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
SPINE LUMBAR 4 VIEWS MIN
Arlington, TX
See all hospitals reporting CPT 72110 →Price type
AMH Cath Labs LLC’s median price of $511 is 217% 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: 9 payers, 31 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 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $52.13 | $52.13 | $52.13 – $52.13 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $52.13 | $52.13 | $52.13 – $52.13 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $54.74 | $54.74 | $54.74 – $54.74 |
| 4 | Molina managed medicaid fee schedule · outpatient | $56.30 | $56.30 | $56.30 – $56.30 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $57.34 | $57.34 | $57.34 – $57.34 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $105.20 | $105.20 | $105.20 – $105.20 |
| 7 | Humana medicare advantage case rate · outpatient | $109.40 | $109.40 | $109.40 – $109.40 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $109.40 | $109.40 | $109.40 – $109.40 |
| 9 | Molina medicare advantage case rate · outpatient | $110.45 | $110.45 | $110.45 – $110.45 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $110.45 | $110.45 | $110.45 – $110.45 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $115.71 | $115.71 | $115.71 – $115.71 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $116.77 | $116.77 | $116.77 – $116.77 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $118.87 | $118.87 | $118.87 – $118.87 |
| 14 | Blue Cross Blue Shield hmo fee schedule · outpatient | $294.43 | $294.43 | $294.43 – $294.43 |
| 15 | Blue Cross Blue Shield exchange fee schedule · outpatient | $302.62 | $302.62 | $302.62 – $302.62 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $327.16 | $327.16 | $327.16 – $327.16 |
| 17 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $446.53 | $446.53 | $446.53 – $446.53 |
| 18 | UnitedHealthcare all payer case rate · outpatient | $551.00 | $551.00 | $551.00 – $551.00 |
| 19 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $595.41 | $595.41 | $595.41 – $595.41 |
| 20 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $601.17 | $601.17 | $601.17 – $601.17 |
| 21 | UnitedHealthcare ppo case rate · outpatient | $722.00 | $722.00 | $722.00 – $722.00 |
| 22 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $755.81 | $755.81 | $755.81 – $755.81 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $757.99 | $757.99 | $757.99 – $757.99 |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $762.34 | $762.34 | $762.34 – $762.34 |
| 25 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $762.34 | $762.34 | $762.34 – $762.34 |
Last updated: Apr 21, 2026
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