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 2-3 VW
Ogallala, NE
See all hospitals reporting CPT 72100 →Price type
Banner Ogallala Community Hospital’s median price of $356 is 147% above the median hospital's median price ($144), higher than 85% 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, 15 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 | Bcbs Wy medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $165.00 | $165.00 | $165.00 – $165.00 |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $165.00 | $165.00 | $165.00 – $165.00 |
| 3 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $172.50 | $172.50 | $172.50 – $172.50 |
| 4 | UnitedHealthcare va community care facility · percent of total billed charges · outpatientfrom % of charges | $172.50 | $172.50 | $172.50 – $172.50 |
| 5 | Molina medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $183.75 | $183.75 | $183.75 – $183.75 |
| 6 | UnitedHealthcare nebraska medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $183.75 | $183.75 | $183.75 – $183.75 |
| 7 | UnitedHealthcare commercial/individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $356.25 | $356.25 | $356.25 – $356.25 |
| 8 | UnitedHealthcare commercial/individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $356.25 | $356.25 | $356.25 – $356.25 |
| 9 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $357.38 | $357.38 | $357.38 – $357.38 |
| 10 | Bcbs Wy network blue facility · percent of total billed charges · inpatientfrom % of charges | $360.00 | $360.00 | $360.00 – $360.00 |
| 11 | Bcbs Wy network blue facility · percent of total billed charges · outpatientfrom % of charges | $360.00 | $360.00 | $360.00 – $360.00 |
| 12 | First Health medical rental facility · percent of total billed charges · inpatientfrom % of charges | $360.00 | $360.00 | $360.00 – $360.00 |
| 13 | First Health medical rental facility · percent of total billed charges · outpatientfrom % of charges | $360.00 | $360.00 | $360.00 – $360.00 |
| 14 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $363.75 | $363.75 | $363.75 – $363.75 |
| 15 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $363.75 | $363.75 | $363.75 – $363.75 |
Last updated: Feb 12, 2026
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