Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR Xr Cervical Spine 4-5 Views|PROFESSIONAL COMPONENT
Low
$0
Average
$120
Median
$104
High
$1.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
373 hospitals; the 90th percentile is 2.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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417 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $94 | $94 | — | — | 17 | $94 – $94 |
| 2 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $100 | $100 | — | — | 15 | $100 – $100 |
| 3 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $100 | $100 | — | — | 15 | $100 – $100 |
| 4 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $106 | $106 | — | — | 3–30 | $106 – $106 |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $49 | $49 | — | — | 2–20 | $49 – $49 |
| 6 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | $81 | 56% | 2–20 | $63 – $224 |
| 7 | Baptist Memorial Hospital-Union City Union City, TN facility · other · outpatient | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 8 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 9 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $200 | $200 | — | — | 1–10 | $200 – $200 |
| 10 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 11 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 12 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 13 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 14 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 15 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 16 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 17 | Newton Wellesley Hospital Newton, MA other · both | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 18 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $131 | $131 | — | — | 1–10 | $131 – $131 |
| 19 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 20 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 21 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 22 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 23 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $518 | $518 | $401 | 77% | 1–10 | $117 – $919 |
| 24 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $114 | $114 | $3 | 2% | 1–10 | $111 – $117 |
| 25 | Salem Hospital Salem, MA other · both | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
← Payers reporting CPT 72050 · Snapshot 20261111T120946Z-9134e7f7