CT scan of chest and spine without contrast dye at Essentia Health St Marys Hospital-Superior

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT CHEST SPINE W/O DYE

3500 Tower Ave Superior, WI

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Pricing by billing methodology

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How this price compares nationally

Essentia Health St Marys Hospital-Superior’s median price of $1.3k is 285% above the median hospital's median price ($334), higher than 82% of the 2,605 hospitals reporting CPT 72128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72128 at Essentia Health St Marys Hospital-Superior

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	$616.32	$616.32	$616.32 – $616.32
2	Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges	$616.32	$616.32	$616.32 – $616.32
3	Medica medicare facility · percent of total billed charges · outpatientfrom % of charges	$616.32	$616.32	$616.32 – $616.32
4	Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges	$616.32	$616.32	$616.32 – $616.32
5	UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges	$616.32	$616.32	$616.32 – $616.32
6	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$739.39	$739.39	$739.39 – $739.39
7	Healthpartners medicaid facility · percent of total billed charges · inpatientfrom % of charges	$774.25	$774.25	$774.25 – $774.25
8	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$774.25	$774.25	$774.25 – $774.25
9	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$774.25	$774.25	$774.25 – $774.25
10	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$1,059	$1,059	$1,059 – $1,059
11	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,082	$1,082	$616.32 – $1,549
12	Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges	$1,210	$1,210	$1,210 – $1,210
13	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,267	$1,267	$1,267 – $1,267
14	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,267	$1,267	$1,267 – $1,267
15	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$1,271	$1,271	$1,271 – $1,271
16	Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges	$1,302	$1,302	$1,302 – $1,302
17	Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges	$1,337	$1,337	$1,337 – $1,337
18	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$1,339	$1,339	$1,339 – $1,339
19	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$1,348	$1,348	$1,348 – $1,348
20	Medica commercial-fi facility · percent of total billed charges · inpatientfrom % of charges	$1,354	$1,354	$1,354 – $1,354
21	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$1,354	$1,354	$1,354 – $1,354
22	Medica commercial-si facility · percent of total billed charges · inpatientfrom % of charges	$1,429	$1,429	$1,429 – $1,429
23	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$1,429	$1,429	$1,429 – $1,429
24	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,483	$1,483	$1,483 – $1,483
25	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,483	$1,483	$1,483 – $1,483

Page 1 of 2 · 37 rates

Last updated: Jan 1, 2026

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