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 SPINE LS 4+ VW
Mesa, AZ
See all hospitals reporting CPT 72110 →Price type
Banner Heart Hospital’s median price of $146 is 9% below the median hospital's median price ($161), higher than 43% 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, 28 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 medicare advantage facility · fee schedule · outpatient | $113.34 | $113.34 | $113.34 – $113.34 |
| 2 | Bcbs Az medicare advantage facility · fee schedule · outpatient | $113.34 | $113.34 | $113.34 – $113.34 |
| 3 | Cigna hmo medicare advantage plans facility · fee schedule · outpatient | $113.34 | $113.34 | $113.34 – $113.34 |
| 4 | Cigna ppo medicare advantage plan facility · fee schedule · outpatient | $113.34 | $113.34 | $113.34 – $113.34 |
| 5 | Kaiser medicare advantage facility · fee schedule · outpatient | $113.34 | $113.34 | $113.34 – $113.34 |
| 6 | UnitedHealthcare uhc medicare advantage facility · fee schedule · outpatient | $113.34 | $113.34 | $113.34 – $113.34 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $115.04 | $115.04 | $113.34 – $116.74 |
| 8 | Devoted medicare advantage facility · fee schedule · outpatient | $119.01 | $119.01 | $119.01 – $119.01 |
| 9 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $133.46 | $133.46 | $133.46 – $133.46 |
| 10 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $142.35 | $142.35 | $142.35 – $142.35 |
| 11 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $149.47 | $149.47 | $149.47 – $149.47 |
| 12 | Aetna qualified health plan facility · fee schedule · outpatient | $154.14 | $154.14 | $154.14 – $154.14 |
| 13 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $158.68 | $158.68 | $158.68 – $158.68 |
| 14 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $169.01 | $169.01 | $169.01 – $169.01 |
| 15 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $177.94 | $177.94 | $177.94 – $177.94 |
| 16 | Bcbs Az commercial facility · fee schedule · outpatient | $177.94 | $177.94 | $177.94 – $177.94 |
| 17 | Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient | $177.94 | $177.94 | $177.94 – $177.94 |
| 18 | Oscar commercial facility · fee schedule · outpatient | $187.01 | $187.01 | $187.01 – $187.01 |
| 19 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $232.39 | $232.39 | $232.39 – $232.39 |
| 20 | Aetna designated group facility · percent of total billed charges · outpatientfrom % of charges | $246.97 | $246.97 | $246.97 – $246.97 |
| 21 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $265.08 | $265.08 | $265.08 – $265.08 |
| 22 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $265.08 | $265.08 | $265.08 – $265.08 |
| 23 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $290.23 | $290.23 | $290.23 – $290.23 |
| 24 | Cigna localflex facility · percent of total billed charges · outpatientfrom % of charges | $330.47 | $330.47 | $330.47 – $330.47 |
| 25 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $345.56 | $345.56 | $345.56 – $345.56 |
Last updated: Mar 2, 2026
See X-ray of lower spine, 4 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.