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
HC LUMBOSACR SPINE 2 OR 3 VIEWS
Waterloo, IA
See all hospitals reporting CPT 72100 →Price type
Allen Memorial Hospital Corporation’s median price of $48 is 67% below the median hospital's median price ($144), higher than 7% 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: 7 payers, 25 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 medicare advantage fee schedule · both | $25.55 | $23.65 | $9.92 – $35.47 |
| 2 | Molina medicare advantage fee schedule · both | $26.06 | $24.12 | $10.12 – $36.18 |
| 3 | Wellmark medicare advantage fee schedule · both | $26.06 | $24.12 | $10.12 – $36.18 |
| 4 | Humana medicare advantage fee schedule · both | $26.83 | $24.83 | $10.42 – $37.24 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $26.83 | $24.83 | $10.42 – $37.24 |
| 6 | UnitedHealthcare hmo fee schedule · both | $31.73 | $30.74 | $14.38 – $46.11 |
| 7 | UnitedHealthcare ppo fee schedule · both | $31.73 | $30.74 | $14.38 – $46.11 |
| 8 | Wellmark commercial fee schedule · both | $49.70 | $45.30 | $18.30 – $67.90 |
| 9 | Wellmark hmo fee schedule · both | $49.70 | $45.30 | $18.30 – $67.90 |
| 10 | Cigna commercial fee schedule · both | $54.94 | $50.68 | $21.08 – $76.02 |
| 11 | Wellmark ppo fee schedule · both | $58.40 | $53.27 | $21.50 – $79.90 |
| 12 | Aetna hmo fee schedule · both | $62.89 | $59.93 | $26.67 – $90.22 |
| 13 | Aetna ppo fee schedule · both | $73.71 | $69.25 | $29.49 – $104.54 |
| 14 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $69.36 | $69.36 | $65.47 – $73.25 |
| 15 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $89.93 | $89.93 | $89.93 – $89.93 |
| 16 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $89.93 | $89.93 | $89.93 – $89.93 |
| 17 | Aetna medicare advantage case rate · outpatient | $100.01 | $100.01 | $100.01 – $100.01 |
| 18 | Molina medicare advantage case rate · outpatient | $100.01 | $100.01 | $100.01 – $100.01 |
| 19 | Wellmark medicare advantage case rate · outpatient | $100.01 | $100.01 | $100.01 – $100.01 |
| 20 | Humana medicare advantage case rate · outpatient | $102.95 | $102.95 | $102.95 – $102.95 |
| 21 | UnitedHealthcare medicare advantage case rate · outpatient | $102.95 | $102.95 | $102.95 – $102.95 |
| 22 | Aetna hmo fee schedule · outpatient | $236.13 | $236.13 | $236.13 – $236.13 |
| 23 | Aetna ppo fee schedule · outpatient | $245.68 | $245.68 | $245.68 – $245.68 |
| 24 | UnitedHealthcare hmo fee schedule · outpatient | $289.80 | $289.80 | $289.80 – $289.80 |
| 25 | UnitedHealthcare ppo fee schedule · outpatient | $289.80 | $289.80 | $289.80 – $289.80 |
Last updated: Jan 28, 2026
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