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
CAT T SPINE WITHOUT CONTRAST
Teaneck, NJ
See all hospitals reporting CPT 72128 →Price type
Holy Name’s median price of $682 is 104% above the median hospital's median price ($334), higher than 65% 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: 9 payers, 21 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 | Aetna medicare prime facility · fee schedule · outpatient | $112.71 | $112.71 | $112.71 – $112.71 |
| 2 | Aetna golden medicare facility · fee schedule · outpatient | $125.23 | $125.23 | $125.23 – $125.23 |
| 3 | Clover clover facility · fee schedule · outpatient | $125.23 | $125.23 | $125.23 – $125.23 |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $125.23 | $125.23 | $125.23 – $125.23 |
| 5 | WellCare medicare facility · fee schedule · outpatient | $126.48 | $126.48 | $126.48 – $126.48 |
| 6 | Aetna whole health facility · fee schedule · outpatient | $290.87 | $290.87 | $290.87 – $290.87 |
| 7 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $351.18 | $351.18 | $323.39 – $378.97 |
| 8 | Cigna hmo/pos facility · fee schedule · outpatient | $364.44 | $364.44 | $364.44 – $364.44 |
| 9 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $368.77 | $368.77 | $339.59 – $397.95 |
| 10 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $422.21 | $422.21 | $388.80 – $455.62 |
| 11 | UnitedHealthcare uhc facility · other · outpatient | $543.00 | $543.00 | $543.00 – $543.00 |
| 12 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $549.75 | $549.75 | $506.25 – $593.25 |
| 13 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $741.07 | $741.07 | $682.43 – $799.70 |
| 14 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1,051 | $1,051 | $967.95 – $1,134 |
| 15 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $1,341 | $1,341 | $1,235 – $1,448 |
| 16 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1,429 | $1,429 | $1,316 – $1,542 |
| 17 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $1,869 | $1,869 | $1,721 – $2,017 |
| 18 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $1,979 | $1,979 | $1,823 – $2,136 |
| 19 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2,039 | $2,039 | $1,878 – $2,200 |
| 20 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $2,039 | $2,039 | $1,878 – $2,200 |
| 21 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,039 | $2,039 | $1,878 – $2,200 |
Last updated: Nov 10, 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.