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
Duluth, MN
See all hospitals reporting CPT 72100 →Price type
Essentia Health St. Mary's Children's Hospital’s median price of $188 is 30% above the median hospital's median price ($144), higher than 63% 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, 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 | Blue Cross Blue Shield medicare facility · case rate · outpatient | $106.66 | $106.66 | $106.66 – $106.66 |
| 2 | Healthpartners medicare facility · case rate · outpatient | $106.66 | $106.66 | $106.66 – $106.66 |
| 3 | Medica medicare facility · case rate · outpatient | $106.66 | $106.66 | $106.66 – $106.66 |
| 4 | Ucare medicare facility · case rate · outpatient | $106.66 | $106.66 | $106.66 – $106.66 |
| 5 | UnitedHealthcare medicare facility · case rate · outpatient | $106.66 | $106.66 | $106.66 – $106.66 |
| 6 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $124.79 | $124.79 | $124.79 – $124.79 |
| 7 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $150.05 | $150.05 | $150.05 – $150.05 |
| 8 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $161.70 | $161.70 | $161.70 – $161.70 |
| 9 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $161.70 | $161.70 | $161.70 – $161.70 |
| 10 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $166.48 | $166.48 | $166.48 – $166.48 |
| 11 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $166.48 | $166.48 | $166.48 – $166.48 |
| 12 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 13 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $170.22 | $170.22 | $170.22 – $170.22 |
| 14 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $170.22 | $170.22 | $170.22 – $170.22 |
| 15 | Sanford Health Plan commercial facility · case rate · outpatient | $188.31 | $188.31 | $188.31 – $188.31 |
| 16 | Sanford Health Plan commercial-ndpers facility · case rate · outpatient | $188.31 | $188.31 | $188.31 – $188.31 |
| 17 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $207.35 | $207.35 | $207.35 – $207.35 |
| 18 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $208.48 | $208.48 | $208.48 – $208.48 |
| 19 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $212.68 | $212.68 | $212.68 – $212.68 |
| 20 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $214.14 | $214.14 | $214.14 – $214.14 |
| 21 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $219.42 | $219.42 | $208.48 – $230.35 |
| 22 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $225.82 | $225.82 | $225.82 – $225.82 |
| 23 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $248.07 | $248.07 | $248.07 – $248.07 |
| 24 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $248.07 | $248.07 | $248.07 – $248.07 |
| 25 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $253.63 | $253.63 | $253.63 – $253.63 |
Last updated: Jan 1, 2026
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