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 CT THORACIC SPINE W/O CONTRAST
Grand Rapids, MN
See all hospitals reporting CPT 72128 →Price type
Grand Itasca Clinic and Hospital’s median price of $127 is 62% below the median hospital's median price ($334), higher than 16% of the 2,605 hospitals reporting CPT 72128. 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, 49 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 | Medica accessability professional · fee schedule · both | $68.01 | $68.01 | $34.57 – $101.44 |
| 2 | Medica managed medicaid professional · fee schedule · both | $68.01 | $68.01 | $34.57 – $101.44 |
| 3 | Medica medicare advantage non-snp professional · fee schedule · both | $68.01 | $68.01 | $34.57 – $101.44 |
| 4 | Ucare pmap professional · fee schedule · both | $69.30 | $69.30 | $35.49 – $103.10 |
| 5 | Bcbs Mn pmap professional · fee schedule · both | $72.77 | $72.77 | $36.99 – $108.54 |
| 6 | Medica msho-dual/medicare advantage snp professional · fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 7 | Sanford Health Plan medicare advantage professional · fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $82.96 | $84.61 | $43.96 – $126.92 |
| 10 | Bcbs Mn medicare advantage professional · fee schedule · both | $86.28 | $88.00 | $45.72 – $132.00 |
| 11 | Ucare medicare advantage/msho professional · fee schedule · both | $87.11 | $88.85 | $46.16 – $133.27 |
| 12 | Sanford Health Plan medicare advantage facility · other · inpatient | $89.04 | $89.04 | $89.04 – $89.04 |
| 13 | Ucare pmap facility · other · inpatient | $96.28 | $96.28 | $96.28 – $96.28 |
| 14 | Sanford Health Plan medicare advantage facility · fee schedule · outpatient | $107.01 | $107.01 | $107.01 – $107.01 |
| 15 | Ucare medicare advantage/msho facility · fee schedule · outpatient | $107.01 | $107.01 | $107.01 – $107.01 |
| 16 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $107.01 | $107.01 | $107.01 – $107.01 |
| 17 | WellCare medicare advantage facility · fee schedule · outpatient | $107.01 | $107.01 | $107.01 – $107.01 |
| 18 | Bcbs Mn medicare advantage facility · fee schedule · outpatient | $111.29 | $111.29 | $111.29 – $111.29 |
| 19 | Medica medicare advantage non-snp facility · fee schedule · outpatient | $113.43 | $113.43 | $113.43 – $113.43 |
| 20 | Ucare pmap facility · fee schedule · outpatient | $115.03 | $115.03 | $115.03 – $115.03 |
| 21 | Bcbs Mn medicare advantage facility · other · inpatient | $116.24 | $116.24 | $116.24 – $116.24 |
| 22 | Ucare individual and family plans facility · other · inpatient | $118.01 | $118.01 | $118.01 – $118.01 |
| 23 | UnitedHealthcare medicare advantage facility · other · inpatient | $118.01 | $118.01 | $118.01 – $118.01 |
| 24 | Sanford Health Plan commercial professional · percent of total billed charges · bothfrom % of charges | $118.98 | $118.98 | $118.98 – $118.98 |
| 25 | First Health commercial professional · percent of total billed charges · bothfrom % of charges | $165.64 | $165.64 | $165.64 – $165.64 |
Last updated: Jan 28, 2026
See CT scan of chest and spine without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.