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
Newburgh, IN
See all hospitals reporting CPT 72128 →Price type
Deaconess Hospital, Inc’s median price of $100 is 70% below the median hospital's median price ($334), higher than 4% 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: 13 payers, 51 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 professional · fee schedule · both | $44.53 | $44.53 | $44.53 – $44.53 |
| 2 | Anthem commercial professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 3 | Anthem medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 4 | Caresource medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 5 | Humana commercial professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 6 | Humana medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 7 | Molina dual medicare/medicaid professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 8 | Molina medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $75.91 | $75.91 | $75.91 – $75.91 |
| 10 | Bcbs Il dual medicare/medicaid professional · fee schedule · both | $77.43 | $77.43 | $77.43 – $77.43 |
| 11 | Bcbs Il medicare advantage professional · fee schedule · both | $77.43 | $77.43 | $77.43 – $77.43 |
| 12 | Anthem managed medicaid professional · fee schedule · both | $78.05 | $78.05 | $78.05 – $78.05 |
| 13 | Caresource managed medicaid professional · fee schedule · both | $78.05 | $78.05 | $78.05 – $78.05 |
| 14 | Ambetter commercial professional · fee schedule · both | $87.30 | $87.30 | $87.30 – $87.30 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $97.04 | $90.00 | $75.91 – $97.04 |
| 16 | UnitedHealthcare commercial professional · percent of total billed charges · bothfrom % of charges | $92.10 | $92.10 | $37.80 – $146.40 |
| 17 | Anthem commercial facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 18 | Anthem medicare advantage facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 19 | Caresource medicare advantage facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 20 | Humana commercial facility · fee schedule · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 21 | Humana medicare advantage facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 22 | Molina dual medicare/medicaid facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 23 | Molina medicare advantage facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 24 | Molina medicare advantage facility · fee schedule · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 25 | UnitedHealthcare commercial facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
Last updated: Feb 13, 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.