Lumbar spine X-ray, bending views only at Dignity Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

XR L SPINE BEND ONLY 2-3V

Carmichael, CA

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Pricing by billing methodology

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How this price compares nationally

Dignity Health’s median price of $154 is 3% above the median hospital's median price ($149), higher than 52% of the 2,421 hospitals reporting CPT 72120. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72120 at Dignity Health

Negotiated rates from the hospital’s own file: 10 payers, 32 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	UnitedHealthcare medicaid\|< 21 fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
2	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
3	Molina medicaid\|all plans fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
4	Anthem medicaid\|all plans fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
5	Anthem medicare\|all other plans fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
6	Aetna commercial\|all other plans fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
7	Aetna commercial\|hmo fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
8	Aetna commercial\|ppo fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
9	Aetna medicare\|all plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
10	Blue Cross Blue Shield medicare\|hmo case rate · outpatient	$140	$140	—	—	—	$140 – $140
11	Blue Cross Blue Shield medicare\|ppo fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
12	Humana commercial\|all plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
13	Humana medicare\|all plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
14	Kaiser medicare\|all plans case rate · outpatient	$140	$140	—	—	—	$140 – $140
15	Molina medicare\|all plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
16	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
17	Anthem medicare\|imperial fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
18	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
19	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
20	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
21	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
22	Cigna commercial\|localplus fee schedule · outpatient	$440	$440	—	—	—	$440 – $440
23	Anthem commercial\|connection epo fee schedule · outpatient	$450	$450	—	—	—	$450 – $450
24	Kaiser medicaid\|all plans fee schedule · outpatient	$482	$482	—	—	—	$482 – $482
25	Anthem commercial\|all other plans fee schedule · outpatient	$562	$562	—	—	—	$562 – $562

Page 1 of 2 · 32 rates

Last updated: Feb 28, 2026

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