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
Weston, FL
See all hospitals reporting CPT 72128 →Price type
Cleveland Clinic Weston Hospital Nonprofit Corporation’s median price of $189 is 44% below the median hospital's median price ($334), higher than 32% 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: 10 payers, 56 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Optum managed medicaid facility · case rate · outpatient | $64.08 | $64.08 | $64.08 – $64.08 |
| 2 | Medicaid managed medicaid facility · case rate · outpatient | $67.45 | $67.45 | $67.45 – $67.45 |
| 3 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $67.45 | $67.45 | $67.45 – $67.45 |
| 4 | Aetna managed medicaid/chip facility · case rate · outpatient | $80.94 | $80.94 | $80.94 – $80.94 |
| 5 | Aetna aetna signature administrators facility · fee schedule · outpatient | $89.11 | $89.11 | $89.11 – $89.11 |
| 6 | Blue Cross Blue Shield medicare advantage hmo facility · fee schedule · outpatient | $106.74 | $106.74 | $106.74 – $106.74 |
| 7 | Blue Cross Blue Shield medicare advantage ppo facility · fee schedule · outpatient | $106.74 | $106.74 | $106.74 – $106.74 |
| 8 | Humana medicare advantage hmo facility · fee schedule · outpatient | $106.74 | $106.74 | $106.74 – $106.74 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $106.74 | $106.74 | $106.74 – $106.74 |
| 10 | Blue Cross Blue Shield medicare advantage hmo professional · fee schedule · outpatient | $134.06 | $107.25 | $48.44 – $134.06 |
| 11 | Blue Cross Blue Shield medicare advantage ppo professional · fee schedule · outpatient | $134.06 | $107.25 | $48.44 – $134.06 |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $134.06 | $107.25 | $48.44 – $134.06 |
| 13 | WellCare medicare advantage professional · fee schedule · outpatient | $134.06 | $107.25 | $48.44 – $134.06 |
| 14 | Aetna medicare advantage facility · fee schedule · outpatient | $109.17 | $109.17 | $109.17 – $109.17 |
| 15 | WellCare medicare advantage facility · fee schedule · outpatient | $109.17 | $109.17 | $109.17 – $109.17 |
| 16 | Aetna all products anesthesia professional · fee schedule · outpatient | $117.23 | $117.23 | $102.31 – $132.15 |
| 17 | Devoted medicare advantage hmo facility · fee schedule · outpatient | $120.09 | $120.09 | $120.09 – $120.09 |
| 18 | Devoted medicare advantage ppo facility · fee schedule · outpatient | $120.09 | $120.09 | $120.09 – $120.09 |
| 19 | Optum managed medicaid professional · fee schedule · outpatient | $121.11 | $121.11 | $121.11 – $121.11 |
| 20 | Aetna all products pcp professional · fee schedule · outpatient | $132.15 | $132.15 | $132.15 – $132.15 |
| 21 | Aetna medicare advantage pcp professional · fee schedule · outpatient | $166.23 | $132.99 | $60.07 – $166.23 |
| 22 | Aetna medicare advantage specialist professional · fee schedule · outpatient | $168.92 | $135.13 | $61.03 – $168.92 |
| 23 | UnitedHealthcare all products professional · fee schedule · outpatient | $172.26 | $137.81 | $61.45 – $172.26 |
| 24 | Blue Cross Blue Shield health options professional · fee schedule · outpatient | $199.44 | $159.55 | $41.62 – $199.44 |
| 25 | Aetna all products specialist professional · fee schedule · outpatient | $162.54 | $162.54 | $162.54 – $162.54 |
Last updated: Jun 15, 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.