Lumbar spine CT scan, without then with contrast

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections

Payers reporting CPT 72133

Payer pricing summary

Low

$131

Average

$1.5k

Median

$873

High

$10.5k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	532	$469	$663	$904	136%	4–40	$1 – $20.4k
2	Bcbs Al facility · other · outpatient · +3 other terms	5	$436	$441	$93	21%	2–20	$247 – $545
3	Anthem fee schedule · outpatient · +33 other terms	212	$531	$456	$599	131%	1–10	$4 – $7.7k
4	UnitedHealthcare fee schedule · outpatient · +38 other terms	782	$341	$468	$770	165%	—	$1 – $11.5k
5	Aetna fee schedule · outpatient · +38 other terms	616	$307	$877	$1.3k	148%	—	$1 – $11.4k
6	Humana fee schedule · outpatient · +34 other terms	439	$209	$559	$1.0k	186%	—	$1 – $9.9k
7	Cigna fee schedule · outpatient · +34 other terms	348	$513	$926	$1.6k	170%	—	$33 – $15.6k
8	Molina fee schedule · outpatient · +34 other terms	256	$221	$251	$156	62%	—	$1 – $1.7k
9	WellCare fee schedule · outpatient · +25 other terms	187	$190	$249	$206	83%	—	$63 – $1.7k
10	MultiPlan fee schedule · outpatient · +24 other terms	132	$3.2k	$3.2k	$3.7k	114%	—	$77 – $19.1k
11	Ambetter fee schedule · outpatient · +25 other terms	119	$273	$296	$319	108%	—	$56 – $2.5k
12	Devoted facility · fee schedule · outpatient · +19 other terms	112	$174	$200	$309	155%	—	$152 – $4.9k
13	Kaiser fee schedule · outpatient · +26 other terms	112	$359	$796	$1.4k	173%	—	$1 – $7.9k
14	Tricare facility · fee schedule · outpatient · +21 other terms	97	$176	$244	$440	181%	—	$117 – $4.6k
15	Caresource fee schedule · outpatient · +21 other terms	95	$267	$379	$358	95%	—	$1 – $1.7k
16	Aetna Better Health fee schedule · outpatient · +19 other terms	87	$195	$212	$91	43%	—	$93 – $663
17	Highmark facility · fee schedule · outpatient · +21 other terms	75	$286	$459	$577	126%	—	$45 – $3.0k
18	Optum facility · fee schedule · outpatient · +22 other terms	70	$171	$190	$106	56%	—	$151 – $1.1k
19	Oscar facility · fee schedule · outpatient · +21 other terms	69	$269	$260	$50	19%	—	$163 – $330
20	Medicaid facility · fee schedule · outpatient · +18 other terms	65	$195	$204	$86	42%	—	$101 – $386
21	First Health fee schedule · outpatient · +22 other terms	62	$939	$2.0k	$3.3k	159%	—	$71 – $14.4k
22	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	56	$234	$286	$143	50%	—	$136 – $730
23	Medica fee schedule · outpatient · +24 other terms	49	$626	$1.1k	$1.2k	103%	—	$56 – $4.2k
24	Medicare facility · fee schedule · outpatient · +20 other terms	45	$181	$350	$630	180%	—	$111 – $4.8k
25	Cigna Healthspring fee schedule · outpatient · +10 other terms	41	$184	$197	$47	24%	—	$163 – $355

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