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
Payson, AZ
See all hospitals reporting CPT 72100 →Price type
Banner Payson Medical Center’s median price of $141 is 2% below the median hospital's median price ($144), higher than 48% 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: 8 payers, 23 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 Az bxbsaz neighborhood facility · fee schedule · outpatient | $121.44 | $121.44 | $121.44 – $121.44 |
| 2 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $129.54 | $129.54 | $129.54 – $129.54 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $131.87 | $131.87 | $131.87 – $131.87 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $132.84 | $132.84 | $132.84 – $132.84 |
| 5 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $132.84 | $132.84 | $132.84 – $132.84 |
| 6 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $132.84 | $132.84 | $132.84 – $132.84 |
| 7 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $132.84 | $132.84 | $132.84 – $132.84 |
| 8 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $132.84 | $132.84 | $132.84 – $132.84 |
| 9 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $136.01 | $136.01 | $136.01 – $136.01 |
| 10 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $140.81 | $140.81 | $140.81 – $140.81 |
| 11 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $146.12 | $146.12 | $146.12 – $146.12 |
| 12 | Bcbs Az bcbsaz medicare facility · fee schedule · outpatient | $154.65 | $154.65 | $154.65 – $154.65 |
| 13 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $161.92 | $161.92 | $161.92 – $161.92 |
| 14 | Bcbs Az commercial facility · fee schedule · outpatient | $161.92 | $161.92 | $161.92 – $161.92 |
| 15 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $171.72 | $171.72 | $171.72 – $171.72 |
| 16 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $180.79 | $180.79 | $180.79 – $180.79 |
| 17 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $208.33 | $208.33 | $208.33 – $208.33 |
| 18 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $208.33 | $208.33 | $208.33 – $208.33 |
| 19 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $214.49 | $214.49 | $214.49 – $214.49 |
| 20 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $217.08 | $217.08 | $217.08 – $217.08 |
| 21 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $219.19 | $219.19 | $219.19 – $219.19 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $257.90 | $257.90 | $257.90 – $257.90 |
| 23 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $257.90 | $257.90 | $257.90 – $257.90 |
Last updated: Mar 2, 2026
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