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
T-SPINE W/O CONTRAST
Tampa, FL
See all hospitals reporting CPT 72128 →Price type
H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.’s median price of $699 is 109% above the median hospital's median price ($334), higher than 66% 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, 23 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $243.43 | $243.43 | $243.43 – $243.43 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $270.01 | $270.01 | $270.01 – $270.01 |
| 3 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $312.98 | $312.98 | $312.98 – $312.98 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $312.98 | $312.98 | $312.98 – $312.98 |
| 5 | Aetna exchange facility · percent of total billed charges · outpatientfrom % of charges | $409.86 | $409.86 | $409.86 – $409.86 |
| 6 | Aetna transplant facility · percent of total billed charges · outpatientfrom % of charges | $496.80 | $496.80 | $496.80 – $496.80 |
| 7 | Blue Cross Blue Shield blueselect facility · percent of total billed charges · outpatientfrom % of charges | $547.72 | $547.72 | $547.72 – $547.72 |
| 8 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $621.00 | $621.00 | $621.00 – $621.00 |
| 9 | Blue Cross Blue Shield healthoptions facility · percent of total billed charges · outpatientfrom % of charges | $622.37 | $622.37 | $622.37 – $622.37 |
| 10 | Blue Cross Blue Shield networkblue facility · percent of total billed charges · outpatientfrom % of charges | $648.70 | $648.70 | $648.70 – $648.70 |
| 11 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $658.26 | $658.26 | $658.26 – $658.26 |
| 12 | Aetna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $680.62 | $680.62 | $680.62 – $680.62 |
| 13 | Blue Cross Blue Shield ppc facility · percent of total billed charges · outpatientfrom % of charges | $715.02 | $715.02 | $715.02 – $715.02 |
| 14 | Cigna transplant facility · percent of total billed charges · outpatientfrom % of charges | $745.20 | $745.20 | $745.20 – $745.20 |
| 15 | Optum transplant facility · percent of total billed charges · outpatientfrom % of charges | $745.20 | $745.20 | $745.20 – $745.20 |
| 16 | Cigna exchange facility · percent of total billed charges · outpatientfrom % of charges | $755.14 | $755.14 | $755.14 – $755.14 |
| 17 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $789.91 | $789.91 | $789.91 – $789.91 |
| 18 | Humana transplant facility · percent of total billed charges · outpatientfrom % of charges | $807.30 | $807.30 | $807.30 – $807.30 |
| 19 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $931.50 | $931.50 | $931.50 – $931.50 |
| 20 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $931.50 | $931.50 | $931.50 – $931.50 |
| 21 | Blue Cross Blue Shield phs facility · percent of total billed charges · outpatientfrom % of charges | $953.36 | $953.36 | $953.36 – $953.36 |
| 22 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $993.60 | $993.60 | $993.60 – $993.60 |
| 23 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $993.60 | $993.60 | $993.60 – $993.60 |
Last updated: Jul 10, 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.