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 X-RAY EXAM, SPINE, LUMBOSACRAL, 2 OR 3 VIEWS
Menomonee Falls, WI
See all hospitals reporting CPT 72100 →Price type
Community Memorial Hospital of Menomonee Falls Inc’s median price of $426 is 195% above the median hospital's median price ($144), higher than 90% of the 2,629 hospitals reporting CPT 72100. 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, 19 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 | Anthem hmo other · inpatient | $48.64 | $48.64 | $48.64 – $48.64 |
| 2 | Anthem hmo fee schedule · outpatient | $49.20 | $49.20 | $49.20 – $49.20 |
| 3 | Anthem medicare advantage case rate · outpatient | $103.26 | $103.26 | $103.26 – $103.26 |
| 4 | Humana medicare advantage fee schedule · outpatient | $103.26 | $103.26 | $103.26 – $103.26 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $103.26 | $103.26 | $103.26 – $103.26 |
| 6 | Aetna medicare advantage case rate · outpatient | $105.32 | $105.32 | $105.32 – $105.32 |
| 7 | UnitedHealthcare nexus fee schedule · outpatient | $423.00 | $423.00 | $423.00 – $423.00 |
| 8 | Aetna all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $429.10 | $429.10 | $429.10 – $429.10 |
| 9 | Aetna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $429.10 | $429.10 | $429.10 – $429.10 |
| 10 | UnitedHealthcare choice plus/navigate fee schedule · outpatient | $495.00 | $495.00 | $495.00 – $495.00 |
| 11 | UnitedHealthcare choice plus/navigate other · inpatient | $495.00 | $495.00 | $495.00 – $495.00 |
| 12 | UnitedHealthcare options ppo other · inpatient | $498.82 | $498.82 | $498.82 – $498.82 |
| 13 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $521.05 | $521.05 | $521.05 – $521.05 |
| 14 | MultiPlan all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $533.31 | $533.31 | $533.31 – $533.31 |
| 15 | MultiPlan all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $533.31 | $533.31 | $533.31 – $533.31 |
| 16 | Cigna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $539.44 | $539.44 | $539.44 – $539.44 |
| 17 | First Health all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $539.44 | $539.44 | $539.44 – $539.44 |
| 18 | First Health all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $539.44 | $539.44 | $539.44 – $539.44 |
| 19 | UnitedHealthcare options ppo fee schedule · outpatient | $597.00 | $597.00 | $597.00 – $597.00 |
Last updated: Dec 31, 2025
See Lumbosacral spine X-ray, 2 to 3 views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.