Lumbosacral spine X-ray, 2 to 3 views at Adena Fayette Medical Center

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

HC RADIOLOGY EXAM LUMBOSACRAL SPINE 2 OR 3 VIEWS

Washington Court House, OH

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Pricing by billing methodology

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How this price compares nationally

Adena Fayette Medical Center’s median price of $234 is 62% above the median hospital's median price ($144), higher than 70% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72100 at Adena Fayette Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 30 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Molina dual medicaid facility · other · outpatient	$81.09	$81.09	$81.09 – $81.09
2	Molina managed medicaid facility · other · outpatient	$81.09	$81.09	$81.09 – $81.09
3	Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$96.77	$96.77	$96.77 – $96.77
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$152.60	$152.60	$152.60 – $152.60
5	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$152.60	$152.60	$152.60 – $152.60
6	Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$152.60	$152.60	$152.60 – $152.60
7	Molina medicare advantage/dual facility · percent of total billed charges · outpatientfrom % of charges	$152.60	$152.60	$152.60 – $152.60
8	Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$155.65	$155.65	$155.65 – $155.65
9	Anthem hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges	$163.39	$163.39	$163.39 – $163.39
10	Anthem hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$170.46	$170.46	$170.46 – $170.46
11	Caresource commercial facility · case rate · outpatient	$213.62	$213.62	$213.62 – $213.62
12	Molina commercial facility · case rate · outpatient	$218.96	$218.96	$218.96 – $218.96
13	Anthem blue preferred/blue access facility · percent of total billed charges · inpatientfrom % of charges	$224.06	$224.06	$224.06 – $224.06
14	Anthem blue preferred/blue access facility · percent of total billed charges · outpatientfrom % of charges	$226.29	$226.29	$226.29 – $226.29
15	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$234.11	$233.36	$231.87 – $234.11
16	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$234.11	$233.36	$231.87 – $234.11
17	Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges	$241.55	$241.55	$241.55 – $241.55
18	Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$251.60	$251.60	$251.60 – $251.60
19	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$256.44	$256.44	$256.44 – $256.44
20	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$256.44	$256.44	$256.44 – $256.44
21	Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges	$280.89	$280.89	$280.89 – $280.89
22	Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges	$280.89	$280.89	$280.89 – $280.89
23	Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · inpatientfrom % of charges	$280.89	$280.89	$280.89 – $280.89
24	Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · outpatientfrom % of charges	$280.89	$280.89	$280.89 – $280.89
25	Medical Mutual traditional commercial facility · percent of total billed charges · inpatientfrom % of charges	$280.89	$280.89	$280.89 – $280.89

Page 1 of 2 · 30 rates

Last updated: Aug 19, 2026

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