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
COMPUTED TOMOGRAPHY, THORACIC SPINE; WIT
Canandaigua, NY
See all hospitals reporting CPT 72128 →Price type
F.F. Thompson Hospital’s median price of $141 is 58% below the median hospital's median price ($334), higher than 21% 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: 9 payers, 18 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 | Highmark highmark bcbs 514301 fee schedule · outpatient | $104.28 | $104.28 | $104.28 – $104.28 |
| 2 | Blue Cross Blue Shield amerigroup (bswny alternate) 172001 fee schedule · outpatient | $113.12 | $113.12 | $84.84 – $141.40 |
| 3 | Excellus blue choice option medicaid 170601 fee schedule · outpatient | $113.12 | $113.12 | $84.84 – $141.40 |
| 4 | Excellus excellus essential 3-4 170604, excellus essential 1-2 200-250 2201, excellus child health plus 220108, excellus hlthy ny 220110 fee schedule · outpatient | $113.12 | $113.12 | $84.84 – $141.40 |
| 5 | Highmark highmark bcbs essential 1-2 200-250 5143 fee schedule · outpatient | $113.12 | $113.12 | $84.84 – $141.40 |
| 6 | Highmark highmark bcbs medicaid 170201 child health plus 170204 fee schedule · outpatient | $113.12 | $113.12 | $84.84 – $141.40 |
| 7 | UnitedHealthcare united healthcare essential 1-2 200-250 5158 fee schedule · outpatient | $113.12 | $113.12 | $84.84 – $141.40 |
| 8 | UnitedHealthcare united healthcare medicaid 171601, united healthcare essential 3-4 171602, united healthcare child health plus 515813 fee schedule · outpatient | $113.12 | $113.12 | $84.84 – $141.40 |
| 9 | Aetna aetna medicare 130001 fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 10 | Highmark highmark bcbs medicare 130101 fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 11 | Humana humana medicare 131201 fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 12 | UnitedHealthcare united healthcare medicare 130901 fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 13 | WellCare wellcare medicare 131001 fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 14 | Molina molina medicaid 172301, molina child health plus 518901 fee schedule · outpatient | $176.75 | $176.75 | $176.75 – $176.75 |
| 15 | Excellus excellus metal tiers 220102 fee schedule · outpatient | $233.13 | $233.13 | $233.13 – $233.13 |
| 16 | Cigna mvp commercial ppo fully insured 290006, cigna healthcare (pob 182223) 514405 fee schedule · outpatient | $305.12 | $305.12 | $305.12 – $305.12 |
| 17 | Molina molina essential 3-4 172302, molina essential 1-2 200-250 5189 fee schedule · outpatient | $318.15 | $318.15 | $318.15 – $318.15 |
| 18 | Excellus excellus 220101, excellus simply blue 220106, excellus blue choice 220107 fee schedule · outpatient | $360.36 | $360.36 | $360.36 – $360.36 |
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.