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
CHG CT THORACIC SPINE W/O CONTRAST MATERIAL
Plattsburgh, NY
See all hospitals reporting CPT 72128 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $107 is 68% below the median hospital's median price ($334), higher than 7% 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: 7 payers, 38 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 managed medicaid/essential plans professional · fee schedule · both | $31.04 | $31.04 | $31.04 – $31.04 |
| 2 | Excellus managed medicaid/essential plans professional · fee schedule · both | $33.56 | $33.56 | $33.56 – $33.56 |
| 3 | Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both | $39.91 | $39.91 | $39.91 – $39.91 |
| 4 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $39.91 | $39.91 | $39.91 – $39.91 |
| 5 | Blue Cross Blue Shield blue access professional · fee schedule · both | $42.65 | $42.65 | $42.65 – $42.65 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $44.34 | $44.34 | $44.34 – $44.34 |
| 7 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $44.34 | $44.34 | $44.34 – $44.34 |
| 8 | Excellus medicare advantage professional · fee schedule · both | $44.34 | $44.34 | $44.34 – $44.34 |
| 9 | Humana tricare professional · fee schedule · both | $44.34 | $44.34 | $44.34 – $44.34 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $44.34 | $44.34 | $44.34 – $44.34 |
| 11 | Blue Cross Blue Shield hmo professional · fee schedule · both | $45.16 | $45.16 | $45.16 – $45.16 |
| 12 | Blue Cross Blue Shield ind professional · fee schedule · both | $47.67 | $47.67 | $47.67 – $47.67 |
| 13 | Blue Cross Blue Shield ppo professional · fee schedule · both | $50.18 | $50.18 | $50.18 – $50.18 |
| 14 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $51.67 | $51.67 | $47.48 – $55.85 |
| 15 | Highmark ind/fep professional · fee schedule · both | $56.37 | $56.37 | $56.37 – $56.37 |
| 16 | Highmark ppo/hmo professional · fee schedule · both | $56.37 | $56.37 | $56.37 – $56.37 |
| 17 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $66.90 | $66.90 | $66.90 – $66.90 |
| 18 | Excellus commercial professional · fee schedule · both | $67.20 | $67.20 | $67.20 – $67.20 |
| 19 | Aetna commercial professional · fee schedule · both | $69.61 | $69.61 | $69.61 – $69.61 |
| 20 | Blue Cross Blue Shield individual network professional · fee schedule · both | $70.94 | $70.94 | $70.94 – $70.94 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $107.64 | $107.64 | $107.64 – $107.64 |
| 22 | Excellus medicare advantage facility · fee schedule · outpatient | $122.84 | $122.84 | $122.84 – $122.84 |
| 23 | Humana tricare facility · fee schedule · outpatient | $123.43 | $123.43 | $123.43 – $123.43 |
| 24 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $127.30 | $127.30 | $127.30 – $127.30 |
| 25 | Aetna medicare advantage facility · fee schedule · outpatient | $129.93 | $129.93 | $129.93 – $129.93 |
Last updated: Apr 28, 2026
See CT scan of chest and spine without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.