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
XR LUMBAR SPINE 2 OR 3 VIEW
Fond Du Lac, WI
See all hospitals reporting CPT 72100 →Price type
Aurora Medical Center Fond du Lac’s median price of $339 is 135% above the median hospital's median price ($144), higher than 82% 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: 6 payers, 21 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 hmo case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 2 | Healthpartners employee trust fund case rate · outpatient | $266.00 | $266.00 | $266.00 – $266.00 |
| 3 | Anthem blue priority case rate · outpatient | $275.00 | $275.00 | $275.00 – $275.00 |
| 4 | Molina commercial case rate · outpatient | $308.00 | $308.00 | $308.00 – $308.00 |
| 5 | Healthpartners robin case rate · outpatient | $330.00 | $330.00 | $330.00 – $330.00 |
| 6 | UnitedHealthcare exchange case rate · outpatient | $336.00 | $336.00 | $336.00 – $336.00 |
| 7 | UnitedHealthcare charter case rate · outpatient | $339.00 | $339.00 | $339.00 – $339.00 |
| 8 | UnitedHealthcare nexus case rate · outpatient | $339.00 | $339.00 | $339.00 – $339.00 |
| 9 | Anthem blue preferred case rate · outpatient | $357.00 | $357.00 | $357.00 – $357.00 |
| 10 | UnitedHealthcare hmo case rate · outpatient | $369.00 | $369.00 | $369.00 – $369.00 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $427.50 | $427.50 | $427.50 – $427.50 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $427.50 | $427.50 | $427.50 – $427.50 |
| 13 | Cigna ppo-gppo case rate · outpatient | $460.00 | $460.00 | $460.00 – $460.00 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $470.82 | $470.82 | $470.82 – $470.82 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $470.82 | $470.82 | $470.82 – $470.82 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $479.94 | $479.94 | $479.94 – $479.94 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $479.94 | $479.94 | $479.94 – $479.94 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $482.22 | $482.22 | $482.22 – $482.22 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $482.22 | $482.22 | $482.22 – $482.22 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $484.50 | $484.50 | $484.50 – $484.50 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $484.50 | $484.50 | $484.50 – $484.50 |
Last updated: Nov 21, 2025
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