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
PR CT THORACIC SPINE W/O CONTRAST
Minneapolis, MN
See all hospitals reporting CPT 72128 →Price type
Fairview Health Services’s median price of $122 is 63% below the median hospital's median price ($334), higher than 14% 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: 12 payers, 81 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 government transplant fee schedule · both | $47.64 | $55.92 | $32.87 – $95.52 |
| 2 | Ucare pmap fee schedule · both | $47.64 | $55.92 | $32.87 – $95.52 |
| 3 | Medica managed medicaid/accessability fee schedule · both | $34.57 | $56.86 | $34.57 – $101.44 |
| 4 | Bcbs Mn pmap fee schedule · both | $36.99 | $60.84 | $36.99 – $108.54 |
| 5 | Sanford Health Plan medicare advantage fee schedule · both | $63.46 | $74.45 | $43.96 – $126.92 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $63.46 | $74.45 | $43.96 – $126.92 |
| 7 | WellCare medicare advantage fee schedule · both | $63.46 | $74.45 | $43.96 – $126.92 |
| 8 | UnitedHealthcare medicare advantage other · inpatient | $75.71 | $75.71 | $75.71 – $75.71 |
| 9 | Bcbs Mn medicare advantage fee schedule · both | $66.00 | $77.43 | $45.72 – $132.00 |
| 10 | Medica medicare advantage non-snp fee schedule · both | $68.29 | $80.09 | $47.21 – $136.58 |
| 11 | Optum medicaid transplant fee schedule · both | $68.54 | $80.41 | $47.48 – $137.07 |
| 12 | Optum medicare transplant fee schedule · both | $68.54 | $80.41 | $47.48 – $137.07 |
| 13 | Ucare medicare advantage/msho fee schedule · both | $68.54 | $80.41 | $47.48 – $137.07 |
| 14 | Medica msho/medicare advantage snp fee schedule · both | $69.58 | $81.60 | $48.10 – $139.16 |
| 15 | Aetna transplant other · inpatient | $89.05 | $89.05 | $89.05 – $89.05 |
| 16 | Cigna lifesource transplant percent of total billed charges · bothfrom % of charges | $92.40 | $92.40 | $90.16 – $94.64 |
| 17 | Sanford Health Plan commercial percent of total billed charges · bothfrom % of charges | $97.19 | $97.19 | $94.83 – $99.54 |
| 18 | Ucare pmap other · inpatient | $99.30 | $99.30 | $99.30 – $99.30 |
| 19 | Ucare medicare advantage/msho other · inpatient | $99.82 | $99.82 | $99.82 – $99.82 |
| 20 | Optum medicaid transplant fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 21 | Sanford Health Plan medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 22 | UnitedHealthcare medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 23 | WellCare medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 24 | Humana transplant percent of total billed charges · bothfrom % of charges | $107.25 | $107.25 | $104.65 – $109.85 |
| 25 | Optum commercial transplant percent of total billed charges · bothfrom % of charges | $107.25 | $107.25 | $104.65 – $109.85 |
Last updated: Feb 6, 2026
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