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
3500 Tower Ave Superior, WI
See all hospitals reporting CPT 72100 →Price type
Essentia Health St Marys Hospital-Superior’s median price of $240 is 67% 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: 7 payers, 37 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 · percent of total billed charges · outpatientfrom % of charges | $115.20 | $115.20 | $115.20 – $115.20 |
| 2 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $115.20 | $115.20 | $115.20 – $115.20 |
| 3 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $115.20 | $115.20 | $115.20 – $115.20 |
| 4 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $115.20 | $115.20 | $115.20 – $115.20 |
| 5 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $115.20 | $115.20 | $115.20 – $115.20 |
| 6 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $138.20 | $138.20 | $138.20 – $138.20 |
| 7 | Healthpartners medicaid facility · percent of total billed charges · inpatientfrom % of charges | $144.72 | $144.72 | $144.72 – $144.72 |
| 8 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $144.72 | $144.72 | $144.72 – $144.72 |
| 9 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $144.72 | $144.72 | $144.72 – $144.72 |
| 10 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $198.00 | $198.00 | $198.00 – $198.00 |
| 11 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $202.32 | $202.32 | $115.20 – $289.44 |
| 12 | Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges | $226.08 | $226.08 | $226.08 – $226.08 |
| 13 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $236.88 | $236.88 | $236.88 – $236.88 |
| 14 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $236.88 | $236.88 | $236.88 – $236.88 |
| 15 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $237.60 | $237.60 | $237.60 – $237.60 |
| 16 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $243.36 | $243.36 | $243.36 – $243.36 |
| 17 | Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges | $249.84 | $249.84 | $249.84 – $249.84 |
| 18 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $250.27 | $250.27 | $250.27 – $250.27 |
| 19 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $252.00 | $252.00 | $252.00 – $252.00 |
| 20 | Medica commercial-fi facility · percent of total billed charges · inpatientfrom % of charges | $253.08 | $253.08 | $253.08 – $253.08 |
| 21 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $253.08 | $253.08 | $253.08 – $253.08 |
| 22 | Medica commercial-si facility · percent of total billed charges · inpatientfrom % of charges | $267.12 | $267.12 | $267.12 – $267.12 |
| 23 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $267.12 | $267.12 | $267.12 – $267.12 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $277.20 | $277.20 | $277.20 – $277.20 |
| 25 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $277.20 | $277.20 | $277.20 – $277.20 |
Last updated: Jan 1, 2026
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