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
CT T-SPINE MYELOGRAM
Pennington, NJ
See all hospitals reporting CPT 72128 →Price type
Capital Health System Inc’s median price of $1.0k is 204% above the median hospital's median price ($334), higher than 76% 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: 8 payers, 16 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 | Clover medicare advantage case rate · outpatient | $117.62 | $117.62 | $117.62 – $117.62 |
| 2 | Humana medicare advantage case rate · outpatient | $119.97 | $119.97 | $119.97 – $119.97 |
| 3 | UnitedHealthcare commercial fee schedule · outpatient | $286.93 | $286.93 | $286.93 – $286.93 |
| 4 | Cigna local plus fee schedule · outpatient | $326.46 | $326.46 | $326.46 – $326.46 |
| 5 | Cigna managed care/ppo fee schedule · outpatient | $326.46 | $326.46 | $326.46 – $326.46 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $979.14 | $979.14 | $932.52 – $1,026 |
| 7 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $1,322 | $1,322 | $1,259 – $1,385 |
| 8 | Blue Cross Blue Shield omnia percent of total billed charges · outpatientfrom % of charges | $2,441 | $2,441 | $2,324 – $2,557 |
| 9 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $2,712 | $2,712 | $2,583 – $2,841 |
| 10 | Blue Cross Blue Shield indemnity percent of total billed charges · outpatientfrom % of charges | $2,928 | $2,928 | $2,788 – $3,067 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $2,928 | $2,928 | $2,788 – $3,067 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $8,690 | $8,690 | $8,276 – $9,104 |
| 13 | Cigna shared administration percent of total billed charges · inpatientfrom % of charges | $18,359 | $18,359 | $17,485 – $19,233 |
| 14 | Cigna shared administration percent of total billed charges · outpatientfrom % of charges | $18,359 | $18,359 | $17,485 – $19,233 |
| 15 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $20,807 | $20,807 | $19,816 – $21,797 |
| 16 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $20,807 | $20,807 | $19,816 – $21,797 |
Last updated: Jun 24, 2026
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