Lumbosacral spine X-ray, 2 to 3 views at Forsyth Memorial Hospital, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LUMBAR SPINE 2 OR 3 VIEWS

Clemmons, NC

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Pricing by billing methodology

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How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $105 is 27% below the median hospital's median price ($144), higher than 24% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72100 at Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 28 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	Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient	$78.03	$78.03	$78.03 – $78.03
2	UnitedHealthcare medicaid fee schedule · outpatient	$78.03	$78.03	$78.03 – $78.03
3	WellCare medicaid fee schedule · outpatient	$78.03	$78.03	$78.03 – $78.03
4	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$101.39	$101.39	$101.39 – $101.39
5	Humana medicare fee schedule · outpatient	$101.39	$101.39	$101.39 – $101.39
6	UnitedHealthcare medicare fee schedule · outpatient	$101.39	$101.39	$101.39 – $101.39
7	Aetna medicare fee schedule · outpatient	$103.92	$103.92	$103.92 – $103.92
8	Cigna healthspring fee schedule · outpatient	$104.43	$104.43	$104.43 – $104.43
9	Cigna aca fee schedule · outpatient	$159.44	$159.44	$159.44 – $159.44
10	Caresource qualified health plan fee schedule · outpatient	$164.80	$164.80	$164.80 – $164.80
11	Blue Cross Blue Shield blue home fee schedule · outpatient	$215.06	$215.06	$215.06 – $215.06
12	Blue Cross Blue Shield blue value fee schedule · outpatient	$222.48	$222.48	$222.48 – $222.48
13	Cigna commercial fee schedule · outpatient	$244.72	$244.72	$244.72 – $244.72
14	Aetna commercial fee schedule · outpatient	$253.79	$253.79	$253.79 – $253.79
15	UnitedHealthcare all payer fee schedule · outpatient	$277.27	$277.27	$277.27 – $277.27
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$283.04	$283.04	$283.04 – $283.04
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$283.04	$283.04	$283.04 – $283.04
18	Humana commercial fee schedule · outpatient	$320.94	$320.94	$320.94 – $320.94
19	Aetna aca fee schedule · outpatient	$329.60	$329.60	$329.60 – $329.60
20	Aetna first health fee schedule · outpatient	$329.60	$329.60	$329.60 – $329.60
21	Aetna non-par products of apcn fee schedule · outpatient	$329.60	$329.60	$329.60 – $329.60
22	Aetna rental network products fee schedule · outpatient	$329.60	$329.60	$329.60 – $329.60
23	Aetna whole health non-multitier fee schedule · outpatient	$329.60	$329.60	$329.60 – $329.60
24	Medcost mbs fee schedule · outpatient	$350.20	$350.20	$350.20 – $350.20
25	Beechstreet commercial fee schedule · outpatient	$370.80	$370.80	$370.80 – $370.80

Page 1 of 2 · 28 rates

Last updated: Mar 30, 2026

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