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 THORACIC SPINE W/O CONTRAST MATERIAL
Canton, OH
See all hospitals reporting CPT 72128 →Price type
Cleveland Clinic Mercy Hospital’s median price of $143 is 57% below the median hospital's median price ($334), higher than 22% 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: 9 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 | Aetna asa_whirlpool_peia facility · other · outpatient | $1.01 | $1.01 | $1.01 – $1.01 |
| 2 | Aetna all products professional · other · outpatient | $1.65 | $1.65 | $1.65 – $1.65 |
| 3 | Aetna medicare advantage professional · fee schedule · outpatient | $76.96 | $81.74 | $45.65 – $122.61 |
| 4 | Anthem medicare advantage professional · fee schedule · outpatient | $76.96 | $81.74 | $45.65 – $122.61 |
| 5 | Cigna medicare advantage professional · fee schedule · outpatient | $76.96 | $81.74 | $45.65 – $122.61 |
| 6 | Humana medicare advantage hmo professional · fee schedule · outpatient | $76.96 | $81.74 | $45.65 – $122.61 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $76.96 | $81.74 | $45.65 – $122.61 |
| 8 | Humana medicare advantage hmo facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 10 | Aetna medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 11 | Anthem medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 12 | Cigna medicare advantage facility · fee schedule · outpatient | $101.88 | $101.88 | $101.88 – $101.88 |
| 13 | Aetna acop professional · fee schedule · outpatient | $115.51 | $115.51 | $115.51 – $115.51 |
| 14 | Anthem all products mid-level non-facility professional · fee schedule · outpatient | $110.22 | $115.61 | $63.19 – $173.43 |
| 15 | UnitedHealthcare managed medicaid professional · fee schedule · outpatient | $127.48 | $127.48 | $127.48 – $127.48 |
| 16 | Caresource managed medicaid professional · fee schedule · outpatient | $131.30 | $131.30 | $131.30 – $131.30 |
| 17 | Molina managed medicaid professional · fee schedule · outpatient | $140.23 | $140.23 | $140.23 – $140.23 |
| 18 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $149.76 | $149.76 | $149.76 – $149.76 |
| 19 | Caresource managed medicaid facility · case rate · outpatient | $154.25 | $154.25 | $154.25 – $154.25 |
| 20 | Anthem managed medicaid facility · case rate · outpatient | $157.25 | $157.25 | $157.25 – $157.25 |
| 21 | Molina managed medicaid facility · case rate · outpatient | $157.25 | $157.25 | $157.25 – $157.25 |
| 22 | UnitedHealthcare hmo & ppo professional · fee schedule · outpatient | $154.80 | $163.11 | $89.87 – $244.67 |
| 23 | UnitedHealthcare all products - mid-level professional · fee schedule · outpatient | $171.54 | $180.75 | $80.89 – $322.05 |
| 24 | Oscar all products professional · percent of total billed charges · outpatientfrom % of charges | $186.51 | $192.10 | $101.64 – $288.15 |
| 25 | UnitedHealthcare all products professional · fee schedule · outpatient | $189.38 | $199.55 | $89.87 – $353.97 |
Last updated: Jun 15, 2026
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