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
HC LUMBO-SACRAL SPINE, MIN 4 V'S
Philadelphia, PA
See all hospitals reporting CPT 72110 →Price type
Fox Chase Cancer Center’s median price of $130 is 19% below the median hospital's median price ($161), higher than 36% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 21 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 | Bcbs Nj indemnity facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 2 | Bcbs Nj managed care facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 3 | Bcbs Nj ppo facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 4 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $90.82 | $90.82 | $90.82 – $90.82 |
| 5 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $90.82 | $90.82 | $90.82 – $90.82 |
| 6 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $107.41 | $107.41 | $107.41 – $107.41 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $107.41 | $107.41 | $107.41 – $107.41 |
| 8 | Clover medicare advantage facility · fee schedule · outpatient | $113.85 | $113.85 | $113.85 – $113.85 |
| 9 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $129.97 | $129.97 | $129.97 – $129.97 |
| 10 | Highmark medicare advantage facility · fee schedule · outpatient | $131.04 | $131.04 | $131.04 – $131.04 |
| 11 | Bcbs Pa hmo facility · fee schedule · outpatient | $131.84 | $131.84 | $131.84 – $131.84 |
| 12 | Aetna medicare advantage facility · fee schedule · outpatient | $135.34 | $135.34 | $135.34 – $135.34 |
| 13 | Bcbs Pa ppo facility · fee schedule · outpatient | $146.26 | $146.26 | $146.26 – $146.26 |
| 14 | Bcbs Pa temple member facility · fee schedule · outpatient | $146.26 | $146.26 | $146.26 – $146.26 |
| 15 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $161.12 | $161.12 | $161.12 – $161.12 |
| 16 | UnitedHealthcare vaccn facility · percent of total billed charges · outpatientfrom % of charges | $243.04 | $243.04 | $243.04 – $243.04 |
| 17 | Highmark commercial facility · fee schedule · outpatient | $296.05 | $296.05 | $296.05 – $296.05 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $314.43 | $314.43 | $314.43 – $314.43 |
| 19 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $314.43 | $314.43 | $314.43 – $314.43 |
| 20 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $382.64 | $382.64 | $382.64 – $382.64 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $882.54 | $882.54 | $882.54 – $882.54 |
Last updated: Apr 8, 2026
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