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
Radex Spi Lumbosac Minimum 4 Views
Lebanon, NH
See all hospitals reporting CPT 72110 →Price type
Alice_peck_day_memorial_hospital’s median price of $513 is 219% above the median hospital's median price ($161), higher than 87% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 | Ambetter nh healthy families ambetter fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 2 | Blue Cross Blue Shield anthem hmo/pos/ppo fee schedule · outpatient | $307.91 | $307.91 | $307.91 – $307.91 |
| 3 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $352.51 | $352.51 | $352.51 – $352.51 |
| 4 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $352.51 | $352.51 | $352.51 – $352.51 |
| 5 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $493.54 | $493.54 | $493.54 – $493.54 |
| 6 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $502.95 | $502.95 | $502.95 – $502.95 |
| 7 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $513.36 | $513.36 | $513.36 – $513.36 |
| 8 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $513.36 | $513.36 | $513.36 – $513.36 |
| 9 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $546.16 | $546.16 | $546.16 – $546.16 |
| 10 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $551.15 | $551.15 | $551.15 – $551.15 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $576.10 | $576.10 | $576.10 – $576.10 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $583.23 | $583.23 | $583.23 – $583.23 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $611.04 | $611.04 | $611.04 – $611.04 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $634.57 | $634.57 | $634.57 – $634.57 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $641.70 | $641.70 | $641.70 – $641.70 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $741.52 | $741.52 | $741.52 – $741.52 |
Last updated: Jan 1, 2026
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