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
X-Ray Lumbosacral 4 Views
Mitchell, SD
See all hospitals reporting CPT 72110 →Price type
Avera Queen of Peace’s median price of $139 is 13% below the median hospital's median price ($161), higher than 41% 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: 4 payers, 14 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 | Medica com fee schedule · outpatient | $67.44 | $67.44 | $67.44 – $67.44 |
| 2 | Medica ind fee schedule · outpatient | $67.44 | $67.44 | $67.44 – $67.44 |
| 3 | UnitedHealthcare com fee schedule · both | $89.97 | $89.97 | $89.97 – $89.97 |
| 4 | Wellmark ppo fee schedule · both | $104.80 | $104.80 | $104.80 – $104.80 |
| 5 | Medica com fee schedule · both | $115.23 | $115.23 | $115.23 – $115.23 |
| 6 | Medica ind fee schedule · both | $115.23 | $115.23 | $115.23 – $115.23 |
| 7 | Healthpartners com fee schedule · both | $121.78 | $121.78 | $121.78 – $121.78 |
| 8 | Wellmark hmo outpatient | $156.98 | $156.98 | $156.98 – $156.98 |
| 9 | Wellmark ppo case rate · outpatient | $156.98 | $156.98 | $156.98 – $156.98 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $764.32 | $764.32 | $764.32 – $764.32 |
| 11 | Medica ind percent of total billed charges · inpatientfrom % of charges | $880.93 | $880.93 | $880.93 – $880.93 |
| 12 | Medica com percent of total billed charges · inpatientfrom % of charges | $1,035 | $1,035 | $1,035 – $1,035 |
| 13 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $1,198 | $1,198 | $1,198 – $1,198 |
| 14 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $1,198 | $1,198 | $1,198 – $1,198 |
Last updated: Apr 1, 2026
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