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 SPNE 4VPLUS CR
Park, TX
See all hospitals reporting CPT 72110 →Price type
Ascension Cedar Park’s median price of $67 is 58% below the median hospital's median price ($161), higher than 8% 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: 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 | $46.11 | $46.11 | $46.11 – $46.11 |
| 2 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 5 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 6 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 7 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 8 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 9 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 10 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $46.11 | $46.11 | $46.11 – $46.11 |
| 11 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $51.45 | $51.45 | $51.45 – $51.45 |
| 12 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $51.45 | $51.45 | $51.45 – $51.45 |
| 13 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $51.45 | $51.45 | $51.45 – $51.45 |
| 14 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $51.45 | $51.45 | $51.45 – $51.45 |
| 15 | Humana 2668_humana hmo 20230701 other · outpatient | $67.37 | $67.37 | $67.37 – $67.37 |
| 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 | $201.33 | $201.33 | $201.33 – $201.33 |
| 19 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $201.33 | $201.33 | $201.33 – $201.33 |
| 20 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $294.05 | $294.05 | $294.05 – $294.05 |
| 21 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · both | $309.78 | $309.78 | $309.78 – $309.78 |
| 22 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $309.78 | $309.78 | $309.78 – $309.78 |
| 23 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $309.78 | $309.78 | $309.78 – $309.78 |
| 24 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $349.61 | $349.61 | $349.61 – $349.61 |
| 25 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $349.61 | $349.61 | $349.61 – $349.61 |
Last updated: Jan 1, 2026
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