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 XR SPINE LUMBAR 4-5 VIEW
Houston, TX
See all hospitals reporting CPT 72110 →Price type
Chi St. Luke's Health Baylor College Of Medicine Medical Center’s median price of $291 is 81% above the median hospital's median price ($161), higher than 72% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 43 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 medicaid|all other plans fee schedule · outpatient | $52.48 | $52.48 | $52.48 – $52.48 |
| 2 | UnitedHealthcare medicaid|chip fee schedule · outpatient | $53.17 | $53.17 | $53.17 – $53.17 |
| 3 | UnitedHealthcare medicaid|starkids fee schedule · outpatient | $53.17 | $53.17 | $53.17 – $53.17 |
| 4 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $54.74 | $54.74 | $54.74 – $54.74 |
| 5 | UnitedHealthcare medicaid|star fee schedule · outpatient | $70.49 | $70.49 | $70.49 – $70.49 |
| 6 | Aetna medicare|transplant case rate · outpatient | $106.51 | $106.51 | $106.51 – $106.51 |
| 7 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $106.51 | $106.51 | $106.51 – $106.51 |
| 8 | Cigna Healthspring medicare|hmo case rate · outpatient | $106.51 | $106.51 | $106.51 – $106.51 |
| 9 | Humana medicare|all other plans case rate · outpatient | $106.51 | $106.51 | $106.51 – $106.51 |
| 10 | Humana medicare|transplant case rate · outpatient | $106.51 | $106.51 | $106.51 – $106.51 |
| 11 | Cigna Healthspring medicare|ppo case rate · outpatient | $107.58 | $107.58 | $107.58 – $107.58 |
| 12 | Aetna medicare|all other plans case rate · outpatient | $108.64 | $108.64 | $108.64 – $108.64 |
| 13 | UnitedHealthcare medicare|all plans case rate · outpatient | $108.64 | $108.64 | $108.64 – $108.64 |
| 14 | Cigna commercial|surefit fee schedule · outpatient | $122.13 | $122.13 | $122.13 – $122.13 |
| 15 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $134.50 | $134.50 | $134.50 – $134.50 |
| 16 | Cigna commercial|hmo fee schedule · outpatient | $134.51 | $134.51 | $134.51 – $134.51 |
| 17 | Blue Cross Blue Shield commercial|blue advantage exchange fee schedule · outpatient | $144.58 | $144.58 | $144.58 – $144.58 |
| 18 | Superior Healthplan commercial|all plans case rate · outpatient | $159.76 | $159.76 | $159.76 – $159.76 |
| 19 | UnitedHealthcare medicaid|starplus fee schedule · outpatient | $160.52 | $160.52 | $160.52 – $160.52 |
| 20 | Aetna commercial|exchange case rate · outpatient | $164.03 | $164.03 | $164.03 – $164.03 |
| 21 | Cigna commercial|ppo fee schedule · outpatient | $165.05 | $165.05 | $165.05 – $165.05 |
| 22 | Blue Cross Blue Shield commercial|transplant fee schedule · outpatient | $189.82 | $189.82 | $189.82 – $189.82 |
| 23 | Blue Cross Blue Shield commercial|premier fee schedule · outpatient | $300.37 | $300.37 | $300.37 – $300.37 |
| 24 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $354.17 | $354.17 | $354.17 – $354.17 |
| 25 | Blue Cross Blue Shield commercial|ppo trad fee schedule · outpatient | $392.28 | $392.28 | $392.28 – $392.28 |
Last updated: Feb 28, 2026
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