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
CT CHEST SPINE W/O DYE
St. Paul, MN
See all hospitals reporting CPT 72128 →Price type
Fairview Bethesda Hospital’s median price of $158 is 53% below the median hospital's median price ($334), higher than 26% 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: 8 payers, 61 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 | Ucare pmap fee schedule · both | $62.40 | $63.60 | $32.87 – $95.52 |
| 2 | Medica minnesota care/accessability/choice care government fee schedule · both | $68.01 | $68.01 | $34.57 – $101.44 |
| 3 | Bcbs Mn managed medicaid fee schedule · both | $72.77 | $72.77 | $36.99 – $108.54 |
| 4 | Sanford Health Plan medicare advantage fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 6 | WellCare medicare advantage fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 7 | Bcbs Mn medicare advantage fee schedule · both | $86.28 | $88.00 | $45.72 – $132.00 |
| 8 | Medica medicare advantage fee schedule · both | $89.37 | $91.05 | $47.21 – $136.58 |
| 9 | Ucare medicare advantage/msho fee schedule · both | $89.60 | $91.38 | $47.48 – $137.07 |
| 10 | Medica msho fee schedule · both | $91.05 | $92.77 | $48.10 – $139.16 |
| 11 | Sanford Health Plan medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 12 | UnitedHealthcare medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 13 | WellCare medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 14 | Ucare medicare advantage/msho fee schedule · outpatient | $107.44 | $107.44 | $107.44 – $107.44 |
| 15 | Ucare pmap fee schedule · outpatient | $108.53 | $108.53 | $108.53 – $108.53 |
| 16 | Bcbs Mn medicare advantage fee schedule · outpatient | $110.08 | $110.08 | $110.08 – $110.08 |
| 17 | Medica medicare advantage fee schedule · outpatient | $112.20 | $112.20 | $112.20 – $112.20 |
| 18 | Ucare individual and family with m health fairview fee schedule · outpatient | $186.19 | $186.19 | $186.19 – $186.19 |
| 19 | Ucare individual and family with m health fairview fee schedule · both | $218.93 | $223.29 | $116.01 – $334.94 |
| 20 | Ucare individual and family fee schedule · both | $230.63 | $235.23 | $122.21 – $352.84 |
| 21 | Ucare individual and family fee schedule · outpatient | $243.24 | $243.24 | $243.24 – $243.24 |
| 22 | Medica bold fee schedule · both | $246.26 | $249.36 | $127.78 – $374.04 |
| 23 | Medica vantage si fee schedule · both | $266.78 | $270.14 | $138.43 – $405.21 |
| 24 | Medica city of st paul and essential/uplan fee schedule · both | $273.62 | $277.07 | $141.98 – $415.60 |
| 25 | Medica individual and family, elect fee schedule · both | $273.62 | $277.07 | $141.98 – $415.60 |
Last updated: Jan 29, 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.