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
CT THORACIC SPINE W/O CONTRAST MATERIAL
Holmdel, NJ
See all hospitals reporting CPT 72128 →Price type
Hmh Hospitals Corporation’s median price of $548 is 64% above the median hospital's median price ($334), higher than 61% 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: 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $117.70 | $117.70 | $117.70 – $117.70 |
| 2 | WellCare managed medicaid facility · fee schedule · outpatient | $117.70 | $117.70 | $117.70 – $117.70 |
| 3 | WellCare medicare advantage facility · fee schedule · outpatient | $117.70 | $117.70 | $117.70 – $117.70 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $128.30 | $128.30 | $128.30 – $128.30 |
| 5 | UnitedHealthcare dsnp facility · fee schedule · outpatient | $141.24 | $141.24 | $141.24 – $141.24 |
| 6 | Cigna hmo facility · fee schedule · outpatient | $256.70 | $256.70 | $256.70 – $256.70 |
| 7 | Cigna ppo facility · fee schedule · outpatient | $256.70 | $256.70 | $256.70 – $256.70 |
| 8 | UnitedHealthcare hmo facility · fee schedule · outpatient | $265.07 | $265.07 | $265.07 – $265.07 |
| 9 | Aetna hmo facility · fee schedule · outpatient | $313.21 | $313.21 | $313.21 – $313.21 |
| 10 | Aetna ppo facility · fee schedule · outpatient | $313.21 | $313.21 | $313.21 – $313.21 |
| 11 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $480.36 | $480.36 | $480.36 – $480.36 |
| 12 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $527.22 | $527.22 | $527.22 – $527.22 |
| 13 | UnitedHealthcare managed medicaid facility · other · outpatient | $714.00 | $714.00 | $714.00 – $714.00 |
| 14 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $2,293 | $2,293 | $2,293 – $2,293 |
| 15 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $2,343 | $2,343 | $2,343 – $2,343 |
| 16 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $2,490 | $2,490 | $2,490 – $2,490 |
Last updated: Dec 31, 2025
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.