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 DI L SPINE AP/LAT/OBL/OR FLEX/EXT
LAFAYETTE, CO
See all hospitals reporting CPT 72110 →Price type
Good Samaritan Medical Center, Llc Dba’s median price of $251 is 56% above the median hospital's median price ($161), higher than 68% 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: 8 payers, 76 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 | UnitedHealthcare uhc mrp php prime facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 2 | UnitedHealthcare uhc rmhp mrp dualcare facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 3 | UnitedHealthcare united healthcare mrp facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 4 | UnitedHealthcare united healthcare optum mrp facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 5 | Kaiser kaiser snp facility · case rate · outpatient | $106.87 | $106.87 | $106.87 – $106.87 |
| 6 | Kaiser kp select hmo facility · percent of total billed charges · outpatientfrom % of charges | $106.87 | $106.87 | $106.87 – $106.87 |
| 7 | Kaiser kaiser hmo exchange plan facility · percent of total billed charges · outpatientfrom % of charges | $132.87 | $132.87 | $132.87 – $132.87 |
| 8 | Kaiser kaiser out of state facility · percent of total billed charges · outpatientfrom % of charges | $132.87 | $132.87 | $132.87 – $132.87 |
| 9 | Kaiser kaiser permanente hmo facility · percent of total billed charges · outpatientfrom % of charges | $132.87 | $132.87 | $132.87 – $132.87 |
| 10 | Kaiser kaiser self funded facility · percent of total billed charges · outpatientfrom % of charges | $132.87 | $132.87 | $132.87 – $132.87 |
| 11 | Kaiser kaiser perm ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $134.84 | $134.84 | $134.84 – $134.84 |
| 12 | Aetna aetna colorado preferred facility · fee schedule · outpatient | $135.57 | $135.57 | $135.57 – $135.57 |
| 13 | Cigna cigna sclhs cdhp facility · percent of total billed charges · outpatientfrom % of charges | $144.43 | $144.43 | $144.43 – $144.43 |
| 14 | Cigna cigna co public option facility · percent of total billed charges · outpatientfrom % of charges | $147.02 | $147.02 | $147.02 – $147.02 |
| 15 | Cigna cigna connect exchange facility · percent of total billed charges · outpatientfrom % of charges | $147.02 | $147.02 | $147.02 – $147.02 |
| 16 | Cigna cigna surefit facility · percent of total billed charges · outpatientfrom % of charges | $147.02 | $147.02 | $147.02 – $147.02 |
| 17 | Aetna aetna hmo/epo facility · fee schedule · outpatient | $147.64 | $147.64 | $147.64 – $147.64 |
| 18 | Aetna aetna indemnity facility · fee schedule · outpatient | $147.64 | $147.64 | $147.64 – $147.64 |
| 19 | Aetna aetna other facility · fee schedule · outpatient | $147.64 | $147.64 | $147.64 – $147.64 |
| 20 | Aetna aetna pos/qpos facility · fee schedule · outpatient | $147.64 | $147.64 | $147.64 – $147.64 |
| 21 | Aetna aetna ppo facility · fee schedule · outpatient | $147.64 | $147.64 | $147.64 – $147.64 |
| 22 | Aetna aetna src facility · fee schedule · outpatient | $147.64 | $147.64 | $147.64 – $147.64 |
| 23 | Kaiser kp select hmo facility · percent of total billed charges · inpatientfrom % of charges | $170.42 | $170.42 | $170.42 – $170.42 |
| 24 | Aetna aetna colorado preferred facility · percent of total billed charges · outpatientfrom % of charges | $214.90 | $214.90 | $214.90 – $214.90 |
| 25 | Anthem bcbs co federal facility · percent of total billed charges · outpatientfrom % of charges | $229.87 | $229.87 | $229.87 – $229.87 |
Last updated: Mar 22, 2026
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