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 MINIMUM 4 VWS
201 9th St W Ada, MN
See all hospitals reporting CPT 72110 →Price type
Essentia Health Ada’s median price of $223 is 39% above the median hospital's median price ($161), higher than 63% 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, 22 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 · outpatientfrom % of charges | $180.89 | $180.89 | $180.89 – $180.89 |
| 2 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $185.07 | $185.07 | $185.07 – $185.07 |
| 3 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $199.44 | $199.44 | $199.44 – $199.44 |
| 4 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $209.95 | $209.95 | $209.95 – $209.95 |
| 5 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $223.20 | $223.20 | $223.20 – $223.20 |
| 6 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $223.20 | $223.20 | $223.20 – $223.20 |
| 7 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $223.20 | $223.20 | $223.20 – $223.20 |
| 8 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $223.20 | $223.20 | $223.20 – $223.20 |
| 9 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $223.20 | $223.20 | $223.20 – $223.20 |
| 10 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $282.72 | $282.72 | $282.72 – $282.72 |
| 11 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $305.97 | $305.97 | $305.97 – $305.97 |
| 12 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $309.23 | $309.23 | $309.23 – $309.23 |
| 13 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $309.23 | $309.23 | $309.23 – $309.23 |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $327.04 | $327.04 | $248.78 – $405.29 |
| 15 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $386.42 | $386.42 | $386.42 – $386.42 |
| 16 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $386.42 | $386.42 | $386.42 – $386.42 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $395.25 | $395.25 | $395.25 – $395.25 |
| 18 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $402.69 | $402.69 | $386.42 – $418.96 |
| 19 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $405.25 | $405.25 | $405.25 – $405.25 |
| 20 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $405.29 | $405.29 | $405.29 – $405.29 |
| 21 | Medica ifb aco facility · percent of total billed charges · outpatientfrom % of charges | $406.88 | $406.88 | $406.88 – $406.88 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $420.82 | $420.82 | $420.82 – $420.82 |
Last updated: Jan 1, 2026
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