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
SP-LS SPN 2 TO 3V DR
Granbury, TX
See all hospitals reporting CPT 72100 →Price type
Granbury Hospital Corporation’s median price of $132 is 9% below the median hospital's median price ($144), higher than 44% 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: 11 payers, 42 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 bcbs tx blue adv facility · other · outpatient | $49.54 | $49.54 | $49.54 – $49.54 |
| 2 | Tricare node tricare facility · fee schedule · outpatient | $99.77 | $95.78 | $89.79 – $99.77 |
| 3 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $112.68 | $108.17 | $101.41 – $112.68 |
| 4 | Humana node humana mcr adv facility · fee schedule · outpatient | $112.68 | $108.17 | $101.41 – $112.68 |
| 5 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $112.68 | $108.17 | $101.41 – $112.68 |
| 6 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $114.92 | $110.32 | $103.43 – $114.92 |
| 7 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $114.93 | $110.33 | $103.44 – $114.93 |
| 8 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $114.93 | $110.33 | $103.44 – $114.93 |
| 9 | Aetna node aetna chip medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 10 | Medicaid node tx medicaid facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 11 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 12 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 13 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 14 | Molina node molina chip medicaid tx facility · fee schedule · outpatient | $138.59 | $138.59 | $138.59 – $138.59 |
| 15 | Molina node molina star medicaid tx facility · fee schedule · outpatient | $138.59 | $138.59 | $138.59 – $138.59 |
| 16 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $151.79 | $151.79 | $151.79 – $151.79 |
| 17 | Superior Healthplan node superior star plus medicaid tx facility · fee schedule · outpatient | $151.79 | $151.79 | $151.79 – $151.79 |
| 18 | Cigna cigna new business facility · percent of total billed charges · inpatientfrom % of charges | $52.32 | $169.37 | $39.12 – $357.12 |
| 19 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $52.32 | $169.37 | $39.12 – $357.12 |
| 20 | Aetna node aetna star kids medicaid tx facility · other · outpatient | $179.51 | $179.51 | $179.51 – $179.51 |
| 21 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $206.00 | $207.09 | $154.00 – $256.73 |
| 22 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $206.00 | $207.09 | $154.00 – $256.73 |
| 23 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $81.16 | $262.72 | $60.68 – $553.96 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $87.57 | $283.46 | $65.47 – $597.69 |
| 25 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $303.45 | $291.31 | $273.11 – $303.45 |
Last updated: Apr 1, 2026
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