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
CT scan of upper spine with contrast
Low
$1
Average
$694
Median
$396
High
$5.6k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
829 hospitals; the 90th percentile is 8.5× 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.
Filter by billing methodology
Filter by billing class
1,156 hospital rates
iThe hospitals that file a Molina 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 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $227 | $270 | $115 | 43% | 2–20 | $155 – $414 |
| 2 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $922 | $922 | — | — | 1–10 | $922 – $922 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $362 | $362 | — | — | 1–10 | $362 – $362 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 1–10 | $408 – $408 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 1–10 | $408 – $408 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $498 | $498 | — | — | 1–10 | $498 – $498 |
| 7 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $863 | $863 | — | — | 1–10 | $863 – $863 |
| 8 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $341 | $330 | $104 | 31% | 1–10 | $199 – $452 |
| 9 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $590 | $590 | — | — | 1–10 | $590 – $590 |
| 10 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 11 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $677 | $677 | — | — | 1–10 | $677 – $677 |
| 12 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 2 | $635 | $635 | $254 | 40% | 1–10 | $380 – $889 |
| 13 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 14 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $336 | $314 | $38 | 12% | 1–10 | $248 – $336 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 16 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 17 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 18 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 19 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $711 | $711 | — | — | — | $711 – $711 |
| 20 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $628 | $628 | — | — | — | $628 – $628 |
| 21 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $693 | $693 | — | — | — | $693 – $693 |
| 22 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 24 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $1.3k | $1.3k | $1 | 0% | — | $1.3k – $1.3k |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $963 | $996 | $123 | 12% | — | $882 – $1.2k |
← Payers reporting CPT 72126 · Snapshot 20261111T120946Z-9134e7f7