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
HCHG 72040 SPINE CERV AP+LAT 3 VWS
West Union, IA
See all hospitals reporting CPT 72040 →Price type
Gundersen Palmer Lutheran Hospital and Clinic Inc’s median price of $174 is 39% above the median hospital's median price ($125), higher than 64% of the 2,628 hospitals reporting CPT 72040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 managed medicaid facility · other · outpatient | $24.82 | $24.82 | $24.82 – $24.82 |
| 2 | Wellmark hmo facility · case rate · outpatient | $127.92 | $127.92 | $127.92 – $127.92 |
| 3 | Wellmark indemnity/ppo facility · case rate · outpatient | $140.46 | $140.46 | $140.46 – $140.46 |
| 4 | UnitedHealthcare all payer appendix facility · percent of total billed charges · outpatientfrom % of charges | $166.16 | $166.16 | $166.16 – $166.16 |
| 5 | Wellmark all products facility · percent of total billed charges · outpatientfrom % of charges | $170.85 | $170.85 | $170.85 – $170.85 |
| 6 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $174.20 | $174.20 | $174.20 – $174.20 |
| 7 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $174.20 | $174.20 | $174.20 – $174.20 |
| 8 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $174.20 | $174.20 | $174.20 – $174.20 |
| 9 | Wellmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $174.20 | $174.20 | $174.20 – $174.20 |
| 10 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $184.25 | $184.25 | $184.25 – $184.25 |
| 11 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $184.25 | $184.25 | $184.25 – $184.25 |
| 12 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $184.25 | $184.25 | $184.25 – $184.25 |
| 13 | Ucare qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $268.00 | $268.00 | $268.00 – $268.00 |
| 14 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $274.70 | $274.70 | $274.70 – $274.70 |
| 15 | MultiPlan healtheos plus facility · percent of total billed charges · outpatientfrom % of charges | $294.80 | $294.80 | $294.80 – $294.80 |
| 16 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · outpatientfrom % of charges | $311.55 | $311.55 | $311.55 – $311.55 |
Last updated: Jun 27, 2026
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