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
XR Spine Lumbosacral Minimum 4 V DR
Milton, FL
See all hospitals reporting CPT 72110 →Price type
HMA Santa Rosa Medical Center LLC’s median price of $109 is 32% below the median hospital's median price ($161), higher than 24% 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: 14 payers, 30 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 | Aetna aetna nab/first health facility · fee schedule · outpatient | $28.13 | $28.13 | $28.13 – $28.13 |
| 2 | Aetna aetna facility · fee schedule · outpatient | $29.35 | $29.35 | $29.35 – $29.35 |
| 3 | Aetna aetna asa facility · fee schedule · outpatient | $32.29 | $32.29 | $32.29 – $32.29 |
| 4 | Medicaid fl medicaid facility · fee schedule · outpatient | $35.59 | $35.59 | $35.59 – $35.59 |
| 5 | Humana humana medicaid fl facility · fee schedule · outpatient | $36.66 | $36.66 | $36.66 – $36.66 |
| 6 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $37.37 | $37.37 | $37.37 – $37.37 |
| 7 | Molina molina medicaid fl facility · other · outpatient | $40.22 | $40.22 | $40.22 – $40.22 |
| 8 | Humana node humana mcr ppo pffs facility · fee schedule · outpatient | $102.05 | $102.05 | $102.05 – $102.05 |
| 9 | Tricare node tricare facility · fee schedule · outpatient | $103.71 | $103.71 | $103.71 – $103.71 |
| 10 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $107.42 | $107.42 | $107.42 – $107.42 |
| 11 | Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient | $107.42 | $107.42 | $107.42 – $107.42 |
| 12 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $107.42 | $107.42 | $107.42 – $107.42 |
| 13 | Humana node humana mcr hmo pos facility · fee schedule · outpatient | $107.42 | $107.42 | $107.42 – $107.42 |
| 14 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $107.42 | $107.42 | $107.42 – $107.42 |
| 15 | Optum node united optum va ccn facility · per diem · outpatient | $109.17 | $109.17 | $109.17 – $109.17 |
| 16 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $112.79 | $112.79 | $112.79 – $112.79 |
| 17 | Oscar oscar facility · other · outpatient | $202.50 | $202.50 | $202.50 – $202.50 |
| 18 | Ambetter sunshine state health plan commercial exchange facility · fee schedule · outpatient | $260.92 | $260.92 | $260.92 – $260.92 |
| 19 | Bcbs Fl bcbs fl bsl facility · per diem · outpatient | $378.00 | $378.00 | $378.00 – $378.00 |
| 20 | Bcbs Fl bcbs fl mbn facility · per diem · outpatient | $378.00 | $378.00 | $378.00 – $378.00 |
| 21 | Bcbs Fl bcbs fl hmo facility · per diem · outpatient | $399.00 | $399.00 | $399.00 – $399.00 |
| 22 | Blue Cross Blue Shield bcbs fl sbn facility · per diem · outpatient | $399.00 | $399.00 | $399.00 – $399.00 |
| 23 | Bcbs Fl bcbs fl nwb facility · per diem · outpatient | $476.00 | $476.00 | $476.00 – $476.00 |
| 24 | Bcbs Fl bcbs fl ppo facility · per diem · outpatient | $476.00 | $476.00 | $476.00 – $476.00 |
| 25 | Bcbs Fl bcbs fl phs facility · per diem · outpatient | $639.00 | $639.00 | $639.00 – $639.00 |
Last updated: Apr 1, 2026
See X-ray of lower spine, 4 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.