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 CT Thoracic W/O Contrast
Alton, IL
See all hospitals reporting CPT 72128 →Price type
Alton Memorial Hospital’s median price of $867 is 159% above the median hospital's median price ($334), higher than 72% of the 2,605 hospitals reporting CPT 72128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 29 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 bjc hb medicare advantra amh other · both | $112.03 | $112.03 | $112.03 – $112.03 |
| 2 | Aetna bjc hb medicare gold advantage amh other · both | $112.03 | $112.03 | $112.03 – $112.03 |
| 3 | Blue Cross Blue Shield bjc hb medicare anthem advantage amh other · both | $112.03 | $112.03 | $112.03 – $112.03 |
| 4 | Humana bjc hb medicare humana amh other · both | $112.03 | $112.03 | $112.03 – $112.03 |
| 5 | UnitedHealthcare bjc hb medicare uhc amh other · both | $112.03 | $112.03 | $112.03 – $112.03 |
| 6 | Devoted bjc hb medicare devoted amh other · both | $117.63 | $117.63 | $117.63 – $117.63 |
| 7 | Medica bjc hb medicare wellfirst amh other · both | $117.63 | $117.63 | $117.63 – $117.63 |
| 8 | Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both | $182.94 | $182.94 | $182.94 – $182.94 |
| 9 | Blue Cross Blue Shield bjc hb anthem access community fee schedule · both | $183.99 | $183.99 | $183.99 – $183.99 |
| 10 | Cigna bjc hb cigna local plus community per diem · both | $597.00 | $597.00 | $597.00 – $597.00 |
| 11 | Aetna bjc hb aetna commercial community fee schedule · both | $614.45 | $614.45 | $614.45 – $614.45 |
| 12 | Cigna bjc hb cigna hmo/ppo community per diem · both | $916.00 | $916.00 | $916.00 – $916.00 |
| 13 | Cigna bjc hb cigna special community per diem · both | $920.00 | $920.00 | $920.00 – $920.00 |
| 14 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $934.69 | $934.69 | $934.69 – $934.69 |
| 15 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $934.69 | $934.69 | $934.69 – $934.69 |
| 16 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $934.69 | $934.69 | $934.69 – $934.69 |
| 17 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $934.69 | $934.69 | $934.69 – $934.69 |
| 18 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $943.50 | $943.50 | $943.50 – $943.50 |
| 19 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $943.50 | $943.50 | $943.50 – $943.50 |
| 20 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $943.50 | $943.50 | $943.50 – $943.50 |
| 21 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $943.50 | $943.50 | $943.50 – $943.50 |
| 22 | Cigna bjc hb cigna behavioral health percent of total billed charges · bothfrom % of charges | $1,006 | $1,006 | $1,006 – $1,006 |
| 23 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $1,006 | $1,006 | $1,006 – $1,006 |
| 24 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $1,006 | $1,006 | $1,006 – $1,006 |
| 25 | UnitedHealthcare bjc hb united health care community per diem · both | $1,009 | $1,009 | $1,009 – $1,009 |
Last updated: Dec 15, 2025
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