.0× |
| allied benefit systems inc [3081320] | 3 | 6 | $4,778.88 | $4,928.22 | $4,928.22 | 1.0× |
| coresource 38225 [3081146] | 3 | 6 | $3,235.7 | $4,480.2 | $4,480.2 | 1.4× |
| employee benefit management 12x44 [3081079] | 3 | 6 | $4,231.3 | $4,480.2 | $4,480.2 | 1.1× |
| fedmed inc [3081283] | 3 | 6 | $4,729.1 | $4,828.66 | $4,828.66 | 1.0× |
| health partners sx009 [3081102] | 3 | 6 | $3,086.36 | $4,878.44 | $4,878.44 | 1.6× |
| key benefit administrators [3081332] | 3 | 6 | $4,778.88 | $4,928.22 | $4,928.22 | 1.0× |
| pacificsource health plans [3081333] | 3 | 6 | $4,231.3 | $4,480.2 | $4,480.2 | 1.1× |
| preferred one 41147 [3081160] | 3 | 6 | $4,778.88 | $4,928.22 | $4,928.22 | 1.0× |
| rocky mountain admin llc 83028 [3081168] | 3 | 6 | $3,982.4 | $4,480.2 | $4,480.2 | 1.1× |
| sanford health plan 91184 [3081174] | 3 | 6 | $4,480.2 | $4,828.66 | $4,828.66 | 1.1× |
| surest [3081369] | 3 | 6 | $3,285.48 | $4,878.44 | $4,878.44 | 1.5× |
| group and pension administrators inc [3081098] | 2 | 4 | $4,480.2 | $4,654.43 | $4,828.66 | 1.1× |
| Multiplan | 2 | 4 | $4,480.2 | $4,654.43 | $4,828.66 | 1.1× |
| va ccn optum [3081339] | 3 | 3 | $388.46 | $1,393.84 | $1,393.84 | 3.6× |
| Medicare | 3 | 3 | $1,393.84 | $1,393.84 | $5,968 | 4.3× |
| va black hills health care system 12115 [3081206] | 3 | 3 | $388.46 | $1,393.84 | $1,393.84 | 3.6× |
| Health Net | 2 | 2 | $1,393.84 | $1,393.84 | $1,393.84 | 1.0× |
| VA Health | 2 | 2 | $1,393.84 | $1,393.84 | $1,393.84 | 1.0× |
| va black hills health care system 12115 [3081207] | 2 | 2 | $1,393.84 | $1,393.84 | $1,393.84 | 1.0× |
| minnesota health care programs 12k16 [3081295] | 1 | 2 | $1,508.33 | $1,508.33 | $1,508.33 | 1.0× |
| triwest healthcare alliance [3081322] | 2 | 2 | $1,393.84 | $1,393.84 | $1,393.84 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MONUMENT HEALTH SPEARFISH HOSPITAL | SPEARFISH | SD | 6 | $5,185 | $5,185 | $1,176 | $5,968 | $5,968 |
| MONUMENT HEALTH CUSTER HOSPITAL | CUSTER | SD | 35 | $4,978 | $4,978 | $1,308.2 | $4,878.44 | $4,978 |
| MONUMENT HEALTH STURGIS REGIONAL | STURGIS | SD | 33 | $4,978 | $4,978 | $1,308.2 | $4,828.66 | $4,978 |
| MONUMENT HEALTH RAPID CITY HOSPITAL | RAPID CITY | SD | 31 | $4,978 | $4,978 | $376.09 | $3,335.26 | $4,778.88 |
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.