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
X-ray of upper spine, 2-3 views
Clearlake, CA
See all hospitals reporting CPT 72040 →Price type
Adventist Health Clearlake Hospital Inc’s median price of $663 is 430% above the median hospital's median price ($125), higher than 97% of the 2,628 hospitals reporting CPT 72040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 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 | Medicaid medi-cal fee schedule · outpatient | $37.27 | $37.27 | $37.27 – $37.27 |
| 2 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $150.99 | $150.99 | $150.99 – $150.99 |
| 3 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $167.76 | $167.76 | $167.76 – $167.76 |
| 4 | Blue Cross Blue Shield blue shield mcr adv percent of total billed charges · outpatientfrom % of charges | $187.43 | $187.43 | $180.60 – $194.25 |
| 5 | Blue Cross Blue Shield tricare blue shield- all plans percent of total billed charges · outpatientfrom % of charges | $187.43 | $187.43 | $180.60 – $194.25 |
| 6 | Kaiser kaiser mcr adv percent of total billed charges · outpatientfrom % of charges | $187.43 | $187.43 | $180.60 – $194.25 |
| 7 | Blue Cross Blue Shield blue cross mcr adv percent of total billed charges · outpatientfrom % of charges | $194.92 | $194.92 | $187.82 – $202.02 |
| 8 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $201.31 | $201.31 | $201.31 – $201.31 |
| 9 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $206.17 | $206.17 | $198.66 – $213.68 |
| 10 | Blue Cross Blue Shield blue shield epn - all other plans fee schedule · outpatient | $223.27 | $223.27 | $223.27 – $223.27 |
| 11 | Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient | $233.85 | $233.85 | $233.85 – $233.85 |
| 12 | Aetna aetna- all plans percent of total billed charges · outpatientfrom % of charges | $666.88 | $666.88 | $642.59 – $691.16 |
| 13 | UnitedHealthcare uhc jll percent of total billed charges · outpatientfrom % of charges | $707.13 | $707.13 | $681.38 – $732.88 |
| 14 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $714.00 | $714.00 | $688.00 – $740.00 |
| 15 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $744.35 | $744.35 | $717.24 – $771.45 |
| 16 | Humana humana- all plans percent of total billed charges · outpatientfrom % of charges | $758.63 | $758.63 | $731.00 – $786.25 |
| 17 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $758.63 | $758.63 | $731.00 – $786.25 |
| 18 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $803.25 | $803.25 | $774.00 – $832.50 |
| 19 | Kaiser kaiser- all other plans percent of total billed charges · outpatientfrom % of charges | $803.25 | $803.25 | $774.00 – $832.50 |
Last updated: Jul 29, 2026
See Cervical spine X-ray, 2 to 3 views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.