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
Myelogram -Thoracic Spine S&I
Eureka, IL
See all hospitals reporting CPT 72255 →Price type
Carle Eureka Hospital’s median price of $719 is 13% below the median hospital's median price ($830), higher than 30% of the 1,782 hospitals reporting CPT 72255. 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, 21 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 | Aetna commercial fee schedule · outpatient | $85 | $85 | $5 | 6% | — | $80 – $90 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $103 | $103 | — | — | — | $103 – $103 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $106 | $106 | — | — | — | $106 – $106 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $719 | $719 | — | — | — | $719 – $719 |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $719 | $719 | — | — | — | $719 – $719 |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $719 | $719 | — | — | — | $719 – $719 |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $719 | $719 | — | — | — | $719 – $719 |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $767 | $767 | — | — | — | $767 – $767 |
| 14 | WellCare medicare advantage hmo case rate · outpatient | $840 | $840 | — | — | — | $840 – $840 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $985 | $985 | — | — | — | $985 – $985 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $990 | $990 | — | — | — | $990 – $990 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Apr 15, 2026
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