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
SP LUMBOSACRAL COMP W/OBL 4 VW
Doylestown, PA
See all hospitals reporting CPT 72110 →Price type
Doylestown Hospital’s median price of $125 is 23% below the median hospital's median price ($161), higher than 33% of the 2,619 hospitals reporting CPT 72110. 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, 17 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 | Cigna cigna facility · fee schedule · outpatient | $57.94 | $57.94 | $57.94 – $57.94 |
| 2 | Aetna aetna pebtf facility · fee schedule · outpatient | $90.05 | $90.05 | $90.05 – $90.05 |
| 3 | Aetna aetna facility · fee schedule · outpatient | $94.70 | $94.70 | $94.70 – $94.70 |
| 4 | Blue Cross Blue Shield other blue cross (100 percent pom) facility · fee schedule · outpatient | $102.85 | $102.85 | $102.85 – $102.85 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $102.85 | $102.85 | $102.85 – $102.85 |
| 6 | Blue Cross Blue Shield other blue cross med adv facility · fee schedule · outpatient | $104.91 | $104.91 | $104.91 – $104.91 |
| 7 | Tricare tricare facility · fee schedule · outpatient | $106.32 | $106.32 | $106.32 – $106.32 |
| 8 | Cigna cigna medicare advantage facility · fee schedule · outpatient | $106.96 | $106.96 | $106.96 – $106.96 |
| 9 | Ambetter ambetter facility · fee schedule · outpatient | $107.99 | $107.99 | $107.99 – $107.99 |
| 10 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $109.02 | $109.02 | $109.02 – $109.02 |
| 11 | Blue Cross Blue Shield independence blue cross hmo tiered facility · fee schedule · outpatient | $124.64 | $124.64 | $124.64 – $124.64 |
| 12 | Blue Cross Blue Shield independence blue cross hmo ppo facility · fee schedule · outpatient | $135.48 | $135.48 | $135.48 – $135.48 |
| 13 | Blue Cross Blue Shield independence blue cross traditional facility · fee schedule · outpatient | $149.03 | $149.03 | $149.03 – $149.03 |
| 14 | Highmark highmark indemnity/managed care facility · fee schedule · outpatient | $219.26 | $219.26 | $219.26 – $219.26 |
| 15 | Blue Cross Blue Shield other blue cross facility · percent of total billed charges · inpatientfrom % of charges | $271.62 | $271.62 | $271.62 – $271.62 |
| 16 | Blue Cross Blue Shield other blue cross facility · percent of total billed charges · outpatientfrom % of charges | $271.62 | $271.62 | $271.62 – $271.62 |
| 17 | UnitedHealthcare united healthcare facility · fee schedule · outpatient | $277.98 | $277.98 | $277.98 – $277.98 |
Last updated: Aug 27, 2026
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