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
CT SPINE THORACIC WO CONT
Arlington, TX
See all hospitals reporting CPT 72128 →Price type
AMH Cath Labs LLC’s median price of $1.0k is 211% above the median hospital's median price ($334), higher than 77% 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: 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 | $104.75 | $104.75 | $104.75 – $104.75 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 3 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $105.20 | $105.20 | $105.20 – $105.20 |
| 4 | Humana medicare advantage case rate · outpatient | $109.40 | $109.40 | $109.40 – $109.40 |
| 5 | Humana medicare advantage ppo case rate · outpatient | $109.40 | $109.40 | $109.40 – $109.40 |
| 6 | WellCare managed medicaid fee schedule · outpatient | $109.99 | $109.99 | $109.99 – $109.99 |
| 7 | Molina medicare advantage case rate · outpatient | $110.45 | $110.45 | $110.45 – $110.45 |
| 8 | WellCare medicare advantage hmo case rate · outpatient | $110.45 | $110.45 | $110.45 – $110.45 |
| 9 | Molina managed medicaid fee schedule · outpatient | $113.13 | $113.13 | $113.13 – $113.13 |
| 10 | Aetna managed medicaid fee schedule · outpatient | $115.23 | $115.23 | $115.23 – $115.23 |
| 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 | $378.27 | $378.27 | $378.27 – $378.27 |
| 15 | Blue Cross Blue Shield exchange fee schedule · outpatient | $416.94 | $416.94 | $416.94 – $416.94 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $420.30 | $420.30 | $420.30 – $420.30 |
| 17 | Blue Cross Blue Shield traditional fee schedule · outpatient | $794.54 | $794.54 | $794.54 – $794.54 |
| 18 | Aetna whole health case rate · outpatient | $916.50 | $916.50 | $916.50 – $916.50 |
| 19 | UnitedHealthcare all payer case rate · outpatient | $1,115 | $1,115 | $1,115 – $1,115 |
| 20 | Aetna commercial case rate · outpatient | $1,222 | $1,222 | $1,222 – $1,222 |
| 21 | UnitedHealthcare ppo case rate · outpatient | $1,458 | $1,458 | $1,458 – $1,458 |
| 22 | Cigna oap/hmo case rate · outpatient | $1,792 | $1,792 | $1,792 – $1,792 |
| 23 | Cigna ppo case rate · outpatient | $2,053 | $2,053 | $2,053 – $2,053 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2,773 | $2,773 | $2,773 – $2,773 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2,797 | $2,797 | $2,797 – $2,797 |
Last updated: Apr 21, 2026
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