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
Spine Lumbosac Min 4 Vw Flex/Ext Stand Ortho
Melrose Park, IL
See all hospitals reporting CPT 72110 →Price type
Gottlieb Memorial Hospital’s median price of $116 is 28% below the median hospital's median price ($161), higher than 29% 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, 20 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 | Molina medicaid facility · case rate · outpatient | $54.71 | $54.71 | $54.71 – $54.71 |
| 2 | Cigna hmo facility · fee schedule · outpatient | $90.31 | $90.31 | $90.31 – $90.31 |
| 3 | Blue Cross Blue Shield mmp/duals facility · fee schedule · outpatient | $103.09 | $103.09 | $103.09 – $103.09 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $113.40 | $113.40 | $113.40 – $113.40 |
| 6 | Cigna medicare advantage facility · fee schedule · outpatient | $114.18 | $114.18 | $114.18 – $114.18 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $116.39 | $116.39 | $116.39 – $116.39 |
| 8 | WellCare medicare advantage facility · fee schedule · outpatient | $116.39 | $116.39 | $116.39 – $116.39 |
| 9 | Oscar health exchange facility · fee schedule · outpatient | $121.94 | $121.94 | $121.94 – $121.94 |
| 10 | Cigna ppo facility · fee schedule · outpatient | $135.46 | $135.46 | $135.46 – $135.46 |
| 11 | Molina health exchange facility · fee schedule · outpatient | $138.56 | $138.56 | $138.56 – $138.56 |
| 12 | Humana all products facility · fee schedule · outpatient | $206.33 | $206.33 | $206.33 – $206.33 |
| 13 | UnitedHealthcare navigate core facility · other · outpatient | $272.00 | $272.00 | $272.00 – $272.00 |
| 14 | UnitedHealthcare all products facility · other · outpatient | $296.00 | $296.00 | $296.00 – $296.00 |
| 15 | Blue Cross Blue Shield blue choice facility · percent of total billed charges · outpatientfrom % of charges | $463.85 | $347.89 | $0.01 – $463.85 |
| 16 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $577.30 | $432.98 | $0.01 – $577.30 |
| 17 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $672.68 | $504.51 | $0.01 – $672.68 |
| 18 | Blue Cross Blue Shield blue precision facility · percent of total billed charges · outpatientfrom % of charges | $698.78 | $524.09 | $0.01 – $698.78 |
| 19 | Aetna fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $732.92 | $549.69 | $0.01 – $732.92 |
| 20 | Aetna all products facility · other · outpatient | $2,544 | $2,544 | $2,544 – $2,544 |
Last updated: Mar 31, 2026
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