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 CHEST SPINE W/O DYE
Elkins, WV
See all hospitals reporting CPT 72128 →Price type
Davis Medical Center’s median price of $91 is 73% below the median hospital's median price ($334), higher than 2% 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: 8 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 | Humana medicare advantage professional · fee schedule · both | $73.04 | $79.20 | $45.76 – $118.80 |
| 2 | UnitedHealthcare medicare advantage professional · fee schedule · both | $73.04 | $79.20 | $45.76 – $118.80 |
| 3 | Highmark medicare advantage professional · fee schedule · both | $76.69 | $83.16 | $48.05 – $124.74 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $80.34 | $87.12 | $50.34 – $130.68 |
| 5 | Aetna Better Health managed medicaid professional · fee schedule · both | $90.70 | $90.70 | $90.70 – $90.70 |
| 6 | Highmark managed medicaid professional · fee schedule · both | $90.70 | $90.70 | $90.70 – $90.70 |
| 7 | Aetna Better Health managed medicaid facility · fee schedule · outpatient | $93.28 | $93.28 | $93.28 – $93.28 |
| 8 | Highmark managed medicaid facility · case rate · outpatient | $93.28 | $93.28 | $93.28 – $93.28 |
| 9 | Aetna commercial professional · fee schedule · both | $89.64 | $96.23 | $54.71 – $144.35 |
| 10 | First Health commercial professional · fee schedule · both | $89.64 | $96.23 | $54.71 – $144.35 |
| 11 | Highmark medicare advantage facility · case rate · outpatient | $99.28 | $99.28 | $99.28 – $99.28 |
| 12 | Aetna medicare advantage facility · case rate · outpatient | $100.29 | $100.29 | $100.29 – $100.29 |
| 13 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $100.29 | $100.29 | $100.29 – $100.29 |
| 14 | Humana medicare advantage facility · case rate · outpatient | $104.30 | $104.30 | $104.30 – $104.30 |
| 15 | Cigna commercial professional · fee schedule · both | $131.29 | $121.52 | $61.49 – $162.03 |
| 16 | Highmark commercial professional · fee schedule · both | $155.47 | $160.56 | $85.37 – $240.84 |
| 17 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,138 | $2,138 | $2,138 – $2,138 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,138 | $2,138 | $2,138 – $2,138 |
| 19 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,383 | $2,383 | $2,383 – $2,383 |
| 20 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,511 | $2,511 | $2,511 – $2,511 |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,511 | $2,511 | $2,511 – $2,511 |
| 22 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,511 | $2,511 | $2,511 – $2,511 |
| 23 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,511 | $2,511 | $2,511 – $2,511 |
| 24 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,612 | $2,612 | $2,612 – $2,612 |
| 25 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,612 | $2,612 | $2,612 – $2,612 |
Last updated: Jul 30, 2026
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