Lumbosacral spine X-ray, 2 to 3 views at Brandon HMA LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

XR Spine Lumbosacral 2 or 3 V DR

Brandon, MS

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Pricing by billing methodology

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How this price compares nationally

Brandon HMA LLC’s median price of $100 is 30% below the median hospital's median price ($144), higher than 19% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72100 at Brandon HMA LLC

Negotiated rates from the hospital’s own file: 12 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	UnitedHealthcare uhc medicaid ms facility · case rate · outpatient	$81.04	$81.04	$81.04 – $81.04
2	Molina molina medicaid ms facility · other · outpatient	$81.85	$81.85	$81.85 – $81.85
3	Caresource caresource truecare facility · other · outpatient	$82.66	$82.66	$82.66 – $82.66
4	Molina molina chip facility · other · outpatient	$87.52	$87.52	$87.52 – $87.52
5	Tricare node tricare facility · fee schedule · outpatient	$89.67	$89.67	$89.67 – $89.67
6	Humana node humana mcr adv facility · fee schedule · outpatient	$99.47	$99.47	$99.47 – $99.47
7	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$99.47	$99.47	$99.47 – $99.47
8	Optum node united optum va ccn facility · fee schedule · outpatient	$101.09	$101.09	$101.09 – $101.09
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$101.46	$101.46	$101.46 – $101.46
10	Molina node molina mcr adv facility · fee schedule · outpatient	$101.46	$101.46	$101.46 – $101.46
11	Aetna node first choice aetna mcr adv facility · fee schedule · outpatient	$102.45	$102.45	$102.45 – $102.45
12	WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient	$103.11	$103.11	$103.11 – $103.11
13	Molina molina exchange facility · fee schedule · outpatient	$171.22	$171.22	$171.22 – $171.22
14	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$201.85	$201.85	$5.22 – $398.48
15	UnitedHealthcare uhc apa facility · fee schedule · outpatient	$224.16	$224.16	$224.16 – $224.16
16	UnitedHealthcare uhc iex facility · fee schedule · outpatient	$224.16	$224.16	$224.16 – $224.16
17	UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges	$282.78	$282.78	$7.31 – $558.25
18	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$282.78	$282.78	$7.31 – $558.25
19	Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient	$311.92	$311.92	$311.92 – $311.92
20	Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges	$585.07	$585.07	$15.13 – $1,155
21	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$585.07	$585.07	$15.13 – $1,155
22	Aetna aetna pho facility · percent of total billed charges · outpatientfrom % of charges	$682.58	$682.58	$17.65 – $1,348
23	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$682.58	$682.58	$17.65 – $1,348

Last updated: Apr 1, 2026

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