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MRI upper extremity joint with and without contrast

CPT 73223 · negotiated-rate distribution across hospitals in SD

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Hospitals
4
Min
$3,335.26
Median
$4,878.44
Max
$5,968.00
Range multiplier
1.8×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE354$376.09$1,560.60$3,432.479.1×
UnitedHealthcare427$1,393.84$4,878.44$5,968.004.3×
Blue Cross Blue Shield420$1,176.00$2,929.56$5,968.005.1×
Cigna318$4,778.88$4,928.22$4,928.221.0×
medica (commercial) 94265 [3081118]318$4,131.74$4,878.44$4,878.441.2×
govt employees health assn [3081090]318$3,285.48$4,878.44$4,878.441.5×
healthpartners [3081368]315$393.00$4,878.44$4,878.4412.4×
national telephone cooperative assn 52103 [3081149]312$3,285.48$4,878.44$4,878.441.5×
Meritain Health312$4,778.88$4,928.22$4,928.221.0×
risk admin svs [3081167]312$1,308.20$2,645.30$3,982.403.0×
Aetna310$4,480.20$4,480.20$4,729.101.1×
Humana48$407.88$4,978.00$5,968.0014.6×
tlc advantage llc [3081189]47$4,679.32$4,679.32$4,873.901.0×
avera health plans 46045 [3081018]47$3,658.83$4,828.66$4,828.661.3×
midlands choice 47080 [3081136]36$4,778.88$4,928.22$4,928.221.0×
allied benefit systems inc [3081320]36$4,778.88$4,928.22$4,928.221.0×
coresource 38225 [3081146]36$3,235.70$4,480.20$4,480.201.4×
employee benefit management 12x44 [3081079]36$4,231.30$4,480.20$4,480.201.1×
fedmed inc [3081283]36$4,729.10$4,828.66$4,828.661.0×
health partners sx009 [3081102]36$3,086.36$4,878.44$4,878.441.6×
key benefit administrators [3081332]36$4,778.88$4,928.22$4,928.221.0×
pacificsource health plans [3081333]36$4,231.30$4,480.20$4,480.201.1×
preferred one 41147 [3081160]36$4,778.88$4,928.22$4,928.221.0×
rocky mountain admin llc 83028 [3081168]36$3,982.40$4,480.20$4,480.201.1×
sanford health plan 91184 [3081174]36$4,480.20$4,828.66$4,828.661.1×
surest [3081369]36$3,285.48$4,878.44$4,878.441.5×
group and pension administrators inc [3081098]24$4,480.20$4,654.43$4,828.661.1×
Multiplan24$4,480.20$4,654.43$4,828.661.1×
va ccn optum [3081339]33$388.46$1,393.84$1,393.843.6×
Medicare33$1,393.84$1,393.84$5,968.004.3×
va black hills health care system 12115 [3081206]33$388.46$1,393.84$1,393.843.6×
Health Net22$1,393.84$1,393.84$1,393.841.0×
VA Health22$1,393.84$1,393.84$1,393.841.0×
va black hills health care system 12115 [3081207]22$1,393.84$1,393.84$1,393.841.0×
minnesota health care programs 12k16 [3081295]12$1,508.33$1,508.33$1,508.331.0×
triwest healthcare alliance [3081322]22$1,393.84$1,393.84$1,393.841.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD6$5,185.00$5,185.00$1,176.00$5,968.00$5,968.00
Monument Health Custer HospitalCusterSD35$4,978.00$4,978.00$1,308.20$4,878.44$4,978.00
Monument Health Sturgis RegionalSturgisSD33$4,978.00$4,978.00$1,308.20$4,828.66$4,978.00
Monument Health Rapid City HospitalRapid CitySD31$4,978.00$4,978.00$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.