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
3500 Tower Ave Superior, WI
See all hospitals reporting CPT 72110 →Price type
Essentia Health St Marys Hospital-Superior’s median price of $179 is 11% above the median hospital's median price ($161), higher than 54% 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: 7 payers, 21 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 | $148.80 | $148.80 | $148.80 – $148.80 |
| 2 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $148.80 | $148.80 | $148.80 – $148.80 |
| 3 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $148.80 | $148.80 | $148.80 – $148.80 |
| 4 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $148.80 | $148.80 | $148.80 – $148.80 |
| 5 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $148.80 | $148.80 | $148.80 – $148.80 |
| 6 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $178.51 | $178.51 | $178.51 – $178.51 |
| 7 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $186.93 | $186.93 | $186.93 – $186.93 |
| 8 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $186.93 | $186.93 | $186.93 – $186.93 |
| 9 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $261.33 | $261.33 | $148.80 – $373.86 |
| 10 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $305.97 | $305.97 | $305.97 – $305.97 |
| 11 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $314.34 | $314.34 | $314.34 – $314.34 |
| 12 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $323.27 | $323.27 | $323.27 – $323.27 |
| 13 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $326.90 | $326.90 | $326.90 – $326.90 |
| 14 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $345.03 | $345.03 | $345.03 – $345.03 |
| 15 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $358.05 | $358.05 | $358.05 – $358.05 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $362.70 | $362.70 | $362.70 – $362.70 |
| 17 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $362.70 | $362.70 | $362.70 – $362.70 |
| 18 | Medica ifb aco facility · percent of total billed charges · outpatientfrom % of charges | $363.16 | $363.16 | $363.16 – $363.16 |
| 19 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $373.44 | $373.44 | $373.44 – $373.44 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $395.25 | $395.25 | $395.25 – $395.25 |
| 21 | 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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