CT scan of chest and spine without contrast dye at Hospital for Special Surgery

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT Thoracic Spine WO Contr

New York, NY

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How this price compares nationally

Hospital for Special Surgery’s median price of $857 is 156% above the median hospital's median price ($334), higher than 72% of the 2,605 hospitals reporting CPT 72128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72128 at Hospital for Special Surgery

Negotiated rates from the hospital’s own file: 6 payers, 41 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	UnitedHealthcare medicare managed care fee schedule · both	$36.11	$36.11	$36.11 – $36.11
2	UnitedHealthcare commercial fee schedule · both	$78.80	$78.80	$78.80 – $78.80
3	Anthem exchange fee schedule · both	$80.32	$80.32	$80.32 – $80.32
4	Anthem commercial fee schedule · both	$94.49	$94.49	$94.49 – $94.49
5	Cigna commercial fee schedule · both	$104.67	$104.67	$104.67 – $104.67
6	Aetna commercial fee schedule · both	$139.71	$139.71	$139.71 – $139.71
7	UnitedHealthcare unitedhealthcare essential 3 and 4 [110714] fee schedule · both	$190.89	$190.89	$190.89 – $190.89
8	UnitedHealthcare unitedhealthcare essential group 1 [110713] fee schedule · both	$190.89	$190.89	$190.89 – $190.89
9	Blue Cross Blue Shield bcbs individual network [102218] fee schedule · both	$381.78	$381.78	$381.78 – $381.78
10	UnitedHealthcare united healthcare compass [110707] per diem · both	$651.00	$651.00	$651.00 – $651.00
11	UnitedHealthcare united healthcare exchange [110711] per diem · both	$651.00	$651.00	$651.00 – $651.00
12	Cigna allied benefit system - cigna network [133700] case rate · both	$856.98	$856.98	$856.98 – $856.98
13	Cigna cigna [103500] case rate · both	$856.98	$856.98	$856.98 – $856.98
14	Cigna cigna epo [103502] case rate · both	$856.98	$856.98	$856.98 – $856.98
15	Cigna cigna great west [103506] case rate · both	$856.98	$856.98	$856.98 – $856.98
16	Cigna cigna hmo [103503] case rate · both	$856.98	$856.98	$856.98 – $856.98
17	Cigna cigna indemnity [103505] case rate · both	$856.98	$856.98	$856.98 – $856.98
18	Cigna cigna international [103507] case rate · both	$856.98	$856.98	$856.98 – $856.98
19	Cigna cigna ppo [103504] case rate · both	$856.98	$856.98	$856.98 – $856.98
20	Cigna daniel h cook - cigna [133900] case rate · both	$856.98	$856.98	$856.98 – $856.98
21	Cigna local 831 [103508] case rate · both	$856.98	$856.98	$856.98 – $856.98
22	Cigna luminare - cigna [136200] case rate · both	$856.98	$856.98	$856.98 – $856.98
23	Cigna trustmark - cigna [134300] case rate · both	$856.98	$856.98	$856.98 – $856.98
24	UnitedHealthcare all savers [110715] per diem · both	$1,030	$1,030	$1,030 – $1,030
25	UnitedHealthcare united healthcare choice [110705] per diem · both	$1,030	$1,030	$1,030 – $1,030

Page 1 of 2 · 41 rates

Last updated: Apr 1, 2026

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