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
SP-LS SPN 2 TO 3V CR
Park, TX
See all hospitals reporting CPT 72100 →Price type
Ascension Cedar Park’s median price of $51 is 65% below the median hospital's median price ($144), higher than 8% 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: 8 payers, 38 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 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 2 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 5 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 6 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 7 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 8 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 9 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 10 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $33.08 | $33.08 | $33.08 – $33.08 |
| 11 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 12 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 13 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 14 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 15 | Humana 2668_humana hmo 20230701 other · outpatient | $50.92 | $50.92 | $50.92 – $50.92 |
| 16 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $97.29 | $97.29 | $97.29 – $97.29 |
| 17 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $112.08 | $112.08 | $112.08 – $112.08 |
| 18 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $144.28 | $144.28 | $144.28 – $144.28 |
| 19 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $144.28 | $144.28 | $144.28 – $144.28 |
| 20 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · both | $212.31 | $212.31 | $212.31 – $212.31 |
| 21 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $212.31 | $212.31 | $212.31 – $212.31 |
| 22 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $212.31 | $212.31 | $212.31 – $212.31 |
| 23 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $222.19 | $222.19 | $222.19 – $222.19 |
| 24 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 fee schedule · both | $274.67 | $264.33 | $147.20 – $348.58 |
| 25 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $274.67 | $264.33 | $147.20 – $348.58 |
Last updated: Jan 1, 2026
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