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
Burnsville, MN
See all hospitals reporting CPT 72128 →Price type
Fairview Health Services’s median price of $133 is 60% below the median hospital's median price ($334), higher than 18% 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, 60 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 managed medicaid/accessability fee schedule · both | $68.01 | $68.01 | $34.57 – $101.44 |
| 3 | Bcbs Mn pmap fee schedule · both | $72.77 | $72.77 | $36.99 – $108.54 |
| 4 | Medica medicare advantage non-snp other · inpatient | $73.99 | $73.99 | $73.99 – $73.99 |
| 5 | Ucare medicare advantage/msho other · inpatient | $77.64 | $77.64 | $77.64 – $77.64 |
| 6 | Sanford Health Plan medicare advantage fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 7 | UnitedHealthcare medicare advantage fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 8 | WellCare medicare advantage fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 9 | Bcbs Mn medicare advantage fee schedule · both | $86.28 | $88.00 | $45.72 – $132.00 |
| 10 | Bcbs Mn pmap other · inpatient | $89.04 | $89.04 | $89.04 – $89.04 |
| 11 | Medica medicare advantage non-snp fee schedule · both | $89.37 | $91.05 | $47.21 – $136.58 |
| 12 | Ucare medicare advantage/msho fee schedule · both | $89.60 | $91.38 | $47.48 – $137.07 |
| 13 | Medica msho/medicare advantage snp fee schedule · both | $91.05 | $92.77 | $48.10 – $139.16 |
| 14 | Sanford Health Plan medicare advantage fee schedule · outpatient | $103.45 | $103.45 | $103.45 – $103.45 |
| 15 | UnitedHealthcare medicare advantage fee schedule · outpatient | $103.45 | $103.45 | $103.45 – $103.45 |
| 16 | WellCare medicare advantage fee schedule · outpatient | $103.45 | $103.45 | $103.45 – $103.45 |
| 17 | Ucare medicare advantage/msho fee schedule · outpatient | $105.00 | $105.00 | $105.00 – $105.00 |
| 18 | Bcbs Mn medicare advantage fee schedule · outpatient | $107.59 | $107.59 | $107.59 – $107.59 |
| 19 | Ucare pmap fee schedule · outpatient | $108.53 | $108.53 | $108.53 – $108.53 |
| 20 | Medica medicare advantage non-snp fee schedule · outpatient | $109.66 | $109.66 | $109.66 – $109.66 |
| 21 | UnitedHealthcare medicare advantage other · inpatient | $111.00 | $111.00 | $111.00 – $111.00 |
| 22 | Bcbs Mn medicare advantage other · inpatient | $111.07 | $111.07 | $111.07 – $111.07 |
| 23 | Ucare pmap other · inpatient | $111.70 | $111.70 | $111.70 – $111.70 |
| 24 | Medica managed medicaid/accessability other · inpatient | $120.39 | $120.39 | $120.39 – $120.39 |
| 25 | UnitedHealthcare commercial other · inpatient | $157.57 | $157.57 | $157.57 – $157.57 |
Last updated: Feb 6, 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.