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 CT SPINE THORACIC WO CONTRAST
Covington, TN
See all hospitals reporting CPT 72128 →Price type
Baptist Memorial Hospital-Tipton’s median price of $175 is 48% below the median hospital's median price ($334), higher than 30% of the 2,605 hospitals reporting CPT 72128. 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 | Oscar commercial facility · fee schedule · outpatient | $97.38 | $97.38 | $97.38 – $97.38 |
| 2 | Blue Cross Blue Shield lppo facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 3 | Devoted medicare facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 4 | Molina medicaid facility · fee schedule · outpatient | $99.33 | $99.33 | $99.33 – $99.33 |
| 5 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $100.79 | $100.79 | $99.33 – $102.25 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 7 | Blue Cross Blue Shield dsnp facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 8 | Humana medicare facility · fee schedule · outpatient | $102.25 | $102.25 | $102.25 – $102.25 |
| 9 | 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 |
| 10 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 11 | Molina chip facility · fee schedule · outpatient | $170.41 | $170.41 | $170.41 – $170.41 |
| 12 | Molina exchange facility · fee schedule · outpatient | $180.15 | $180.15 | $180.15 – $180.15 |
| 13 | Blue Cross Blue Shield network e facility · fee schedule · outpatient | $200.80 | $200.80 | $200.80 – $200.80 |
| 14 | Blue Cross Blue Shield network l facility · fee schedule · outpatient | $222.55 | $222.55 | $222.55 – $222.55 |
| 15 | Blue Cross Blue Shield network s facility · fee schedule · outpatient | $246.85 | $246.85 | $246.85 – $246.85 |
| 16 | Blue Cross Blue Shield tenncare facility · fee schedule · outpatient | $253.48 | $253.48 | $253.48 – $253.48 |
| 17 | Blue Cross Blue Shield coverkids facility · fee schedule · outpatient | $274.68 | $274.68 | $274.68 – $274.68 |
| 18 | Blue Cross Blue Shield network p facility · fee schedule · outpatient | $351.73 | $351.73 | $351.73 – $351.73 |
| 19 | Humana ppo facility · fee schedule · outpatient | $574.00 | $574.00 | $574.00 – $574.00 |
| 20 | Cigna local plus facility · per diem · outpatient | $663.32 | $663.32 | $663.32 – $663.32 |
| 21 | Cigna ppo facility · per diem · outpatient | $729.65 | $729.65 | $729.65 – $729.65 |
| 22 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $936.88 | $936.88 | $869.96 – $1,004 |
| 23 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $1,439 | $1,439 | $1,439 – $1,439 |
| 24 | Molina exchange facility · percent of total billed charges · inpatientfrom % of charges | $1,673 | $1,673 | $1,673 – $1,673 |
| 25 | Blue Cross Blue Shield lppo facility · percent of total billed charges · inpatientfrom % of charges | $2,008 | $2,008 | $2,008 – $2,008 |
Last updated: Feb 27, 2026
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