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 THORACIC SPINE W/O CONTRAST MATERIAL
Cleveland, OH
See all hospitals reporting CPT 72128 →Price type
Fairview Hospital’s median price of $253 is 24% below the median hospital's median price ($334), higher than 45% 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: 11 payers, 29 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 | Aetna acop facility · other · outpatient | $0.87 | $0.87 | $0.87 – $0.87 |
| 2 | Aetna asa_whirlpool_peia facility · other · outpatient | $1.01 | $1.01 | $1.01 – $1.01 |
| 3 | Humana medicare advantage hmo facility · fee schedule · outpatient | $95.38 | $95.38 | $95.38 – $95.38 |
| 4 | Optum all products va facility · fee schedule · outpatient | $98.58 | $98.58 | $98.58 – $98.58 |
| 5 | Optum medicare advantage transplant facility · fee schedule · outpatient | $98.58 | $98.58 | $98.58 – $98.58 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $98.58 | $98.58 | $98.58 – $98.58 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 8 | Anthem medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 9 | Devoted medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 10 | Cigna medicare advantage facility · fee schedule · outpatient | $101.88 | $101.88 | $101.88 – $101.88 |
| 11 | Optum managed medicaid transplant facility · case rate · outpatient | $150.50 | $150.50 | $150.50 – $150.50 |
| 12 | Anthem managed medicaid facility · case rate · outpatient | $166.34 | $166.34 | $166.34 – $166.34 |
| 13 | Molina managed medicaid facility · case rate · outpatient | $166.34 | $166.34 | $166.34 – $166.34 |
| 14 | Caresource managed medicaid facility · case rate · outpatient | $169.51 | $169.51 | $169.51 – $169.51 |
| 15 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $169.51 | $169.51 | $169.51 – $169.51 |
| 16 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $207.58 | $207.58 | $207.58 – $207.58 |
| 17 | Anthem hpn facility · fee schedule · outpatient | $238.23 | $238.23 | $238.23 – $238.23 |
| 18 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $264.90 | $264.90 | $264.90 – $264.90 |
| 19 | Anthem ppo/hmo facility · fee schedule · outpatient | $285.29 | $285.29 | $285.29 – $285.29 |
| 20 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $409.94 | $409.94 | $409.94 – $409.94 |
| 21 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $415.44 | $415.44 | $415.44 – $415.44 |
| 22 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $423.00 | $423.00 | $423.00 – $423.00 |
| 23 | Aetna international facility · fee schedule · outpatient | $462.01 | $462.01 | $462.01 – $462.01 |
| 24 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $550.50 | $550.50 | $550.50 – $550.50 |
| 25 | UnitedHealthcare all products facility · fee schedule · outpatient | $551.66 | $551.66 | $551.66 – $551.66 |
Last updated: Jun 15, 2026
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