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
XR LUMBAR SPINE 4+VWS FY
San Bernardino, CA
See all hospitals reporting CPT 72110 →Price type
Community Hospital Of San Bernardino’s median price of $135 is 16% below the median hospital's median price ($161), higher than 39% 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: 11 payers, 27 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $62.90 | $62.90 | $62.90 – $62.90 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $62.90 | $62.90 | $62.90 – $62.90 |
| 3 | Aetna commercial|gatekeeper fee schedule · outpatient | $70.31 | $70.31 | $70.31 – $70.31 |
| 4 | Aetna commercial|non-gatekeeper fee schedule · outpatient | $84.46 | $84.46 | $84.46 – $84.46 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $88.06 | $88.06 | $88.06 – $88.06 |
| 6 | Anthem medicaid|all plans fee schedule · outpatient | $106.85 | $106.85 | $106.85 – $106.85 |
| 7 | Anthem medicare|all plans fee schedule · outpatient | $135.12 | $135.12 | $135.12 – $135.12 |
| 8 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $135.12 | $135.12 | $135.12 – $135.12 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $135.12 | $135.12 | $135.12 – $135.12 |
| 10 | Kaiser medicare|all plans fee schedule · outpatient | $135.12 | $135.12 | $135.12 – $135.12 |
| 11 | Molina medicare|all plans fee schedule · outpatient | $135.12 | $135.12 | $135.12 – $135.12 |
| 12 | UnitedHealthcare medicare|all plans case rate · outpatient | $135.12 | $135.12 | $135.12 – $135.12 |
| 13 | Magellan commercial|all plans fee schedule · outpatient | $208.20 | $208.20 | $205.20 – $211.20 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $215.14 | $215.14 | $212.04 – $218.24 |
| 15 | First Health commercial|all plans fee schedule · outpatient | $242.90 | $242.90 | $239.40 – $246.40 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $245.18 | $245.18 | $245.18 – $245.18 |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $245.18 | $245.18 | $245.18 – $245.18 |
| 18 | Anthem commercial|all other plans fee schedule · outpatient | $253.01 | $253.01 | $249.66 – $256.35 |
| 19 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $260.25 | $260.25 | $256.50 – $264.00 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $277.60 | $277.60 | $273.60 – $281.60 |
| 21 | Anthem commercial|mcs fee schedule · outpatient | $315.77 | $315.77 | $311.22 – $320.32 |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $569.81 | $569.81 | $569.81 – $569.81 |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $569.81 | $569.81 | $569.81 – $569.81 |
| 24 | Magellan commercial|all plans fee schedule · inpatient | $836.40 | $836.40 | $820.80 – $852.00 |
| 25 | Kaiser commercial|all plans fee schedule · inpatient | $864.28 | $864.28 | $848.16 – $880.40 |
Last updated: Feb 28, 2026
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