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
CHG CT THORACIC SPINE W/O CONTRAST MATERIAL
Princeton, IN
See all hospitals reporting CPT 72128 →Price type
Deaconess Health System Gibson General Hospital’s median price of $384 is 15% above the median hospital's median price ($334), higher than 53% 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, 55 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 | Bcbs Il managed medicaid facility · other · inpatient | $31.13 | $31.13 | $31.13 – $31.13 |
| 2 | Bcbs Il managed medicaid facility · other · outpatient | $31.13 | $31.13 | $31.13 – $31.13 |
| 3 | Bcbs Il managed medicaid professional · other · both | $31.13 | $31.13 | $31.13 – $31.13 |
| 4 | Bcbs Il managed medicaid professional · fee schedule · both | $44.53 | $44.53 | $44.53 – $44.53 |
| 5 | WellCare managed medicaid professional · fee schedule · both | $44.53 | $44.53 | $44.53 – $44.53 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 7 | Ambetter commercial professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 8 | Anthem medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 9 | Bcbs Il medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 11 | WellCare dual medicare/medicaid professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 12 | WellCare medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 13 | Anthem managed medicaid professional · fee schedule · both | $78.05 | $78.05 | $78.05 – $78.05 |
| 14 | Caresource managed medicaid professional · fee schedule · both | $78.05 | $78.05 | $78.05 – $78.05 |
| 15 | UnitedHealthcare managed medicaid professional · fee schedule · both | $78.05 | $78.05 | $78.05 – $78.05 |
| 16 | Caresource commercial professional · fee schedule · both | $87.30 | $87.30 | $75.91 – $98.68 |
| 17 | UnitedHealthcare commercial professional · percent of total billed charges · bothfrom % of charges | $92.10 | $92.10 | $37.80 – $146.40 |
| 18 | UnitedHealthcare commercial professional · fee schedule · both | $97.04 | $97.04 | $97.04 – $97.04 |
| 19 | Anthem commercial professional · fee schedule · both | $167.86 | $137.21 | $75.91 – $167.86 |
| 20 | Caresource commercial professional · percent of total billed charges · bothfrom % of charges | $161.18 | $161.18 | $66.15 – $256.20 |
| 21 | Aetna commercial professional · fee schedule · both | $273.18 | $273.18 | $273.18 – $273.18 |
| 22 | Cigna commercial professional · fee schedule · both | $273.18 | $273.18 | $273.18 – $273.18 |
| 23 | First Health commercial professional · fee schedule · both | $273.18 | $273.18 | $273.18 – $273.18 |
| 24 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $276.30 | $276.30 | $113.40 – $439.20 |
| 25 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $322.35 | $322.35 | $132.30 – $512.40 |
Last updated: Feb 11, 2026
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