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
XR Spine Lumbosacral 2 or 3 Views
Suffern, NY
See all hospitals reporting CPT 72100 →Price type
Good Samaritan Hospital’s median price of $244 is 69% above the median hospital's median price ($144), higher than 72% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 17 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 aetna hp network facility · fee schedule · outpatient | $96.56 | $96.56 | $96.56 – $96.56 |
| 2 | Aetna aetna employee facility · fee schedule · outpatient | $98.53 | $98.53 | $98.53 – $98.53 |
| 3 | Aetna aetna facility · fee schedule · outpatient | $107.44 | $107.44 | $107.44 – $107.44 |
| 4 | Medicare medicare facility · fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 5 | Tricare tricare facility · fee schedule · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 6 | Molina affinity by molina mcr facility · fee schedule · outpatient | $136.35 | $136.35 | $136.35 – $136.35 |
| 7 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $202.86 | $202.86 | $202.86 – $202.86 |
| 8 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $243.59 | $243.59 | $243.59 – $243.59 |
| 9 | Blue Cross Blue Shield blue cross hmo facility · fee schedule · outpatient | $250.31 | $250.31 | $250.31 – $250.31 |
| 10 | Blue Cross Blue Shield blue cross access facility · fee schedule · outpatient | $1,252 | $1,252 | $1,252 – $1,252 |
| 11 | UnitedHealthcare uhc exchange facility · fee schedule · outpatient | $1,351 | $1,351 | $1,351 – $1,351 |
| 12 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,462 | $1,462 | $1,462 – $1,462 |
| 13 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1,567 | $1,567 | $1,567 – $1,567 |
| 14 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $1,567 | $1,567 | $1,567 – $1,567 |
| 15 | UnitedHealthcare uhc commercial facility · fee schedule · outpatient | $1,589 | $1,589 | $1,589 – $1,589 |
| 16 | UnitedHealthcare uhc empire facility · fee schedule · outpatient | $1,589 | $1,589 | $1,589 – $1,589 |
| 17 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1,776 | $1,776 | $1,776 – $1,776 |
Last updated: Jun 29, 2026
See Lumbosacral spine X-ray, 2 to 3 views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.