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 EXAM L-S SPINE 2/3 VWS
Village, IL
See all hospitals reporting CPT 72100 →Price type
Alexian Brothers Medical Center’s median price of $128 is 11% below the median hospital's median price ($144), higher than 41% 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: 8 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 | Aetna 1717_aetna hmo (ab,sa) 20240101 other · outpatient | $72.80 | $72.80 | $72.80 – $72.80 |
| 2 | UnitedHealthcare 1663_medicare advantage uhc inpatient (ab,sa) 95% 20231001 other · inpatient | $105.31 | $105.31 | $105.31 – $105.31 |
| 3 | UnitedHealthcare 1695_medicare advantage uhc outpatient (ab,sa) 95% 20240101 other · outpatient | $105.31 | $105.31 | $105.31 – $105.31 |
| 4 | Aetna 1657_medicare advantage aetna inpatient (ab,sa) 20231001 other · inpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 5 | Aetna 1689_medicare advantage aetna outpatient (ab,sa) 20240101 other · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 6 | Blue Cross Blue Shield 1690_medicare advantage bcbs outpatient (ab,sa) 20240101 other · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 7 | Blue Cross Blue Shield 1733_medicare advantage bcbs inpatient (ab,sa) 20240101 other · inpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 8 | Humana 1659_medicare advantage humana inpatient (ab,sa) 20231001 other · inpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 9 | Humana 1691_medicare advantage humana outpatient (ab,sa) 20240101 other · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 10 | UnitedHealthcare 1661_medicare advantage uhc inpatient 100% (ab,sa) 20231001 other · inpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 11 | UnitedHealthcare 1694_medicare advantage uhc outpatient (ab,sa) 100% 20240101 other · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 12 | UnitedHealthcare 1662_medicare advantage uhc inpatient (ab,sa) 101% 20231001 other · inpatient | $111.96 | $111.96 | $111.96 – $111.96 |
| 13 | Molina 1645_medicare advantage molina hc of il inpatient 103% 20231001 other · inpatient | $114.18 | $114.18 | $114.18 – $114.18 |
| 14 | Molina 1693_medicare advantage molina hc of il outpatient (ab,sa) 103% 20240101 other · outpatient | $114.18 | $114.18 | $114.18 – $114.18 |
| 15 | Aetna Better Health 1656_medicare advantage aetna better health inpatient (ab,sa) 20231001 other · inpatient | $116.39 | $116.39 | $116.39 – $116.39 |
| 16 | Aetna Better Health 1688_medicare advantage aetna better health outpatient (ab,sa) 20240101 other · outpatient | $116.39 | $116.39 | $116.39 – $116.39 |
| 17 | Cigna 1615_cigna ifp (ab) 20231001 other · outpatient | $124.92 | $124.92 | $124.92 – $124.92 |
| 18 | Blue Cross Blue Shield 1725_blue cross blue shield ppo (ab) 20240101 other · outpatient | $131.97 | $131.97 | $131.97 – $131.97 |
| 19 | Cigna 1298_cigna c5 (ab,sa) 20230201 other · both | $134.09 | $134.09 | $134.09 – $134.09 |
| 20 | Cigna 1614_cigna (ab,sa) 20231001 other · both | $134.09 | $134.09 | $134.09 – $134.09 |
| 21 | Cigna 1714_cigna local plus (ab,sa) 20240101 other · both | $134.09 | $134.09 | $134.09 – $134.09 |
| 22 | Humana 1621_humana ppo (ab) 20231001 fee schedule · outpatient | $135.92 | $135.92 | $135.92 – $135.92 |
| 23 | Aetna Better Health 1743_medicaid advantage aetna better health (ab) 20240101 fee schedule · inpatient | $136.74 | $136.74 | $136.74 – $136.74 |
| 24 | Humana 1619_humana hmo (ab) 20231001 fee schedule · outpatient | $136.84 | $136.84 | $136.84 – $136.84 |
| 25 | Blue Cross Blue Shield 1681_blue cross blue shield focus care (ab) outpatient 20240101 other · outpatient | $145.21 | $145.21 | $145.21 – $145.21 |
Last updated: Jan 1, 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.