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
CT CHEST SPINE W/O DYE
201 9th St W Ada, MN
See all hospitals reporting CPT 72128 →Price type
Essentia Health Ada’s median price of $1.3k is 279% above the median hospital's median price ($334), higher than 81% 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: 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 | $749.21 | $749.21 | $749.21 – $749.21 |
| 2 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $749.21 | $749.21 | $749.21 – $749.21 |
| 3 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $766.55 | $766.55 | $766.55 – $766.55 |
| 4 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $826.06 | $826.06 | $826.06 – $826.06 |
| 5 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $826.06 | $826.06 | $826.06 – $826.06 |
| 6 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $869.59 | $869.59 | $869.59 – $869.59 |
| 7 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $869.59 | $869.59 | $869.59 – $869.59 |
| 8 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $924.48 | $924.48 | $924.48 – $924.48 |
| 9 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $924.48 | $924.48 | $924.48 – $924.48 |
| 10 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $924.48 | $924.48 | $924.48 – $924.48 |
| 11 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $924.48 | $924.48 | $924.48 – $924.48 |
| 12 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $924.48 | $924.48 | $924.48 – $924.48 |
| 13 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,059 | $1,059 | $1,059 – $1,059 |
| 14 | Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges | $1,171 | $1,171 | $1,171 – $1,171 |
| 15 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $1,171 | $1,171 | $1,171 – $1,171 |
| 16 | Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,200 | $1,200 | $1,200 – $1,200 |
| 17 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,267 | $1,267 | $1,267 – $1,267 |
| 18 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,267 | $1,267 | $1,267 – $1,267 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,281 | $1,281 | $1,281 – $1,281 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,281 | $1,281 | $1,281 – $1,281 |
| 21 | Healthpartners commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,281 | $1,281 | $1,281 – $1,281 |
| 22 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,281 | $1,281 | $1,281 – $1,281 |
| 23 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $1,348 | $1,348 | $1,348 – $1,348 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,348 | $1,348 | $1,348 – $1,348 |
| 25 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,355 | $1,355 | $1,030 – $1,679 |
Last updated: Jan 1, 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.