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
XRAY LUMBOSACRAL 2 OR 3 VWS
201 9th St W Ada, MN
See all hospitals reporting CPT 72100 →Price type
Essentia Health Ada’s median price of $237 is 64% above the median hospital's median price ($144), higher than 71% of the 2,629 hospitals reporting CPT 72100. 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, 39 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 | Healthpartners medicaid facility · percent of total billed charges · inpatientfrom % of charges | $140.04 | $140.04 | $140.04 – $140.04 |
| 2 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $140.04 | $140.04 | $140.04 – $140.04 |
| 3 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $143.28 | $143.28 | $143.28 – $143.28 |
| 4 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $154.40 | $154.40 | $154.40 – $154.40 |
| 5 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $154.40 | $154.40 | $154.40 – $154.40 |
| 6 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $162.54 | $162.54 | $162.54 – $162.54 |
| 7 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $162.54 | $162.54 | $162.54 – $162.54 |
| 8 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 9 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 10 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 11 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 12 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 13 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $198.00 | $198.00 | $198.00 – $198.00 |
| 14 | Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges | $218.88 | $218.88 | $218.88 – $218.88 |
| 15 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $218.88 | $218.88 | $218.88 – $218.88 |
| 16 | Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges | $224.28 | $224.28 | $224.28 – $224.28 |
| 17 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $236.88 | $236.88 | $236.88 – $236.88 |
| 18 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $236.88 | $236.88 | $236.88 – $236.88 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $239.40 | $239.40 | $239.40 – $239.40 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $239.40 | $239.40 | $239.40 – $239.40 |
| 21 | Healthpartners commercial facility · percent of total billed charges · inpatientfrom % of charges | $239.40 | $239.40 | $239.40 – $239.40 |
| 22 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $239.40 | $239.40 | $239.40 – $239.40 |
| 23 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $252.00 | $252.00 | $252.00 – $252.00 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $252.00 | $252.00 | $252.00 – $252.00 |
| 25 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $253.19 | $253.19 | $192.60 – $313.78 |
Last updated: Jan 1, 2026
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