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 Chest Spine W/O Dye
Holyoke, MA
See all hospitals reporting CPT 72128 →Price type
Holyoke Medical Center’s median price of $129 is 61% below the median hospital's median price ($334), higher than 17% 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 | UnitedHealthcare sheet metal workers + professional · fee schedule · both | $31.76 | $31.76 | $31.76 – $31.76 |
| 2 | UnitedHealthcare uhc complete care professional · fee schedule · both | $31.76 | $31.76 | $31.76 – $31.76 |
| 3 | UnitedHealthcare verizon professional · fee schedule · both | $31.76 | $31.76 | $31.76 – $31.76 |
| 4 | Aetna ppo - medicare (aetna) professional · fee schedule · both | $37.00 | $39.54 | $36.26 – $45.35 |
| 5 | Optum all plans professional · fee schedule · both | $46.28 | $46.28 | $46.28 – $46.28 |
| 6 | Blue Cross Blue Shield all plans professional · fee schedule · both | $45.54 | $49.58 | $43.26 – $59.93 |
| 7 | Medicaid medicaid facility · fee schedule · outpatient | $99.24 | $99.24 | $99.24 – $99.24 |
| 8 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 9 | Blue Cross Blue Shield blue cross blue shield medicare advantage facility · fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 10 | Medicare medicare facility · fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 11 | UnitedHealthcare uhc medicare advantage facility · fee schedule · outpatient | $123.29 | $123.29 | $123.29 – $123.29 |
| 12 | UnitedHealthcare uhc evercare (sco) facility · fee schedule · outpatient | $129.45 | $129.45 | $129.45 – $129.45 |
| 13 | Aetna aetna commercial facility · other · outpatient | $135.36 | $135.36 | $135.36 – $135.36 |
| 14 | UnitedHealthcare uhc harvard pilgrim facility · other · outpatient | $171.02 | $171.02 | $171.02 – $171.02 |
| 15 | Cigna cigna commercial facility · fee schedule · outpatient | $189.62 | $189.62 | $189.62 – $189.62 |
| 16 | Blue Cross Blue Shield blue cross blue shield hmo facility · fee schedule · outpatient | $218.08 | $218.08 | $218.08 – $218.08 |
| 17 | Blue Cross Blue Shield blue cross blue shield indemnity facility · fee schedule · outpatient | $218.08 | $218.08 | $218.08 – $218.08 |
| 18 | Blue Cross Blue Shield blue cross blue shield ppo facility · fee schedule · outpatient | $218.08 | $218.08 | $218.08 – $218.08 |
| 19 | Cigna evernorth bh facility · percent of total billed charges · inpatientfrom % of charges | $350.00 | $350.00 | $350.00 – $350.00 |
| 20 | Magellan magellan mass facility · percent of total billed charges · inpatientfrom % of charges | $350.00 | $350.00 | $350.00 – $350.00 |
| 21 | Magellan magellan swh facility · percent of total billed charges · inpatientfrom % of charges | $350.00 | $350.00 | $350.00 – $350.00 |
| 22 | Cigna cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $367.50 | $367.50 | $367.50 – $367.50 |
| 23 | UnitedHealthcare uhc commercial facility · other · outpatient | $1,666 | $1,666 | $1,666 – $1,666 |
Last updated: May 1, 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.