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
HC XR SPINE LUMBAR 2 OR 3 VW
Covington, TN
See all hospitals reporting CPT 72100 →Price type
Baptist Memorial Hospital-Tipton’s median price of $175 is 21% above the median hospital's median price ($144), higher than 60% 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: 9 payers, 30 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 | Blue Cross Blue Shield tenncare facility · fee schedule · outpatient | $29.03 | $29.03 | $29.03 – $29.03 |
| 2 | Blue Cross Blue Shield coverkids facility · fee schedule · outpatient | $31.45 | $31.45 | $31.45 – $31.45 |
| 3 | Blue Cross Blue Shield network e facility · fee schedule · outpatient | $34.63 | $34.63 | $34.63 – $34.63 |
| 4 | Blue Cross Blue Shield network l facility · fee schedule · outpatient | $38.38 | $38.38 | $38.38 – $38.38 |
| 5 | Blue Cross Blue Shield network s facility · fee schedule · outpatient | $42.58 | $42.58 | $42.58 – $42.58 |
| 6 | Blue Cross Blue Shield network p facility · fee schedule · outpatient | $60.66 | $60.66 | $60.66 – $60.66 |
| 7 | Humana ppo facility · fee schedule · outpatient | $74.68 | $74.68 | $74.68 – $74.68 |
| 8 | Oscar commercial facility · fee schedule · outpatient | $97.38 | $97.38 | $97.38 – $97.38 |
| 9 | Blue Cross Blue Shield lppo facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 10 | Devoted medicare facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 11 | Molina medicaid facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 12 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $100.79 | $100.79 | $99.33 – $102.25 |
| 13 | Aetna medicare facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 14 | Blue Cross Blue Shield dsnp facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 15 | Humana medicare facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 16 | Cigna local plus facility · fee schedule · outpatient | $102.88 | $102.88 | $102.88 – $102.88 |
| 17 | Cigna ppo facility · fee schedule · outpatient | $102.88 | $102.88 | $102.88 – $102.88 |
| 18 | Blue Cross Blue Shield firstsource ppo/healthadvantage hmo/preferred payment plan/trueblue exchange ppo/trueblue non-exchange ppo facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 19 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $141.40 | $141.40 | $131.30 – $151.50 |
| 21 | Molina chip facility · fee schedule · outpatient | $170.41 | $170.41 | $170.41 – $170.41 |
| 22 | Molina exchange facility · fee schedule · outpatient | $180.15 | $180.15 | $180.15 – $180.15 |
| 23 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $217.15 | $217.15 | $217.15 – $217.15 |
| 24 | Molina exchange facility · percent of total billed charges · inpatientfrom % of charges | $252.50 | $252.50 | $252.50 – $252.50 |
| 25 | Blue Cross Blue Shield lppo facility · percent of total billed charges · inpatientfrom % of charges | $303.00 | $303.00 | $303.00 – $303.00 |
Last updated: Feb 27, 2026
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