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 lower and sacral spine, 2-3 views
Clearlake, CA
See all hospitals reporting CPT 72100 →Price type
Adventist Health Clearlake Hospital Inc’s median price of $667 is 362% above the median hospital's median price ($144), higher than 96% of the 2,629 hospitals reporting CPT 72100. 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 | $43.45 | $43.45 | $43.45 – $43.45 |
| 2 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $168.11 | $168.11 | $168.11 – $168.11 |
| 3 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $186.78 | $186.78 | $186.78 – $186.78 |
| 4 | Blue Cross Blue Shield blue shield mcr adv percent of total billed charges · outpatientfrom % of charges | $194.46 | $194.46 | $181.65 – $207.27 |
| 5 | Blue Cross Blue Shield tricare blue shield- all plans percent of total billed charges · outpatientfrom % of charges | $194.46 | $194.46 | $181.65 – $207.27 |
| 6 | Kaiser kaiser mcr adv percent of total billed charges · outpatientfrom % of charges | $194.46 | $194.46 | $181.65 – $207.27 |
| 7 | Blue Cross Blue Shield blue cross mcr adv percent of total billed charges · outpatientfrom % of charges | $202.24 | $202.24 | $188.92 – $215.56 |
| 8 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $213.91 | $213.91 | $199.82 – $228.00 |
| 9 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $224.14 | $224.14 | $224.14 – $224.14 |
| 10 | Blue Cross Blue Shield blue shield epn - all other plans fee schedule · outpatient | $248.13 | $248.13 | $248.13 – $248.13 |
| 11 | Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient | $259.89 | $259.89 | $259.89 – $259.89 |
| 12 | Aetna aetna- all plans percent of total billed charges · outpatientfrom % of charges | $691.91 | $691.91 | $646.33 – $737.49 |
| 13 | UnitedHealthcare uhc jll percent of total billed charges · outpatientfrom % of charges | $733.67 | $733.67 | $685.34 – $782.00 |
| 14 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $740.80 | $740.80 | $692.00 – $789.60 |
| 15 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $772.29 | $772.29 | $721.41 – $823.16 |
| 16 | Humana humana- all plans percent of total billed charges · outpatientfrom % of charges | $787.10 | $787.10 | $735.25 – $838.95 |
| 17 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $787.10 | $787.10 | $735.25 – $838.95 |
| 18 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $833.40 | $833.40 | $778.50 – $888.30 |
| 19 | Kaiser kaiser- all other plans percent of total billed charges · outpatientfrom % of charges | $833.40 | $833.40 | $778.50 – $888.30 |
Last updated: Jul 29, 2026
See Lumbosacral 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.